Biomedical subjects

A David Milner

Publications and source records attributed to A David Milner.

22 records · Page 2Linked to original sources

PubMed2002

Prism adaptation improves chronic visual and haptic neglect: a single case study.

Visuomotor adaptation to rightward displacing optical prisms is known to induce temporary improvements in the symptoms of left visual neglect. We report a 74 year-old woman with severe and chronic neglect of nine months duration, who underwent three weekly sessions of prism adaptation. Substantial improvements were obtained on tests of visual neglect (cancellation, copying and bisection). Improvement was also observed on a spatial judgement task, with no explicit visual component, in which CS was required to locate the centre of a haptically explored circle. These observations confirm that brief periods of prism exposure can benefit even chronic neglect disorders. Moreover, the improvement observed on the haptic task supports the belief that this procedure can influence higher levels of spatial representation.

Aged↗

PubMedDate not supplied

Visual and tactile length matching in spatial neglect.

Previous studies have shown that many patients with spatial neglect underestimate the horizontal extent of leftwardly located shapes (presented on screen or on paper) relative to rightwardly located shapes. This has been used to help explain their leftward biases in line bisection. In the present study we have tested patients with right hemisphere damage, either with or without neglect, on a comparable length matching task, but using 3-dimensional objects. The task was executed first visually without tactile contact, and second through touch without vision. In both sense modalities, we found that patients with neglect, but not those without, tended to underestimate leftward located objects relative to rightward located objects, differing significantly in this regard from healthy subjects. However these lateral biases were not as frequent or as pronounced as in previous studies using 2-D visual shapes. Despite the similar asymmetries in the two sense modalities, we found only a small correlation between them, and clear double dissociations were observed among our patients. We conclude that leftward length underestimation cannot be attributed to any one single cause. First it cannot be entirely due to impairments in the visual pathways, such as hemianopia and/or processing biases, since the disorder is also seen in the tactile modality. At the same time, however, length underestimation phenomena cannot be fully explained as a disruption of a supramodal central size processor, since they can occur in either vision or touch alone. Our data would fit best with a multiple-factor model in which some patients show leftward length underestimation for modality-specific reasons, while others do so due to a more high-level disruption of size judgements.

Aged↗

PubMedDate not supplied

Grasping what is graspable: evidence from visual form agnosia.

Patient DF has profound visual form agnosia. Despite this, she has no problem adjusting her finger-thumb grip aperture to the width of objects when reaching to grasp them. In a previous study, however, she was found to have great difficulty in scaling her grip aperture when attempting to grasp a transparent disc through two holes cut into it. This problem was attributed to a putative difference between the visual processing of size and distance in the brain, whereby DF retained the capacity for processing object size but not the separation between distinct elements such as holes. In the present study we have tested this idea more directly, and found no evidence to support such a distinction. Nonetheless, we replicated our earlier finding that DF is unable to produce normal prehension movements when attempting to grasp transparent stimuli by placing her digits into holes. We suggest that, whilst some simple objects offer themselves directly to the dorsal stream for grasping, an intact ventral stream is required to respond appropriately to more complex stimuli.

Adult↗

PubMedDate not supplied

Behavioral and neuroimaging evidence for a contribution of color and texture information to scene classification in a patient with visual form agnosia.

A common notion is that object perception is a necessary precursor to scene perception. Behavioral evidence suggests, however, that scene perception can operate independently of object perception. Further, neuroimaging has revealed a specialized human cortical area for viewing scenes that is anatomically distinct from areas activated by viewing objects. Here we show that an individual with visual form agnosia, D.F., who has a profound deficit in object recognition but spared color and visual texture perception, could still classify scenes and that she was fastest when the scenes were presented in the appropriate color. When scenes were presented as black-and-white images, she made a large number of errors in classification. Functional magnetic resonance imaging revealed selective activation in the parahippocampal place area (PPA) when D.F. viewed scenes. Unlike control observers, D.F. demonstrated higher activation in the PPA for scenes presented in the appropriate color than for black-and-white versions. The results demonstrate that an individual with profound form vision deficits can still use visual texture and color to classify scenes-and that this intact ability is reflected in differential activation of the PPA with colored versions of scenes.

Adult↗