‘A 75-year-old man with hypertension was brought to the emergency
department after a motor vehicle collision. A video recording from the
dashboard camera in his car showed a sudden inability to react to
events on his left side, which resulted in the crash (Panel A and
videos). During the physical examination, no visual-field deficit was
noted on confrontation testing. On double simultaneous stimulation of
the visual fields, the patient saw the stimulus on his right side but
not his left side. Tests of strength and sensation were normal. The
nature of the patient's accident and the examination findings
indicated hemineglect - a lack of awareness of stimuli on one side of
the body that is most commonly due to the presence of a lesion in the
parietal lobe on the contralateral side. Owing to his confusion, the
patient could not engage in more detailed testing of neglect. Computed
tomography of the head revealed a parieto-occipital subcortical
hemorrhage on the right side (Panel B, axial view). Diffusion-weighted
magnetic resonance imaging of the head did not show infarction in that
region. A diagnosis of an acute hemorrhagic stroke resulting in left
hemineglect and a motor vehicle collision was made. The patient
received treatment with antihypertensive medications and underwent
physical and occupational therapy. After a prolonged hospital stay, he
was discharged to a rehabilitation facility with ongoing hemineglect.’
Similar situation with me uncle when he was far from home on the west side of South Dakota His 2015 Outback came to a halt thanks to the Eyesight system and it was only his car involved. Last time he drove and went into a care facility before passing away a couple years later. Stayed mentally sharp the whole time.