From a sample of 90 stroke cases showing visual inattention following
right hemisphere brain damage, 17 cases were identified who showed mor
e inattention on the right than the left side on some tests. Eight of
these subjects had CT scan-confirmed unilateral right hemisphere damag
e and one of these eight had MRI scan-confirmed unilateral right brain
damage. A number of hypotheses are examined to explain this ''paradox
ical'' right inattention. The most parsimonious proposes that right in
attention is produced by an interaction of a compensatory left sided s
canning strategy in association with a non-lateralised attentional los
s.