Screening of visuospatial abilities in amyotrophic lateral sclerosis (ALS): a pilot study using the battery for visuospatial abilities (BVA)

Abstract Background Cognitive deficits related to frontotemporal dysfunction are common in Amyotrophic Lateral Sclerosis (ALS). Visuospatial deficits, related to posterior cerebral regions, are often underestimated in ALS, though they play a crucial role in attending daily living activities. Our pil...

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Main Authors: Minoo Sharbafshaaer, Mattia Siciliano, Carla Passaniti, Valeria Sant’Elia, Marcello Silvestro, Antonio Russo, Sabrina Esposito, Gioacchino Tedeschi, Luigi Trojano, Francesca Trojsi
Format: Article
Language:English
Published: BMC 2025-03-01
Series:Orphanet Journal of Rare Diseases
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Online Access:https://doi.org/10.1186/s13023-025-03645-z
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author Minoo Sharbafshaaer
Mattia Siciliano
Carla Passaniti
Valeria Sant’Elia
Marcello Silvestro
Antonio Russo
Sabrina Esposito
Gioacchino Tedeschi
Luigi Trojano
Francesca Trojsi
author_facet Minoo Sharbafshaaer
Mattia Siciliano
Carla Passaniti
Valeria Sant’Elia
Marcello Silvestro
Antonio Russo
Sabrina Esposito
Gioacchino Tedeschi
Luigi Trojano
Francesca Trojsi
author_sort Minoo Sharbafshaaer
collection DOAJ
description Abstract Background Cognitive deficits related to frontotemporal dysfunction are common in Amyotrophic Lateral Sclerosis (ALS). Visuospatial deficits, related to posterior cerebral regions, are often underestimated in ALS, though they play a crucial role in attending daily living activities. Our pilot study aims at assessing visuospatial abilities using a domain-specific tool in ALS patients compared to healthy controls (HC). Methods Twenty-three patients with early ALS and 23 age- and education-matched HC underwent the Battery for Visuospatial Abilities (BVA), including 4 visuo-perceptual and 4 visuo-representational subtests. Results When compared to HC, ALS scored worse in 2 visuo-perceptual subtests (i.e., Line Length Judgment and Line Orientation Judgment) and 1 visuo-representational tasks (i.e., Hidden Figure Identification, HFI) (p < 0.01). No correlations arose between ALS clinical features and BVA performance. More than 80% of the ALS cohort obtained abnormal scores in the HFI subtest. Conclusions Our findings revealed that patients with ALS scored worse (compared to HC) on selective tests tapping “perceptual” and “representational” visuospatial abilities, since the early stages of disease. In clinical practice, our findings highlight the need for multi-domain neuropsychological assessment, for monitoring disease courses and properly organizing care management of patients with ALS.
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spelling doaj-art-d1b187969dd2461ea29bef75f1f310be2025-08-20T01:57:45ZengBMCOrphanet Journal of Rare Diseases1750-11722025-03-012011810.1186/s13023-025-03645-zScreening of visuospatial abilities in amyotrophic lateral sclerosis (ALS): a pilot study using the battery for visuospatial abilities (BVA)Minoo Sharbafshaaer0Mattia Siciliano1Carla Passaniti2Valeria Sant’Elia3Marcello Silvestro4Antonio Russo5Sabrina Esposito6Gioacchino Tedeschi7Luigi Trojano8Francesca Trojsi9Department of Advanced Medical and Surgical Sciences, MRI Research Center, Università degli Studi della Campania “Luigi Vanvitelli”Department of Advanced Medical and Surgical Sciences, MRI Research Center, Università degli Studi della Campania “Luigi Vanvitelli”First Division of Neurology, AOU Università degli Studi della Campania “Luigi Vanvitelli”First Division of Neurology, AOU Università degli Studi della Campania “Luigi Vanvitelli”Department of Advanced Medical and Surgical Sciences, MRI Research Center, Università degli Studi della Campania “Luigi Vanvitelli”Department of Advanced Medical and Surgical Sciences, MRI Research Center, Università degli Studi della Campania “Luigi Vanvitelli”First Division of Neurology, AOU Università degli Studi della Campania “Luigi Vanvitelli”Department of Advanced Medical and Surgical Sciences, MRI Research Center, Università degli Studi della Campania “Luigi Vanvitelli”Department of Psychology, Università degli Studi della Campania “Luigi Vanvitelli”Department of Advanced Medical and Surgical Sciences, MRI Research Center, Università degli Studi della Campania “Luigi Vanvitelli”Abstract Background Cognitive deficits related to frontotemporal dysfunction are common in Amyotrophic Lateral Sclerosis (ALS). Visuospatial deficits, related to posterior cerebral regions, are often underestimated in ALS, though they play a crucial role in attending daily living activities. Our pilot study aims at assessing visuospatial abilities using a domain-specific tool in ALS patients compared to healthy controls (HC). Methods Twenty-three patients with early ALS and 23 age- and education-matched HC underwent the Battery for Visuospatial Abilities (BVA), including 4 visuo-perceptual and 4 visuo-representational subtests. Results When compared to HC, ALS scored worse in 2 visuo-perceptual subtests (i.e., Line Length Judgment and Line Orientation Judgment) and 1 visuo-representational tasks (i.e., Hidden Figure Identification, HFI) (p < 0.01). No correlations arose between ALS clinical features and BVA performance. More than 80% of the ALS cohort obtained abnormal scores in the HFI subtest. Conclusions Our findings revealed that patients with ALS scored worse (compared to HC) on selective tests tapping “perceptual” and “representational” visuospatial abilities, since the early stages of disease. In clinical practice, our findings highlight the need for multi-domain neuropsychological assessment, for monitoring disease courses and properly organizing care management of patients with ALS.https://doi.org/10.1186/s13023-025-03645-zAmyotrophic lateral sclerosisNeuropsychologyCognitive assessmentSpatial cognitionBattery for visuospatial abilities (BVA)ECAS
spellingShingle Minoo Sharbafshaaer
Mattia Siciliano
Carla Passaniti
Valeria Sant’Elia
Marcello Silvestro
Antonio Russo
Sabrina Esposito
Gioacchino Tedeschi
Luigi Trojano
Francesca Trojsi
Screening of visuospatial abilities in amyotrophic lateral sclerosis (ALS): a pilot study using the battery for visuospatial abilities (BVA)
Orphanet Journal of Rare Diseases
Amyotrophic lateral sclerosis
Neuropsychology
Cognitive assessment
Spatial cognition
Battery for visuospatial abilities (BVA)
ECAS
title Screening of visuospatial abilities in amyotrophic lateral sclerosis (ALS): a pilot study using the battery for visuospatial abilities (BVA)
title_full Screening of visuospatial abilities in amyotrophic lateral sclerosis (ALS): a pilot study using the battery for visuospatial abilities (BVA)
title_fullStr Screening of visuospatial abilities in amyotrophic lateral sclerosis (ALS): a pilot study using the battery for visuospatial abilities (BVA)
title_full_unstemmed Screening of visuospatial abilities in amyotrophic lateral sclerosis (ALS): a pilot study using the battery for visuospatial abilities (BVA)
title_short Screening of visuospatial abilities in amyotrophic lateral sclerosis (ALS): a pilot study using the battery for visuospatial abilities (BVA)
title_sort screening of visuospatial abilities in amyotrophic lateral sclerosis als a pilot study using the battery for visuospatial abilities bva
topic Amyotrophic lateral sclerosis
Neuropsychology
Cognitive assessment
Spatial cognition
Battery for visuospatial abilities (BVA)
ECAS
url https://doi.org/10.1186/s13023-025-03645-z
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