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Here is a quick mnemonic “CLINICAL EXAM to remember about Clinical Examination Of Hemispatial Neglect

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, MBBS, NEET PG, FMGE, NExT, MCAT & NCLEX exams

Clinical Examination Of Hemispatial Neglect : How To Remember Easily ?

  • C – Copying: When asked to copy a simple line drawing, the patient fails to copy detail on the left.
  • L – Left-side neglect: Patients with severe neglect may fail to dress, shave, or groom the left side of the body.
  • I – Incomplete eating: Patients may fail to eat food placed on the left side of the tray.
  • N – Neglected reading: Patients may fail to read the left half of sentences.
  • I – Unusually wide margin: When the patient is asked to write, there is a tendency to leave an unusually wide margin on the left.
  • C – Cancellation task: In the target detection task, targets are interspersed with foils, and the patient is asked to circle all the targets.
  • A – Attention distortion: Target detection failures reflect a distortion of spatial attention, not just of sensory input.
  • L – Extinction: After right hemisphere injury, patients may experience bilaterally presented stimulus as coming only from the right, known as extinction.
  • E – Exploratory deficit: Failure to detect targets on the left is a manifestation of the exploratory (motor) deficit in hemispatial neglect.
  • X – ‘X’ (denoting denial): Some patients with neglect may deny the existence of hemiparesis and deny ownership of the paralyzed limb, a condition known as anosognosia.
  • A – Assessment tools: Simultaneous bilateral stimulation and visual target cancellation are useful bedside tests in assessing neglect.
  • M – Modalities: The examiner provides unilateral or simultaneous bilateral stimulation in the visual, auditory, and tactile modalities.


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER working in department