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PubMed2004

The role of vision in spatial representation.

A complex link exists between vision and unilateral spatial neglect (USN). Firstly, USN is not a perceptual deficit, secondly, USN is not necessarily accompanied by a visual deficit and finally, USN can be observed in non-visual modalities as well as in mental spatial imagery. This apparent supramodality of USN stands in sharp contrast to the fact that neglect signs are often more severe and more durable in the visual than in other sensory modalities (Chokron et al., 2002). The influence of vision on spatial representation has rarely been studied. In the present study we assessed six right brain-damaged patients suffering from left USN on two tasks involving spatial representations: a clock-drawing task and a drawing from memory task in two experimental conditions, with and without visual control. We confirm that even in mental imagery, the absence of visual feedback may decrease and even suppress left neglect signs (Bartolomeo and Chokron, 2001b; 2002). Since vision is largely involved in the orientation of attention in space, suppressing visual control could reduce the magnetic attraction towards the right ipsilesional hemispace and in this way could allow a re-orientation of attention towards the left neglected hemispace. We discuss the theoretical and therapeutic implications of these findings.

Adult↗
PubMed2004

Acceleration perception and spatial distortion in a left unilateral neglect patient.

To explain relative leftward overextension in a line extension task by left unilateral neglect subjects, Bisiach et al. (1998) suggested that the representation of space is distorted--i.e., dilated towards the left side. If perception of the velocity of a moving stimulus is due to a calculation of the distance covered per unit time in representational space, then a stimulus with uniform linear motion should be perceived as decelerating when moving leftwards in the visual field of a subject with left unilateral neglect. We investigated the perception of acceleration in a patient with left unilateral neglect and spatial distortion (revealed as relative left overextension in a line extension task) using a task in which the stimuli were right and left moving targets with variable acceleration. The patient's ability to perceive acceleration was much lower (higher acceleration threshold) for leftward movements than rightward movements. Fourteen months later unilateral neglect had improved, and the relative left overextension and decreasing acceleration threshold for leftward movements were reduced. By contrast, alterations in the perception of acceleration for leftward movements were not found in a patient with left unilateral neglect and left underextension and in a patient with right brain damage and left hemianopia. These findings in one patient with left spatial unilateral neglect and a relative left overextension in a line extension task are consistent with the hypothesis that representational space is distorted, with a disproportionate leftward expansion, that affects perception of movement.

Aged↗
PubMed2004

"Mind the gap": the size-distance dissociation in visual neglect is a cueing effect.

There is a growing body of evidence that the processes mediating the allocation of spatial attention within objects may be separable from those governing attentional distribution between objects. In the neglect literature, a related proposal has been made regarding the perception of (within-object) sizes and (between-object) distances. This proposal follows observations that, in size-matching and bisection tasks, neglect is more strongly expressed when patients are required to attend to the sizes of discrete objects than to the (unfilled) distances between objects. These findings are consistent with a partial dissociation between size and distance processing, but a simpler alternative must also be considered. Whilst a neglect patient may fail to explore the full extent of a solid stimulus, the estimation of an unfilled distance requires that both endpoints be inspected before the task can be attempted at all. The attentional cueing implicit in distance estimation tasks might thus account for their superior performance by neglect patients. We report two bisection studies that address this issue. The first confirmed, amongst patients with left visual neglect, a reliable reduction of rightward error for unfilled "gap" stimuli as compared with solid lines. The second study assessed the cause of this reduction, deconfounding the effects of stimulus type (lines vs. gaps) and attentional cueing, by applying an explicit cueing manipulation to line and gap bisection tasks. Under these matched cueing conditions, all patients performed similarly on line and gap bisection tasks, suggesting that the reduction of neglect typically observed for gap stimuli may be attributable entirely to cueing effects. We found no evidence that a spatial extent, once fully attended, is judged any differently according to whether it is filled or unfilled.

Adult↗
PubMed2004

The use of optokinetic stimulation in rehabilitation of the hemineglect disorder.

The aim of this study was to investigate whether it is possible to strengthen the rehabilitation of spatial hemineglect by combining standard training for spatial scanning with optokinetic stimulation. A simple randomized design was used: one group of neglect patients was treated with a combination of the two techniques, and a second group received only the standard treatment. Both treatments were given for six consecutive weeks and produced significant improvements. However, addition of the optokinetic stimulation did not improve the patients' performance. Also, none of the independent variables (i.e., presence/absence of hemianopia) predicted the positive effect occasionally observed in individual patients.

Aged↗
PubMed2005

Egocentric disorientation following bilateral parietal lobe damage.

Aguirre and D'Esposito (1999) suggested a taxonomy and theoretical framework for understanding topographical disorders. One of the problems they described involved egocentric disorientation, in which deficits are not strictly confined to the topographical sphere but are seen on a wide variety of visuo-spatial paradigms. Here, we report a neuropsychological investigation of MU, a person with egocentric disorientation. To test the usefulness of Aguirre and D'Esposito's framework, we administered tests which were predicted to be easy or difficult for people with egocentric disorientation to show that MU was impaired on tasks sensitive to egocentric disorientation and that he showed adequate performance on tests sensitive to other types of topographical representation. Thus MU showed normal performance on a test of recognition of famous landmarks and he could identify photographs of personally familiar places in his home town, yet he could not say how to get from a recognised building to another place in his environment. His performance fulfils the criteria for egocentric disorientation and fits the predictions derived from Aguirre and D'Esposito's views.

