Visual exploration pattern in hemineglect

Abstract

The analysis of eye movement parameters in visual neglect such as cumulative fixation duration, saccade amplitude, or the numbers of saccades has been used to probe attention deficits in neglect patients, since the pattern of exploratory eye movements has been taken as a strong index of attention distribution. The current overview of the literature of visual neglect has its emphasis on studies dealing with eye movement and exploration analysis. We present our own results in 15 neglect patients. The free exploration behavior was analyzed in these patients presenting 32 naturalistic color photographs of everyday scenes. Cumulative fixation duration, spatial distribution of fixations in the horizontal and vertical plane, the number and amplitude of exploratory saccades was analyzed and compared with the results of an age-matched control group. A main result of our study was that in neglect patients, fixation distribution of free exploration of natural scenes is not only influenced by the left–right bias in the horizontal direction but also by the vertical direction.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

References

  1. Adair, J. C., Williamson, D. J., Jacobs, D. H., & Heilman, K. M. (1995). Neglect of radial and vertical space: Importance of the retinotopic reference frame. Journal of Neurology, Neurosurgery, and Psychiatry, 58, 724–728.

    PubMed  Article  Google Scholar 

  2. Azouvi, P., Samuel, C., Louis-Dreyfus, A., Bernati, T., Bartolomeo, P., Beis, J. M., et al. (2002). Sensitivity of clinical and behavioural tests of spatial neglect after right hemisphere stroke. Journal of Neurology, Neurosurgery, and Psychiatry, 73, 160–166.

    PubMed  Article  Google Scholar 

  3. Barrett, A. M., Buxbaum, L. J., Coslett, H. B., Edwards, E., Heilman, K. M., Hillis, A. E., et al. (2006). Cognitive rehabilitation interventions for neglect and related disorders: Moving from bench to bedside in stroke patients. Journal of Cognitive Neuroscience, 18, 1223–1236.

    PubMed  Article  Google Scholar 

  4. Bartolomeo, P., & Chokron, S. (1999a). Left unilateral neglect or right hyperattention? Neurology, 53, 2023–2027.

    PubMed  Google Scholar 

  5. Bartolomeo, P., & Chokron, S. (1999b). Egocentric frame of reference: Its role in spatial bias after right hemisphere lesions. Neuropsychologia, 37, 881–894.

    PubMed  Article  Google Scholar 

  6. Behrmann, M., Ghiselli-Crippa, T., & Dimatteo, I. (2001). Impaired initiation but not execution of contralesional saccades in hemispatial neglect. Behavioral Neurology, 13, 39–60.

    PubMed  Google Scholar 

  7. Behrmann, M., Watt, S., Black, S. E., & Barton, J. J. (1997). Impaired visual search in patients with unilateral neglect: An oculographic analysis. Neuropsychologia, 35, 1445–1458.

    PubMed  Article  Google Scholar 

  8. Bisiach, E., Pizzamiglio, L., Nico, D., & Antonucci, G. (1996). Beyond unilateral neglect. Brain, 119, 851–857.

    PubMed  Article  Google Scholar 

  9. Buxbaum, L. J., Ferraro, M. K., Veramonti, T., Farne, A., Whyte, J., Ladavas, E., et al. (2004). Hemispatial neglect: Subtypes, neuroanatomy and disability. Neurology, 62, 749–756.

    PubMed  Google Scholar 

  10. Cappelletti, M., Freeman, E. D., & Cipolotti, L. (2007). The middle house or the middle floor: Bisecting horizontal and vertical mental number lines in neglect. Neuropsychologia, 45, 2989–3000.

    PubMed  Article  Google Scholar 

  11. Chatterjee, A. (1998). Motor minds and mental models in neglect. Brain and Cognition, 37, 339–349.

    PubMed  Article  Google Scholar 

  12. Chokron, S., & Bartolomeo, P. (1997). Patterns of dissociation between left hemineglect and deviation of the egocentric reference. Neuropsychologia, 35, 1503–1508.

