Visuospatial Neglect Caused by Microbleeds in a Patient with Cerebral Amyloid Angiopathy: A Case Report

This case report describes an 82-year-old man with a right parasagittal motor cortex intracerebral hemorrhage who presented with visuospatial neglect disproportionate to the primary lesion. Quantitative diffusion tensor imaging analysis revealed white matter damage suggestive of underlying cerebral amyloid angiopathy. These findings highlight the importance of considering underlying conditions such as cerebral amyloid angiopathy and premorbid cognitive function when diagnosing visuospatial neglect in elderly stroke patients. Furthermore, assessing the microstructural integrity of non-lesioned white matter tracts may help identify causes of post-stroke cognitive impairment or unexplained symptoms and provide insight into premorbid cognitive function.