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  3. Residual oculomotor and exploratory deficits in patients with recovered hemineglect

Residual oculomotor and exploratory deficits in patients with recovered hemineglect

Details
Publisher DOI
10.1016/j.neuropsychologia.2004.02.002
PubMed ID
15178172
Abstract
Several studies on hemineglect have reported that patients recover remarkably well when assessed with neuropsychological screening tests, however, they show deficits on novel or complex tasks. We investigated whether such deficits can be revealed with eye movement analysis, applying two basic oculomotor tasks as well as two exploratory tasks. Eye movements were recorded in eight hemineglect patients at least eleven months after right-hemisphere brain damage had occurred. Sixteen healthy volunteers participated in the control group. Regarding the basic oculomotor tasks, only the overlap task revealed residual deficits in patients, suggesting that a directional deficit in disengaging attention persisted during recovery. Further residual deficits were evident in the exploratory tasks. When everyday scenes were explored, patients showed a bias in early orienting towards the ipsilateral hemispace. In a search task, they demonstrated the same orienting bias as well as a non-directional deficit concerning search times. Moreover, patients preferentially fixated in the contralateral hemispace, but did not benefit from this asymmetry in terms of search times, i.e. they did not detect contralateral targets faster than ipsilateral ones. This suggests a dissociation between oculomotor processes and attentional ones. In conclusion, we have identified behavioural aspects that seem to recover slower than others. A disengagement deficit and biases in early orienting have been the most pronounced residual oculomotor deficits.
Date Issued
2004
Publication Type
Article
Language(s)
en
Author(s)
Pflugshaupt, Tobias
Bopp, Stefanie Almoslöchner
Heinemann, Dörthe
Mosimann, Urs P
von Wartburg, Roman
Nyffeler, Thomas  
Universitätsklinik für Neurologie  
Hess, Christian Walter  
Universitätsklinik für Neurologie  
Müri, René M
Additional Credits
Universitätsklinik für Neurologie  
Journal
Neuropsychologia
Publisher
Elsevier
ISSN
0028-3932
ISBN
15178172
Access(Rights)
metadata.only
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