    PubMed  Article  Google Scholar 

  13. Corbetta, M., Akbudak, E., Conturo, T. E., Snyder, A. Z., Ollinger, J. M., Drury, H. A., et al. (1998). A common network of functional areas for attention and eye movements. Neuron, 21, 761–773.

    PubMed  Article  Google Scholar 

  14. Danckert, J., & Ferber, S. (2006). Revisiting unilateral neglect. Neuropsychologia, 44, 987–1006.

    PubMed  Article  Google Scholar 

  15. Gainotti, G., D'Erme, P., & Bartolomeo, P. (1991). Early orientation of attention toward the half space ipsilateral to the lesion in patients with unilateral brain damage. Journal of Neurology, Neurosurgery, and Psychiatry, 54, 1082–1089.

    PubMed  Article  Google Scholar 

  16. Halligan, P. W., & Marshall, J. C. (1989). Is neglect (only) lateral? A quadrant analysis of line cancellation. Journal of Clinical and Experimental Neuropsychology, 11, 793–798.

    PubMed  Article  Google Scholar 

  17. Halligan, P. W., & Marshall, J. C. (1991). Spatial compression in visual neglect: A case study. Cortex, 27, 623–629.

    PubMed  Google Scholar 

  18. Heide, W., & Kömpf, D. (1998). Combined deficits of saccades and visuo-spatial orientation after cortical lesions. Experimental Brain Research, 23, 164–171.

    Article  Google Scholar 

  19. Himmelbach, M., Erb, M., & Karnath, H.-O. (2006). Exploring the visual world: The neural substrate of spatial orienting. Neuroimage, 32, 1747–1759.

    PubMed  Article  Google Scholar 

  20. Husain, M., & Kennard, C. (1996). Visual neglect associated with frontal lobe infarction. Journal of Neurology, 243, 652–657.

    PubMed  Article  Google Scholar 

  21. Husain, M., & Rorden, C. (2003). Non-spatially lateralized mechanisms in hemispatial neglect. Nature Reviews Neuroscience, 4, 26–36.

    PubMed  Article  Google Scholar 

  22. Husain, M., Mannan, S., Hodgson, T., Wojciulik, E., Driver, J., & Kennard, C. (2001). Impaired spatial working memory across saccades contributes to abnormal search in parietal neglect. Brain, 124, 941–952.

    PubMed  Article  Google Scholar 

  23. Ignashchenkova, A., Dicke, P. W., Haarmeier, T., & Thier, P. (2004). Neuronspecific contribution of the superior colliculus to overt and covert shifts of attention. Nature Neuroscience, 7, 56–64.

    PubMed  Article  Google Scholar 

  24. Karnath, H.-O. (1997). Spatial orientation and the representation of space with parietal lobe lesions. Philosophical Transaction of the Royal Society, London B, 352, 1411–1419.

    Article  Google Scholar 

  25. Karnath, H.-O. (1998). Perception of horizontal distances in patients with spatial neglect. Experimental Brain Research, 23, 190–191.

    Article  Google Scholar 

  26. Karnath, H.-O., Ferber, S., & Himmelbach, M. (2001). Spatial awareness is a function of the temporal not the posterior parietal lobe. Nature, 411, 950–953.

    PubMed  Article  Google Scholar 

  27. Karnath, H.-O., & Fetter, M. (1995). Ocular space exploration in the dark and its relation to subjective and objective body orientation in neglect patients with parietal lobe lesions. Neuropsychologia, 33, 371–377.

    PubMed  Article  Google Scholar 

  28. Karnath, H.-O., Fetter, M., & Dichgans, J. (1996). Ocular exploration of space as a function of neck proprioceptive and vestibular input. Observations in normal subjects and patients with spatial neglect after parietal lesions. Experimental Brain Research, 109, 333–342.

    Article  Google Scholar 

  29. Karnath, H.-O., Fruhmann-Berger, M., Küker, W., & Rorden, C. (2004). The anatomy of spatial neglect based on voxelwise statistical analysis: A Study of 140 Patients. Cerebral Cortex, 14, 1162–1172.

    Article  Google Scholar 

  30. Karnath, H.-O., Himmelbach, M., & Rorden, C. (2002). The subcortical anatomy of human spatial neglect: Putamen, caudate nucleus and pulvinar. Brain, 125, 350–360.

