Neurologic neglect syndrome
ICD-10 R41.4 is a billable code used to indicate a diagnosis of neurologic neglect syndrome.
Neurologic neglect syndrome, also known as hemispatial neglect, is a condition characterized by a lack of awareness or attention to one side of the body or the environment, typically following a stroke or brain injury affecting the right hemisphere. Patients may ignore stimuli on the affected side, leading to difficulties in daily activities and safety concerns. Symptoms can include failure to respond to visual or auditory stimuli on one side, neglect of personal hygiene on the affected side, and impaired spatial awareness. Clinical findings may include a lack of response to questions or commands directed toward the neglected side, and patients may exhibit a tendency to bump into objects on that side. Neurologic neglect can significantly impact rehabilitation outcomes and quality of life, necessitating comprehensive assessment and intervention strategies. Diagnosis is primarily clinical, supported by neuroimaging studies to identify underlying lesions. Treatment often involves occupational therapy and cognitive rehabilitation to improve awareness and functional independence.
Detailed patient history, neurological examination findings, and assessment of daily living activities affected by neglect.
Patients presenting with stroke or traumatic brain injury showing signs of neglect during routine evaluations.
Consideration of comorbid conditions that may affect cognitive function and documentation of multidisciplinary care.
Acute assessment of neurological status, imaging results, and immediate interventions taken.
Patients presenting with acute stroke symptoms, requiring rapid evaluation for neglect.
Timely documentation of neurological deficits is critical for accurate coding and treatment planning.
Used to assess cognitive function in patients with suspected neglect.
Detailed report of cognitive assessment findings and recommendations.
Neuropsychologists should document specific tests performed and their relevance to neglect.
The primary cause is typically a stroke or brain injury affecting the right hemisphere, leading to a lack of awareness of the left side of the body or environment.
Diagnosis is primarily clinical, based on the observation of neglect symptoms during neurological assessments, often supported by neuroimaging to identify underlying lesions.
