Unawareness after stroke: a review and practical guide to understanding, assessing, and managing anosognosia for hemiplegia

Paul M. Jenkinson; Catherine Preston; Simon J. Ellis

doi:10.1080/13803395.2011.596822

Unawareness after stroke: a review and practical guide to understanding, assessing, and managing anosognosia for hemiplegia

Paul M. Jenkinson, Catherine Preston, Simon J. Ellis

Psychology

Research output: Contribution to journal › Article › peer-review

Abstract

How should stroke patients with poor motor awareness be managed? This question is important because unawareness (or anosognosia) is related to poor rehabilitation and prognosis. This narrative review provides a guide for clinicians and (applied) academics to understanding, assessing and managing anosognosia. Questions addressed are: What is anosognosia? What causes anosognosia? How can anosognosia be assessed? And how can anosognosia be managed? We suggest that anosognosia is a multifaceted disorder, with diverse neuroanatomical and psychopathological origins. Assessment should measure various aspects of awareness, and management should be multidimensional to address problems with motor function, awareness, and emotional/motivational disturbance.

Original language	English
Pages (from-to)	1079-1093
Number of pages	15
Journal	JOURNAL OF CLINICAL AND EXPERIMENTAL NEUROPSYCHOLOGY
Volume	33
Issue number	10
DOIs	https://doi.org/10.1080/13803395.2011.596822
Publication status	Published - 2011

Keywords

Affective Symptoms
Agnosia
Awareness
Comprehension
Hemiplegia
Humans
Neuropsychological Tests
Practice Guidelines as Topic
Stroke

Access to Document

10.1080/13803395.2011.596822

Cite this

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title = "Unawareness after stroke: a review and practical guide to understanding, assessing, and managing anosognosia for hemiplegia",

abstract = "How should stroke patients with poor motor awareness be managed? This question is important because unawareness (or anosognosia) is related to poor rehabilitation and prognosis. This narrative review provides a guide for clinicians and (applied) academics to understanding, assessing and managing anosognosia. Questions addressed are: What is anosognosia? What causes anosognosia? How can anosognosia be assessed? And how can anosognosia be managed? We suggest that anosognosia is a multifaceted disorder, with diverse neuroanatomical and psychopathological origins. Assessment should measure various aspects of awareness, and management should be multidimensional to address problems with motor function, awareness, and emotional/motivational disturbance.",

keywords = "Affective Symptoms, Agnosia, Awareness, Comprehension, Hemiplegia, Humans, Neuropsychological Tests, Practice Guidelines as Topic, Stroke",

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AB - How should stroke patients with poor motor awareness be managed? This question is important because unawareness (or anosognosia) is related to poor rehabilitation and prognosis. This narrative review provides a guide for clinicians and (applied) academics to understanding, assessing and managing anosognosia. Questions addressed are: What is anosognosia? What causes anosognosia? How can anosognosia be assessed? And how can anosognosia be managed? We suggest that anosognosia is a multifaceted disorder, with diverse neuroanatomical and psychopathological origins. Assessment should measure various aspects of awareness, and management should be multidimensional to address problems with motor function, awareness, and emotional/motivational disturbance.

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