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Lesions to the right temporo-parietal cortex commonly result in hemispatial neglect. Lesions to the same area are also associated with hyperattention to local details of a scene and difficulty perceiving the global structure. This local processing bias is an important factor contributing to neglect and may contribute to the higher prevalence of the disorder following right compared with left hemisphere strokes. In recent years, visuomotor adaptation to rightward-shifting prisms has been introduced as a promising treatment for hemispatial neglect. Explanations for these improvements have generally described a leftward realignment of attention, however, the present investigation provides evidence that prism adaptation reduces the local processing bias. Five patients with right temporal-parietal junction lesions were asked to identify the global or local levels of hierarchical figures before and after visuomotor adaptation to rightward-shifting prisms. Prior to prism adaptation the patients had difficulty ignoring the local elements when identifying the global component. Following prism adaptation, however, this pattern was reversed, with greater global interference during local level identification. The results suggest that prism adaptation may improve non-spatially lateralized deficits that contribute to the neglect syndrome. [ABSTRACT FROM PUBLISHER]

Abstract: In bedside testing of patients with hemispatial neglect, we have found that extinction for contralesional stimuli is less when the contralesional and ipsilesional items are different on the dimension to be reported relative to when they are the same. Importantly, a study that investigated this observation found that similarity on visual features that are not necessary for response does not impact the amount of extinction. These findings suggest that response requirements may determine what stimuli will and what stimuli will not gain access to awareness. In a related study, we found that extinction of contralesional stimuli was not determined by perceptual similarity of the ipsilesional and contralesional items but by whether they shared the same semantics (e.g., ONE + 1 ) or the same response (e.g., ONE = WON). Here, we report a single case study in which extinction was determined by whether the competing items shared the same response, regardless of whether they shared or differed in their visual features or semantics. When asked to read the item in each field, there was equivalent extinction in the conditions (ONE + ONE) and (ONE + 1) but less extinction in the condition (ONE + TWO). By contrast, when asked to count the number of characters in each field, there was more extinction in the condition (ONE + TWO) than (ONE + 1). When asked to categorize each item as either a word or digit, the degree of extinction was determined both by whether the items shared the same semantics and by whether they required the same response. The results are consistent with a biased competition model in which competition for selection is resolved flexibly depending on response requirements. Furthermore, the data provide evidence that unattended stimuli are processed to the level of response. [Copyright &y& Elsevier]

We report observations in patients with visual extinction demonstrating that detection of visual events is gated by attention at the level of processing at which a stimulus is selected for action. In one experiment, three patients reported the identity of numerical words and digits presented either in the ipsilesional field, the contralesional field, or both fields. On the critical bilateral trials, extinction was greater when the competing items shared the same meaning and response, regardless of whether the items were visually different (e.g., ONE + 1), or identical (e.g., 1 + 1). A fourth patient was tested in a second experiment in which the competing items on bilateral trials were either different (e.g., ONE + TWO), identical (e.g., ONE + ONE) or homophones that were visually and semantically different but shared the same response (e.g., ONE + WON). Homophones and identical items caused similar extinction with less extinction occurring on different item trials. [ABSTRACT FROM AUTHOR]

Cites the results of the study conducted by Claus Hilgetag et al. which adapted the technique of repetitive transcranial magnetic stimulation to temporarily inactivate parietal cortex in normal volunteers and produce a model of hemispatial neglect. Mechanisms of hemispatial neglect, a neurological disorder of attention; Importance of converging techniques in cognitive neuroscience.

Abstract: Patients with right hemisphere brain lesions often suffer from deficits in spatial attention that can be manifested in different sensory modalities. It has recently been claimed that a relationship (i.e., association) could exist between symptoms of hemi-inattention in different modalities, based on correlations between the results of visual and auditory clinical tests of neglect or extinction. However, it should be noted that the visual and auditory tasks varied greatly both in response type and level of sensitivity. Here, we have examined cross-modal associations in spatial attention deficits using a temporal order judgment task (TOJ) in which patients were required to identify which of two visual or auditory objects had appeared first. When compared to age and education matched control participants, the patients needed, on average, the contralesional stimulus to lead the ipsilesional stimulus to achieve the point of subjective simultaneity (PSS). No association between the degree of visual and auditory hemi-inattention was observed amongst the patients, suggesting that there is a certain degree of independence between the mechanisms subserving spatial attention across sensory modalities. [Copyright &y& Elsevier]

Presents a study which examined spatial orienting effects, without being aware to signals presented in the neglected hemifield of 2 hemispatial-neglect patients. Methods used for measurement of effects of visual attention; Findings which supports the claim that orienting can occur independently of overt detection; Indications that location information is listed in the neglected field.