Introduction : We report a patient with hypoxic brain injury following cardiac arrest, who had signs of spatial neglect and neglect dyslexia.
Case : 39 year old male had admitted to the ER with status of cardiac arrest. After hypothermia therapy, he was recovered and concluded that his arrest was due to arrhythmia. The Brain MR interpretation was compatible with global hypoxic brain injury and his initial Korean Mini Mental Status Examination(K-MMSE) score was 16.
His motor function improved dramatically that he was able to walk independently within a week but cognitive dysfunction did not show much improvement. Loewenstein Occupational Therapy Cognitive Assessment(LOTCA) evaluation showed that visuomotor organization and spatial relations were severely impaired.
Trail Making Test(TMT) sheet showed interesting pattern. He connected 1-2-13, 1-2-3-14. Tendency of omitting the first digit of every two digit number was commonly seen. Neglect dyslexia was predicted. Neglect tests were performed and the result suggested of left side neglect. He seemed to have both allocentric and egocentric neglect. It was concluded that he had neglect dyslexia with unilateral spatial neglect.
For treatments, he tried eye-patching and optokinetic stimulation via a clip from Youtube, in order to reduce stimuli of the left hemisphere leading to the interhemispheric re-balance. The outcome seems to be positive since the follow up neglect tests showed much improvement after a month. 
Conclusion : Right diagnosis of neglect and appropriate treatments were provided to the patient that he eventually came up with great functional improvement.

Hemispatial Neglect with Neglect Dyslexia following Hypoxic Brain Injury