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Not Just Language: Persisting Lateralized Visuospatial Impairment after Left Hemisphere Stroke

Published online by Cambridge University Press:  22 June 2016

Krista Schendel ,
Nina F. Dronkers  and
And U. Turken
Krista Schendel*
Affiliation:
VA Northern California Healthcare System, Martinez, California
Nina F. Dronkers
Affiliation:
VA Northern California Healthcare System, Martinez, California Department of Neurology, University of California, Davis, California
And U. Turken
Affiliation:
VA Northern California Healthcare System, Martinez, California
*
Correspondence and reprint requests to: Krista Schendel, VA Northern California Healthcare System, 150 Muir Road, Research Building #4, Martinez, CA 94553. E-mail: [email protected]
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Abstract

Objectives: Imbalances in spatial attention are most often associated with right hemisphere brain injury. This report assessed 25 chronic left hemisphere stroke patients for attentional bias. Methods: Participants were evaluated with a computerized visual search task and a standardized neuropsychological assessment known as the Behavioral Inattention Test (BITC). Twenty age-matched controls were also tested. Results: Although little to no attentional impairment was observed on the BITC, the computerized visual search task revealed statistically significant contralesional attentional impairment in the left hemisphere stroke group. Specifically, these participants required 208 ms more viewing time, on average, to reliably detect visual targets on the right side of the display compared to detection on the left side, while controls showed a difference of only 8 ms between the two sides. Conclusions: The observation of significant leftward visuospatial bias in this chronic stroke group provides further evidence that the left hemisphere also plays a role in the balance of visual attention across space. These results have implications for left hemisphere patients who are often not screened for visuospatial problems, as well as for theories of visual attention which have primarily emphasized the role of the right hemisphere. (JINS, 2016, 22, 695–704)

Keywords

AttentionHemineglectVisual searchVisuospatial disordersCerebral lateralizationCognitionAphasia
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 22 , Issue 7 , August 2016 , pp. 695 - 704
Copyright
Copyright © The International Neuropsychological Society. Published by Cambridge University Press, 2016. This is a work of the U.S. Government and is not subject to copyright protection in the United States. 