    PubMed  Article  Google Scholar 

  31. Karnath, H.-O., & Niemeier, M. (2002). Task-dependent differences in the exploratory behavior of patients with spatial neglect. Neuropsychologia, 40, 1577–1585.

    PubMed  Article  Google Scholar 

  32. Karnath, H.-O., Niemeier, M., & Dichgans, J. (1998). Space exploration in neglect. Brain, 121, 2357–2367.

    PubMed  Article  Google Scholar 

  33. Karussis, D., Leker, R. R., & Abramsky, O. (2000). Cognitive dysfunction following thalamic stroke: A study of 16 cases and review of the literature. Journal of The Neurological Sciences, 172, 25–29.

    PubMed  Article  Google Scholar 

  34. Kinsbourne, M. (1993). Orientational bias model of unilateral neglect: Evidence from attentional gradients within hemispace. In I. H. Robertson & J. C. Marshall (Eds.), Unilateral neglect: Clinical and experimental studies (pp. 63–86). Hove (UK): Lawrence Erlbaum Associates.

    Google Scholar 

  35. Kowler, E., Anderson, E., Dosher, B., & Blaser, E. (1995). The role of attention in the programming of saccades. Vision Research, 35, 1897–1916.

    PubMed  Article  Google Scholar 

  36. Kustov, A. A., & Robinson, D. L. (1996). Shared neural control of attention shifts and eye movements. Nature, 384, 74–77.

    PubMed  Article  Google Scholar 

  37. Losier, B. J. W., & Klein, R. M. (2001). A review of the evidence for a disengage deficit following parietal lobe damage. Neuroscience and Behavioral Reviews, 25, 1–13.

    Google Scholar 

  38. Malhotra, P., Coulthard, E., & Husain, M. (2006). Hemispatial neglect, balance and eye-movement control. Current Opinion in Neurology, 19, 14–20.

    PubMed  Article  Google Scholar 

  39. Mark, V. W., & Heilman, K. M. (1997). Diagonal neglect on cancellation. Neuropsychologia, 35, 1425–1436.

    PubMed  Article  Google Scholar 

  40. Marshall, J. C., Halligan, P. W., & Robertson, I. H. (1993). Contemporary theories of unilateral neglect: A critical review. In I. H. Robertson & J. C. Marshall (Eds.), Unilateral neglect: Clinical and experimental studies (pp. 311–329). Hove: Lawrence Erlbaum Associates.

    Google Scholar 

  41. Mattingley, J. B., Bradshaw, J. L., Bradshaw, J. A., & Nettleton, N. C. (1994). Residual rightward attentional bias after apparent recovery from right hemisphere damage: Implications for a multicomponent model of neglect. Journal of Neurology, Neurosurgery, and Psychiatry, 57, 597–604.

    PubMed  Article  Google Scholar 

  42. Mennemeier, M., Wertman, E., & Heilman, K. M. (1992). Neglect of near peripersonal space. Brain, 115, 37–50.

    PubMed  Article  Google Scholar 

  43. Mort, D. J., & Kennard, C. (2003). Visual search and its disorders. Current Opinion in Neurology, 16(1), 51–57.

    PubMed  Article  Google Scholar 

  44. Mort, D. J., Malhotra, P., Mannan, S. K., Rorden, C., Pambakian, A., Kennard, C., et al. (2003). The anatomy of visual neglect. Brain, 126, 1986–1997.

    PubMed  Article  Google Scholar 

  45. Niemeier, M., & Karnath, H.-O. (2000). Exploratory saccades show no directionspecific deficit in neglect. Neurology, 54, 515–518.

    PubMed  Google Scholar 

  46. Niemeier, M., & Karnath, H.-O. (2003). Stimulus-driven and voluntary saccades are coded in different coordinate systems. Current Biology, 13, 585–589.

    PubMed  Article  Google Scholar 

  47. Nobre, A. C., Gitelman, D. R., Dias, E. C., & Mesulam, M. M. (2000). Covert visual spatial orienting and saccades: Overlapping neural systems. NeuroImage, 11, 210–216.