Adult↗
PubMed2006

Sex differences in left/right confusion.

In agreement with the literature, females (n=269) gave themselves significantly poorer ratings than males (n=164) in evaluating their ability to make fast and accurate left/right judgments. In order to evaluate the ecological validity of the self-ratings, subjects were tested on a task that required fast and accurate left/right judgments, on a mental rotation task, and on a task that required navigation of a virtual maze. The correlations between the performances and self-ratings were computed. Both males and females who gave themselves very poor LRC (left/right confusion) ratings had significantly lower accuracy scores on the left/right judgement task than males and females with average ratings, but there was no sex-specific relation between LRC ratings and left/right judgements that would explain why females give themselves lower LRC ratings. For females only, a weak correlation between LRC scores and the learning of the virtual maze was observed, but no significant correlations were observed between LRC scores and mental rotation performance. We conclude that self-ratings on left/right confusion questions, although they yield reliable sex differences, are poor predictors of actual performance on spatial tasks that involve left/right judgements. Thus, and in support of earlier speculations (Sholl and Egeth, 1981; Teng and Lee, 1982; Williams et al., 1993), the principal cause of the marked sex differences in LRC self-ratings likely lies in a greater willingness of females to rate themselves more poorly on questions of this type than is the case for men.

Analysis of Variance↗
PubMed2006

Negative association of testosterone on spatial visualization in 35 to 80 year old men.

Androgens have been linked to visuospatial ability. We examined the relationship between serum free testosterone (T) levels and spatial visualization ability in a population-based sample of 450 healthy men between the ages of 35 and 80 years. They were tested on block design and Mini Mental State Examination (MMSE) draw-a-figure, as well as tasks assessing episodic memory, semantic memory, procedural memory, and verbal fluency. Blood was analyzed for free T and estradiol. Participants were grouped into high or low free T based on age-specific median values. Participants with low free T performed at a superior level on both the block design task and draw-a-figure task as compared to participants with high free T. The results are discussed within the scant body of research on androgens and cognition in men.

Adolescent↗
PubMedDate not supplied

Evidence for quantitative domain dominance for verbal and spatial working memory in frontal and parietal cortex.

Neuroimaging studies in humans have shown that different working memory (WM) tasks recruit a common bilateral fronto-parietal cortical network. Animal studies as well as neuroimaging studies in humans have suggested that this network, in particular the prefrontal cortex, is preferentially recruited when material from different domains (e.g. spatial information or verbal/object information) has to be memorized. Early imaging studies have suggested qualitative dissociations in the prefrontal cortex for spatial and object/verbal WM, either in a left-right or a ventral-dorsal dimension. However, results from different studies are inconsistent. Moreover, recent fMRI studies have failed to find evidence for domain dependent dissociations of WM-related activity in prefrontal cortex. Here we present evidence from two independent fMRI studies using physically identical stimuli in a verbal and spatial WM task showing that domain dominance for WM does indeed exist, although only in the form of quantitative differences in activation and not in the form of a dissociation with different prefrontal regions showing mutually exclusive activation in different domains. Our results support a mixed dimension model of domain dominance for WM within the prefrontal cortex, with left ventral prefrontal cortex (PFC) supporting preferentially verbal WM and right dorsal PFC supporting preferentially spatial WM. The concept of domain dominance is discussed in the light of recent theories of prefrontal cortex function.

Adult↗
PubMed2005

Staring in the eye of auditory neglect: comments on 'gaze direction modulates auditory spatial deficits in stroke patients with neglect'.

In the current issue of Cortex, Pavani and colleagues show that directing gaze toward the contralesional hemifield significantly diminishes the auditory deficits associated with unilateral neglect. The authors suggest that this beneficial effect of gaze direction may arise due to the recruitment of crossmodal attentional links between audition and vision. A complementary interpretation of these findings is that directing gaze toward neglected sound sources encourages the recoding of auditory spatial location in a relatively preserved frame of reference, and that it is through this coordinate transformation process that awareness of auditory stimuli may be regained. Rehabilitation strategies aimed at recoding stimuli within relatively preserved reference frames may be a useful step forward in managing unilateral neglect.

Attention↗
PubMed2005

Allocentric and egocentric spatial impairments in a case of topographical disorientation.

We describe a patient with a topographical disorientation after a stroke of the right mediotemporooccipital lobe including the parahippocampal cortex (PHC). Clinical observations and neuropsychological testing reveal an impairment of allocentric spatial representations as well as impairments of visuospatial learning and memory. These findings are in accordance with the well-known function of the PHC in topographical disorientation. As a new finding, results from oculomotor tasks show additional impairments of the egocentric spatial coordinate frame suggesting that in topographical disorientation due to a lesion of the right mediotemporooccipital lobe not only allocentric but also egocentric visuospatial functions are disturbed.

