Early visual processing is affected by clinical subtype in patients with unilateral spatial neglect: A magnetoencephalography study.

OBJECTIVE: To determine whether visual evoked fields (VEFs) elicited by right and left hemifield stimulation differ in patients with unilateral spatial neglect that results from cerebrovascular accident.METHODS: Pattern-reversal stimulation of the right and left hemifield was performed in three pati...

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Main Authors: Katsuhiro eMizuno, Tetsuya eTsuji, Yves eRossetti, Laure ePisella, Hisao eOhde, Meigen eLiu
Format: Article
Language:English
Published: Frontiers Media S.A. 2013-07-01
Series:Frontiers in Human Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnhum.2013.00432/full
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author Katsuhiro eMizuno
Katsuhiro eMizuno
Katsuhiro eMizuno
Tetsuya eTsuji
Yves eRossetti
Laure ePisella
Hisao eOhde
Hisao eOhde
Meigen eLiu
author_facet Katsuhiro eMizuno
Katsuhiro eMizuno
Katsuhiro eMizuno
Tetsuya eTsuji
Yves eRossetti
Laure ePisella
Hisao eOhde
Hisao eOhde
Meigen eLiu
author_sort Katsuhiro eMizuno
collection DOAJ
description OBJECTIVE: To determine whether visual evoked fields (VEFs) elicited by right and left hemifield stimulation differ in patients with unilateral spatial neglect that results from cerebrovascular accident.METHODS: Pattern-reversal stimulation of the right and left hemifield was performed in three patients with left unilateral spatial neglect. Magnetoencephalography was recorded using a 160-channel system, and VEFs were quantified in the 400 ms after each stimulus. The presence or absence of VEF components at around 100 ms (P100m component) and 145 ms (N145m component) after stimulus onset was determined. The source of the VEF was determined using a single equivalent current dipole model for spherical volume conduction. All patients were evaluated using the behavioral inattention test (BIT).RESULTS: In response to right hemifield stimulation, the P100m and N145m components of the VEF were evident in all three patients. In response to left hemifield stimulation, both components were evident in Patient 3, whereas only the P100m component was evident in Patient 1 and only the N145m component was evident in Patient 2. Patient 1 exhibited impairments on the line bisection and cancellation tasks of the BIT, Patient 2 exhibited impairments on the copying, drawing and cancellation tasks of the BIT, and Patient 3 exhibited impairments on the cancellation task of the BIT.CONCLUSIONS: These results demonstrate that early VEFs are disrupted in patients with unilateral spatial neglect and support the concept that deficits in visual processing differ according to the clinical subtype of unilateral spatial neglect and the lesion location. This study also demonstrates the feasibility of using magnetoencephalography to explore subtypes of neglect.
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spelling doaj.art-8bc8fb063b8946d8992236050ee927a92022-12-21T18:51:26ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612013-07-01710.3389/fnhum.2013.0043245275Early visual processing is affected by clinical subtype in patients with unilateral spatial neglect: A magnetoencephalography study.Katsuhiro eMizuno0Katsuhiro eMizuno1Katsuhiro eMizuno2Tetsuya eTsuji3Yves eRossetti4Laure ePisella5Hisao eOhde6Hisao eOhde7Meigen eLiu8Keio University, School of MedicineINSERMNational Sanatorium Tama ZenshoenKeio University, School of MedicineINSERMINSERMMakuhari Ohde Eye ClinicKeio University, School of MedicineKeio University, School of MedicineOBJECTIVE: To determine whether visual evoked fields (VEFs) elicited by right and left hemifield stimulation differ in patients with unilateral spatial neglect that results from cerebrovascular accident.METHODS: Pattern-reversal stimulation of the right and left hemifield was performed in three patients with left unilateral spatial neglect. Magnetoencephalography was recorded using a 160-channel system, and VEFs were quantified in the 400 ms after each stimulus. The presence or absence of VEF components at around 100 ms (P100m component) and 145 ms (N145m component) after stimulus onset was determined. The source of the VEF was determined using a single equivalent current dipole model for spherical volume conduction. All patients were evaluated using the behavioral inattention test (BIT).RESULTS: In response to right hemifield stimulation, the P100m and N145m components of the VEF were evident in all three patients. In response to left hemifield stimulation, both components were evident in Patient 3, whereas only the P100m component was evident in Patient 1 and only the N145m component was evident in Patient 2. Patient 1 exhibited impairments on the line bisection and cancellation tasks of the BIT, Patient 2 exhibited impairments on the copying, drawing and cancellation tasks of the BIT, and Patient 3 exhibited impairments on the cancellation task of the BIT.CONCLUSIONS: These results demonstrate that early VEFs are disrupted in patients with unilateral spatial neglect and support the concept that deficits in visual processing differ according to the clinical subtype of unilateral spatial neglect and the lesion location. This study also demonstrates the feasibility of using magnetoencephalography to explore subtypes of neglect.http://journal.frontiersin.org/Journal/10.3389/fnhum.2013.00432/fullVisual evoked magnetic fieldPattern-reversal stimulationAttention networkDiagnosis of unilateral spatial neglectNeglect subtypesVisual attention networks
spellingShingle Katsuhiro eMizuno
Katsuhiro eMizuno
Katsuhiro eMizuno
Tetsuya eTsuji
Yves eRossetti
Laure ePisella
Hisao eOhde
Hisao eOhde
Meigen eLiu
Early visual processing is affected by clinical subtype in patients with unilateral spatial neglect: A magnetoencephalography study.
Frontiers in Human Neuroscience
Visual evoked magnetic field
Pattern-reversal stimulation
Attention network
Diagnosis of unilateral spatial neglect
Neglect subtypes
Visual attention networks
title Early visual processing is affected by clinical subtype in patients with unilateral spatial neglect: A magnetoencephalography study.
title_full Early visual processing is affected by clinical subtype in patients with unilateral spatial neglect: A magnetoencephalography study.
title_fullStr Early visual processing is affected by clinical subtype in patients with unilateral spatial neglect: A magnetoencephalography study.
title_full_unstemmed Early visual processing is affected by clinical subtype in patients with unilateral spatial neglect: A magnetoencephalography study.
title_short Early visual processing is affected by clinical subtype in patients with unilateral spatial neglect: A magnetoencephalography study.
title_sort early visual processing is affected by clinical subtype in patients with unilateral spatial neglect a magnetoencephalography study
topic Visual evoked magnetic field
Pattern-reversal stimulation
Attention network
Diagnosis of unilateral spatial neglect
Neglect subtypes
Visual attention networks
url http://journal.frontiersin.org/Journal/10.3389/fnhum.2013.00432/full
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