    PubMed  Article  Google Scholar 

  48. Olk, B., Harvey, M., & Gilchrist, I. D. (2002). First saccades reveal biases in recovered neglect. Neurocase, 8, 306–313.

    PubMed  Article  Google Scholar 

  49. Parton, A., Malhotra, P., & Husain, M. (2004). Hemispatial neglect. Journal of Neurolgy, Neurosurgery, and Psychiatry, 75, 13–21.

    Google Scholar 

  50. Pflugshaupt, T., Bopp-Almoslochner, S., Heinemann, D., Mosimann, U. P., von Wartburg, R., Nyffeler, T., et al. (2004). Residual oculomotor and exploratory deficits in patients with recovered hemineglect. Neuropsychologia, 42, 1203–1211.

    PubMed  Article  Google Scholar 

  51. Pitzalis, S., Spinelli, D., & Zoccolotti, P. (1997). Vertical neglect: Behavioral and electrophysiological data. Cortex, 33, 679–688.

    PubMed  Article  Google Scholar 

  52. Posner, M. I., Walker, J. A., Friedrich, F. J., & Rafal, R. D. (1984). Effects of parietal injury on covert orienting of attention. The Journal of Neuroscience, 4, 1863–1874.

    PubMed  Google Scholar 

  53. Ptak, R., Schnider, A., Golay, L., & Müri, R. M. (2007). A non-spatial bias favouring fixated stimuli revealed in patients with spatial neglect. Brain, 130, 3211–3222.

    PubMed  Article  Google Scholar 

  54. Rapcsak, S. Z., Cimino, C. R., & Heilman, K. M. (1988). Altitudinal neglect. Neurology, 38, 277–281.

    PubMed  Article  Google Scholar 

  55. Richard, C., Rousseaux, M., & Honoré, J. (2005). The egocentric reference deviation of neglect patients is influenced by visuospatial attention. Neuropsychologia, 43, 1784–1791.

    PubMed  Article  Google Scholar 

  56. Ro, T., Rorden, C., Driver, J., & Rafal, R. (2001). Ipsilesional biases in saccades but not perception after lesions of the human inferior parietal lobule. Journal of Cognitive Neuroscience, 13, 920–929.

    PubMed  Article  Google Scholar 

  57. Shelton, P. A., Bowers, D., & Heilman, K. M. (1990). Peripersonal and vertical neglect. Brain, 113, 191–205.

    PubMed  Article  Google Scholar 

  58. Smania, N., Martini, M. C., Gambina, G., Tomelleri, G., Palamara, A., Natale, E., et al. (1998). The spatial distribution of visual attention in hemineglect and extinction patients. Brain, 121, 1759–1770.

    PubMed  Article  Google Scholar 

  59. Sprenger, A., Kömpf, D., & Heide, W. (2002). Visual search in patients with left visual hemineglect. Progress in Brain Research, 140, 395–416.

    PubMed  Article  Google Scholar 

  60. Treisman, A. M., & Gelade, G. (1980). A feature-integration theory of attention. Cognitive Psychology, 12, 97–136.

    PubMed  Article  Google Scholar 

  61. Vallar, G. (2001). Extrapersonal visual unilateral spatial neglect and its neuroanatomy. NeuroImage, 14, 52–58.

    Article  Google Scholar 

  62. Walker, R., & Findlay, J. M. (1996). Saccadic eye movement programming in unilateral neglect. Neuropsychologia, 34, 493–508.

    PubMed  Article  Google Scholar 

Download references

Acknowledgments

The study was supported by SNF Grants 3200B0-116074/1 and 320000–108146.

Author information

Affiliations

Authors

Corresponding author

Correspondence to René M. Müri.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Müri, R.M., Cazzoli, D., Nyffeler, T. et al. Visual exploration pattern in hemineglect. Psychological Research 73, 147–157 (2009). https://doi.org/10.1007/s00426-008-0204-0

Download citation

Keywords

  • Stimulus Onset Asynchrony
  • Saccade Amplitude
  • Visual Exploration
  • Neglect Patient
  • Fixation Distribution