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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]

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]

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.