Aged↗
PubMed2005

Gaze direction modulates auditory spatial deficits in stroke patients with neglect.

We investigated the effects of eye position on auditory spatial deficits in four patients with left neglect and right-hemisphere damage, using three blocked gaze directions (35 degrees to the right, central, or 35 degrees to the left), while preventing any head-movement to ensure that initial auditory inputs remained constant regardless of eye-in-orbit position. The auditory task required speeded discrimination of sound elevation, with patients moving a central lever up or down according to the vertical position of a peripheral target sound, regardless of its side (left or right). Replicating previous auditory research, the patients' vertical discrimination performance was worse for auditory targets on the contralesional (left) versus the ipsilesional side, indicating neglect-related auditory deficits on this task. Critically, while this worse performance for left than right auditory targets was present (for both reaction times and errors) when gaze was directed centrally or rightwards, it was considerably reduced when gaze was directed leftwards. These results demonstrate that lateral gaze-direction can modulate neglect-related auditory spatial deficits, even though eye-position did not alter the initial auditory inputs. This outcome may relate to audio-visual links in spatial orienting and potentially some retinocentric influences on perceived sound location, although the latter alone could not explain all our results. Such findings might involve multisensory brain structures in which responses to sounds are modulated by eye-in-orbit position.

Attention↗
PubMed2004

Straight-ahead pointing correlates with long-line bisection in neglect patients.

The spatial bias of neglect patients has been assumed to result from the alteration of a body-centred representation which underlies actions within personal and extra-personal spaces. This deficit seems to correspond to the ipsilesional deviation of the subjective straight-ahead (SSA), often described in neglect patients. However, several recent studies have failed to show significant correlations between the SSA deviation and performance in standard visuo-spatial tests of neglect. Since methodological choices could explain these negative results, the present study re-investigated the question. SSA, assessed by manual pointing, was anchored by instructions to a precise median body part. A body-centred line bisection task was also carried out, during the same session and in similar experimental conditions. Sixteen right brain-damaged patients with (n = 8) or without (n = 8) neglect, and 8 control subjects free of any neurological problem were included. Taken as a group, the neglect group stood out from the others in both tasks. Moreover, in neglect patients only, SSA position significantly correlated with bisection error for long lines, even if dissociations between SSA shift and bisection error were found in two cases. Results are discussed with regard to the nature of the tasks proposed in the different studies and to methodological aspects that could at least partly explain the aforementioned failures.

Adult↗
PubMed2004

Comprehension of spatial language terms in Williams syndrome: evidence for an interaction between domains of strength and weakness.

Individuals with Williams syndrome show an unusual neuropsychological profile, with relatively strong language abilities and impoverished visual and spatial abilities. Two studies are reported that examine the interaction between these two domains in Williams syndrome by assessing individuals' comprehension of spoken language with a spatial component. In a first study, the Test for Reception of Grammar (Bishop, 1983) was given to 32 individuals with Williams syndrome and to controls matched individually for total number of errors on the task. Individuals with Williams syndrome had particular problems when asked to comprehend sentences containing spatial prepositions, making significantly more errors on these items than control groups. A second study examined in more detail comprehension of sentences with spatial and non-spatial components, comparing the performance of 15 individuals with Williams syndrome and control groups matched for vocabulary ability. Individuals with Williams syndrome again showed impaired comprehension of spoken spatial terms. In contrast, they were unimpaired in comprehending utterances without a spatial component, with the exception of descriptions testing comprehension of non-spatial comparatives (lighter than and darker than). These results suggest that the spatial difficulties experienced by individuals with Williams syndrome may constrain language comprehension in certain circumstances. They also shed light on the ways in which spatial cognition may interact with language comprehension more generally.

Adolescent↗
PubMed1995

Differential effects of line length on bisection judgements in hemispatial neglect.

Recent studies have shown that certain symptoms of spatial neglect are co-determined by two major factors: one whose general nature is perceptual, the other whose nature is directional and/or motor. In the present study, patients whose neglect was classified as predominantly 'perceptual' or 'directional' through use of the Landmark task (Milner, Brechmann and Pagliarini, 1992) were asked to bisect lines ranging in length from 20 to only 2.5 cm. It was found that the one patient with predominantly directional neglect showed large rightward errors at all line lengths. In contrast, those with perceptual neglect made very small (usually leftward) errors on short lines. It is argued that it is essential to separate these different subtypes of neglect patient if we are to understand the causation of their behaviour in tasks such as line bisection.

Aged↗
PubMed1980

Loss of topographic memory with learning deficits.

A case is reported in which a patient with a vascular accident involving the posterior portion of the minor hemisphere presented a topographic memory loss and also deficits in his ability to learn certain types of new material. The study of this case has led us to re-examine spatial functioning in light of both human and animal research. Based on clinical and experimental evidence we have proposed that a unitary interpretation can account for the various spatial deficits associated with posterior righ hemisphere lesions. We have also suggested that the establishment of a spatial map for orientation probably depends not only on posterior right hemisphere structures but also may require the participation of structures which are more specifically concerned with learning and memory, such as the hippocampus or at least the connections between the hippocampus and these structures.

Cerebrovascular Disorders↗