Unilateral neglect-the inability to pay attention to events occurring
on one side of space-usually occurs for left-side events after focal r
ight-hemisphere damage. We report a 73-year-old woman with probable AD
and no evidence of focal brain lesions who showed signs of right-side
neglect and extinction. Neglect was more severe after 1 year. Neuroim
aging techniques demonstrated an asymmetry of cortical involvement, wi
th cortical atrophy and hypoperfusion predominant in the left posterio
r regions. Unilateral neglect should be assessed systematically in AD.