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References

Albert, M.L. (1973). A simple test of visual neglect. Neurology, 23, 658–664.Google Scholar
Bartolomeo, P. (2014). Attention disorders after right brain damage – Living in halved worlds. London: Springer-Verlag. doi:10.1007/978-1-4471-5649-9 CrossRefGoogle Scholar
Bartolomeo, P., D’Erme, P., Perri, R., & Gainotti, G. (1998). Perception and action in hemispatial neglect. Neuropsychoglogia, 36(3), 227–237.Google Scholar
Behrmann, M., Ebert, P., & Black, S.E. (2004). Hemispatial neglect and visual search: A large scale analysis. Cortex, 40, 247–263.CrossRefGoogle ScholarPubMed
Behrmann, M., & Tipper, S.P. (1999). Attention accesses multiple reference frames: Evidence from visual neglect. Journal of Experimental Psychology: Human Perception and Performance, 25(1), 83.Google Scholar
Beis, J.M., Keller, C., Morin, N., Bartolomeo, P., Bernati, T., Chokron, S., & Azouvi, P. (2004). Right spatial neglect after left hemisphere stroke qualitative and quantitative study. Neurology, 63(9), 1600–1605.CrossRefGoogle ScholarPubMed
Corbetta, M., & Shulman, G.L. (2002). Control of goal-directed and stimulus-driven attention in the brain. Nature Reviews. Neuroscience, 3(3), 201–215.Google Scholar
Corbetta, M., & Shulman, G.L. (2011). Spatial neglect and attention networks. Annual Review of Neuroscience, 34, 569–599. doi:10.1146/annurev-neuro-061010-113731 Google Scholar
Douell, L.Y., Sacher, Y., & Soroker, N. (2005). Assessment of spatial attention after brain damage with a dynamic reaction time task. Journal of the International Neuropsychological Society, 11, 697–707.Google Scholar
Eglin, M., Robertson, L.C., & Knight, R.T. (1989). Visual search performance in the neglect syndrome. Journal of Cognitive Neuroscience, 1, 372–385.Google Scholar
Eglin, M., Robertson, L.C., & Knight, R.T. (1991). Cortical substrates supporting visual search in humans. Cerebral Cortex, 1, 262–272.Google Scholar
Fortenbaugh, F.C., Schendel, K., Robertson, L.C., Dronkers, N.F., & Baldo, J. ( in preparation). Chronic spatial bias on line bisection in left hemisphere stroke patients.Google Scholar
Gainotti, G., Messerli, P., & Tissot, R. (1972). Qualitative analysis of unilateral spatial neglect in relation to laterality of cerebral lesions. Journal of Neurology, Neurosurgery, and Psychiatry, 35, 545–550.Google Scholar
Helm-Estabrooks, N. (2002). Cognition and aphasia: A discussion and a study. Journal of Communication Disorders, 35, 171–186.Google Scholar
Hopfinger, J.B., Buonocore, M.H., & Mangun, G.R. (2000). The neural mechanisms of top-down attentional control. Nature Neuroscience, 3(3), 284–291.Google Scholar
Kaernbach, C. (1990). A single-interval adjustment matrix (SIAM) procedure for unbiased adaptive testing. Journal of the Acoustical Society of America, 88, 2645–2655.CrossRefGoogle ScholarPubMed
Kinsbourne, M. (1977). Hemi-inattention and hemispheric rivalry. In E.A. Weinstein & R.P. Freidland (Eds.), Hemi-inattention and hemispheric specialization: Advances in Neurology (Vol. 18). New York: Raven Press.Google Scholar
Kim, M., Na, D.L., Kim, G.M., Adair, J.C., Lee, K.H., & Heilman, K.M. (1999). Ipsilesional neglect: Behavioral and anatomical features. Journal of Neurology, Neurosurgery, & Psychiatry, 67(1), 35–38.CrossRefGoogle ScholarPubMed
Kleinman, J.T., Newhart, M., Davis, C., Heidler-Gary, J., Gottesman, R.F., & Hillis, A.E. (2007). Right hemispatial neglect: Frequency and characterization following acute left hemisphere stroke. Brain and Cognition, 64(1), 50–59.Google Scholar
Leibovitch, F.S., Black, S.E., Caldwell, C.B., Ebert, P.L., Ehrlich, L.E., & Szalai, J.P. (1998). Brain-behavior correlations in hemispatial neglect using CT and SPECT The Sunnybrook Stroke Study. Neurology, 50(4), 901–908.Google Scholar
List, A.L., Brooks, J.L., Esterman, M., Flevaris, A.V., Landau, A.N., Bowman, G., & Schendel, K. (2008). Visual hemispatial neglect, re-assessed. Journal of the International Neuropsychological Society, 14(2), 243–256.CrossRefGoogle ScholarPubMed
Mesulam, M. (1981). A cortical network for directed attention and unilateral neglect. Annals of Neurology, 10(4), 309–325.Google Scholar
Ogden, J. (1987). The neglected left hemisphere and its contribution to visuospatial neglect. In M. Jeannerod (Ed.), Neurophysiological and neuropsychological aspects of spatial neglect (pp. 215–233). Amsterdam: North Holland.Google Scholar
Pavlovskaya, M., Ring, H., Groswasser, Z., & Hochstein, S. (2002). Searching with unilateral neglect. Journal of Cognitive Neuroscience, 14(5), 745–756.Google Scholar
Riddoch, M.J., Humphreys, G.W., Luckhurst, L., Burroughs, E., & Bateman, A. (1995). “Paradoxical Neglect”: Spatial representations, hemispheric-specific activation and spatial cueing. Cognitive Neuropsychology, 12(6), 569–604.Google Scholar
Schendel, K., & Robertson, L.C. (2002). Using reaction time to assess patients with unilateral neglect and extinction. Journal of Clinical and Experimental Neuropsychology, 27(7), 941–950.Google Scholar
Seniów, J., Litwin, M., & Leśniak, M. (2009). The relationship between non-linguistic cognitive deficits and language recovery in patients with aphasia. Journal of the Neurological Sciences, 283, 91–94.Google Scholar
Shulman, G.L., Pope, D.L., Astafiev, S.V., McAvoy, M.P., Snyder, A.Z., & Corbetta, M. (2010). Right hemisphere dominance during spatial selective attention and target detection occurs outside the dorsal frontoparietal network. Journal of Neuroscience, 30, 3640–3651.Google Scholar
Suchan, J., Rorden, C., & Karnath, H.-O. (2012). Neglect severity after left and right brain damage. Neuropsychologia, 50, 1136–1141.CrossRefGoogle ScholarPubMed
Suchan, J., Umarova, R., Schnell, S., Himmelbach, M., Weiller, C., Karnath, H.-O., && Saur, D. (2014). Human Brain Mapping, 35, 1031–1043.Google Scholar
Treisman, A.M., & Gelade, G. (1980). A feature integration theory of attention. Cognitive Psychology, 12, 97–136.Google Scholar
Vallar, G. (1993). The anatomical basis of spatial hemineglect in humans. In I.H. Robertson & J.C. Marshall (Eds.), Unilateral neglect: Clinical and experimental studies (pp. 27–59). New York: Psychology Press.Google Scholar
Wilson, B., Cockburn, J., & Halligan, P. (1987). Development of a behavioral test of visuospatial neglect. Archives of Physical and Medical Rehabilitation, 68, 98–102.Google ScholarPubMed
Woods, A.J., Mennemeier, M., Garcia-Rill, E., Meythaler, J., Mark, V.W., Jewel, G.R., && Murphy, H. (2006). Bias magnitude estimation following left hemisphere injury. Neuropsychologia, 44(8), 1406–1412. doi:10.1016/j.neuropsychologia.2005.12.006 Google Scholar
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