Does spatial cueing affect line bisection in chronic hemianopia?

► Hemianopia (HA) is associated with a horizontal line bisection error (HLBE). ► We tested whether spatial-attentional cueing modulates the HLBE. ► 20 chronic HA patients with HLBE, 3 neglect patients and 20 controls were tested. ► Spatial cueing had no effect on HLBE in HA, but in leftsided neglect...

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Veröffentlicht in:Neuropsychologia 2012-06, Vol.50 (7), p.1656-1662
Hauptverfasser: Kuhn, C., Rosenthal, A., Bublak, P., Grotemeyer, K.H., Reinhart, S., Kerkhoff, G.
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container_issue 7
container_start_page 1656
container_title Neuropsychologia
container_volume 50
creator Kuhn, C.
Rosenthal, A.
Bublak, P.
Grotemeyer, K.H.
Reinhart, S.
Kerkhoff, G.
description ► Hemianopia (HA) is associated with a horizontal line bisection error (HLBE). ► We tested whether spatial-attentional cueing modulates the HLBE. ► 20 chronic HA patients with HLBE, 3 neglect patients and 20 controls were tested. ► Spatial cueing had no effect on HLBE in HA, but in leftsided neglect. Patients with homonymous hemianopia often show a contralesional shift towards their blind field when bisecting horizontal lines (“hemianopic line bisection error”, HLBE). The reasons for this spatial bias are not well understood and debated. Cueing of spatial attention modulates line bisection significantly in patients with visuospatial neglect. Moreover, recent evidence showed that attention training significantly improves deficits of visual search in hemianopia. Here, we tested in 20 patients with chronic homonymous hemianopia (10 left-sided, 10 right-sided) without visual neglect, 10 healthy control subjects, 10 neurological control patients, and 3 patients with left visuospatial neglect and leftsided hemianopia whether spatial cueing influences the HLBE. Subjects indicated verbally the midpoint of horizontal lines in a computerized line bisection task under four experimental cue positions (cue far left, mid-left, mid-right or far-right within the horizontal line). All 20 hemianopic patients showed the typical HLBE towards their blind field, while the two control samples showed only a small but significant leftward shift (pseudoneglect). None of the 4 cueing manipulations had a significant effect on the HLBE in the hemianopic patients. Moreover, no differential effects of cueing on line bisection results were obtained when analyzed in lesion subgroups of hemianopic patients with circumscribed occipital lesions (N=8) as contrasted with patients having more extended (occipito-temporal or temporal) lesions (N=12). This null-effect contrasts with marked cueing effects observed in 3 neglect patients with left hemianopia in the same tasks, showing the principal efficacy of our cueing manipulation. These results argue against attentional explanations of the HLBE.
doi_str_mv 10.1016/j.neuropsychologia.2012.03.021
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Patients with homonymous hemianopia often show a contralesional shift towards their blind field when bisecting horizontal lines (“hemianopic line bisection error”, HLBE). The reasons for this spatial bias are not well understood and debated. Cueing of spatial attention modulates line bisection significantly in patients with visuospatial neglect. Moreover, recent evidence showed that attention training significantly improves deficits of visual search in hemianopia. Here, we tested in 20 patients with chronic homonymous hemianopia (10 left-sided, 10 right-sided) without visual neglect, 10 healthy control subjects, 10 neurological control patients, and 3 patients with left visuospatial neglect and leftsided hemianopia whether spatial cueing influences the HLBE. Subjects indicated verbally the midpoint of horizontal lines in a computerized line bisection task under four experimental cue positions (cue far left, mid-left, mid-right or far-right within the horizontal line). All 20 hemianopic patients showed the typical HLBE towards their blind field, while the two control samples showed only a small but significant leftward shift (pseudoneglect). None of the 4 cueing manipulations had a significant effect on the HLBE in the hemianopic patients. Moreover, no differential effects of cueing on line bisection results were obtained when analyzed in lesion subgroups of hemianopic patients with circumscribed occipital lesions (N=8) as contrasted with patients having more extended (occipito-temporal or temporal) lesions (N=12). This null-effect contrasts with marked cueing effects observed in 3 neglect patients with left hemianopia in the same tasks, showing the principal efficacy of our cueing manipulation. 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Patients with homonymous hemianopia often show a contralesional shift towards their blind field when bisecting horizontal lines (“hemianopic line bisection error”, HLBE). The reasons for this spatial bias are not well understood and debated. Cueing of spatial attention modulates line bisection significantly in patients with visuospatial neglect. Moreover, recent evidence showed that attention training significantly improves deficits of visual search in hemianopia. Here, we tested in 20 patients with chronic homonymous hemianopia (10 left-sided, 10 right-sided) without visual neglect, 10 healthy control subjects, 10 neurological control patients, and 3 patients with left visuospatial neglect and leftsided hemianopia whether spatial cueing influences the HLBE. Subjects indicated verbally the midpoint of horizontal lines in a computerized line bisection task under four experimental cue positions (cue far left, mid-left, mid-right or far-right within the horizontal line). All 20 hemianopic patients showed the typical HLBE towards their blind field, while the two control samples showed only a small but significant leftward shift (pseudoneglect). None of the 4 cueing manipulations had a significant effect on the HLBE in the hemianopic patients. Moreover, no differential effects of cueing on line bisection results were obtained when analyzed in lesion subgroups of hemianopic patients with circumscribed occipital lesions (N=8) as contrasted with patients having more extended (occipito-temporal or temporal) lesions (N=12). This null-effect contrasts with marked cueing effects observed in 3 neglect patients with left hemianopia in the same tasks, showing the principal efficacy of our cueing manipulation. 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Patients with homonymous hemianopia often show a contralesional shift towards their blind field when bisecting horizontal lines (“hemianopic line bisection error”, HLBE). The reasons for this spatial bias are not well understood and debated. Cueing of spatial attention modulates line bisection significantly in patients with visuospatial neglect. Moreover, recent evidence showed that attention training significantly improves deficits of visual search in hemianopia. Here, we tested in 20 patients with chronic homonymous hemianopia (10 left-sided, 10 right-sided) without visual neglect, 10 healthy control subjects, 10 neurological control patients, and 3 patients with left visuospatial neglect and leftsided hemianopia whether spatial cueing influences the HLBE. Subjects indicated verbally the midpoint of horizontal lines in a computerized line bisection task under four experimental cue positions (cue far left, mid-left, mid-right or far-right within the horizontal line). 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subjects Action
Adult
Adult and adolescent clinical studies
Aged
Attention
Biological and medical sciences
Brain
Chronic Disease
Cues
Diseases of visual field, optic nerve, optic chiasma and optic tracts
Female
Functional Laterality - physiology
Hemianopia
Hemianopsia - pathology
Hemianopsia - physiopathology
Humans
Line bisection
Male
Medical sciences
Middle Aged
Neglect syndromes
Neurologic Examination
Neuropsychological Tests
Ophthalmology
Organic mental disorders. Neuropsychology
Psychology. Psychoanalysis. Psychiatry
Psychomotor Performance - physiology
Psychopathology. Psychiatry
Saccades
Space
Space Perception - physiology
Vision
Visual Fields - physiology
Visual perception
title Does spatial cueing affect line bisection in chronic hemianopia?
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