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Issue title: Plasticity in Spatial Neglect – Recovery and Rehabilitation
Article type: Research Article
Authors: Bublak, Peter; | Redel, Petra | Finke, Kathrin;
Affiliations: Neuropsychology Unit, Neurology Clinic, Friedrich Schiller University, Jena, Germany | General and Experimental Psychology, Ludwig Maximilian University, Munich, Germany | Neuro-cognitive Psychology, Ludwig Maximilian University, Munich, Germany
Note: [] Corresponding author: Peter Bublak, Neuropsychology Unit, Neurology Clinic, Friedrich Schiller University Jena, Erlanger Allee 101, D-07747 Jena, Germany. Tel.: +49 3641 9323475; Fax: +49 3641 9323472; E-mail: peter.bublak@med.uni-jena.de
Abstract: Purpose: The aim was to present evidence that, similarly as in neglect, a combined pattern of spatial and non-spatial deficits of visual attention can also be typically observed in patients suffering from neurodegenerative disorders. Method: Whole and partial report of brief letter arrays, based on Bundesen's 'theory of visual attention' (TVA), was applied in patients suffering from Huntington's disease (HD), mild cognitive impairment (MCI), or Alzheimer's disease (AD). TVA-based parameter estimates were derived reflecting (a) perceptual processing speed and visual working memory storage capacity as non-spatial aspects of visual attention (determined by whole report performance), and (b) spatial attentional weighting (determined by partial report performance). Results: Processing speed was severely slowed in HD, and also reduced, although to a lesser degree, in MCI and AD patients. In HD and AD patients, but not in MCI patients, a strong leftward bias of spatial attention was observed. Conclusion: Neglect and neurodegenerative diseases both involve a similar constellation of non-spatial and spatial deficits of visual attention. Therefore, by using TVA-based measurement, results from both fields of research may fruitfully inform each other in future studies, thus improving our understanding of the interaction of spatial and non-spatial attention deficits and its behavioral consequences.
Keywords: Perceptual disorders, hemispatial neglect, neuropsychology, neuropsychological tests, Huntington's disease, Alzheimer's disease
Journal: Restorative Neurology and Neuroscience, vol. 24, no. 4-6, pp. 287-301, 2006
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