論文

査読有り
2016年11月

Intentional gaze shift to neglected space: a compensatory strategy during recovery after unilateral spatial neglect

BRAIN
  • Yusaku Takamura
  • ,
  • Maho Imanishi
  • ,
  • Madoka Osaka
  • ,
  • Satoko Ohmatsu
  • ,
  • Takanori Tominaga
  • ,
  • Kentaro Yamanaka
  • ,
  • Shu Morioka
  • ,
  • Noritaka Kawashima

139
11
開始ページ
2970
終了ページ
2982
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1093/brain/aww226
出版者・発行元
OXFORD UNIV PRESS

Unilateral spatial neglect is a common neurological syndrome following predominantly right hemispheric stroke. While most patients lack insight into their neglect behaviour and do not initiate compensatory behaviours in the early recovery phase, some patients recognize it and start to pay attention towards the neglected space. We aimed to characterize visual attention capacity in patients with unilateral spatial neglect with specific focus on cortical processes underlying compensatory gaze shift towards the neglected space during the recovery process. Based on the Behavioural Inattention Test score and presence or absence of experience of neglect in their daily life from stroke onset to the enrolment date, participants were divided into USN++ (do not compensate, n = 15), USN+ (compensate, n = 10), and right hemisphere damage groups (no neglect, n = 24). The patients participated in eye pursuit-based choice reaction tasks and were asked to pursue one of five horizontally located circular objects flashed on a computer display. The task consisted of 25 trials with 4-s intervals, and the order of highlighted objects was randomly determined. From the recorded eye tracking data, eye movement onset and gaze shift were calculated. To elucidate the cortical mechanism underlying behavioural results, electroencephalagram activities were recorded in three USN++, 13 USN+ and eight patients with right hemisphere damage. We found that while lower Behavioural Inattention Test scoring patients (USN ++) showed gaze shift to non-neglected space, some higher scoring patients (USN +) showed clear leftward gaze shift at visual stimuli onset. Moreover, we found a significant correlation between Behavioural Inattention Test score and gaze shift extent in the unilateral spatial neglect group (r = 0.62, P50.01). Electroencephalography data clearly demonstrated that the extent of increase in theta power in the frontal cortex strongly correlated with the leftward gaze shift extent in the USN++ and USN+ groups. Our results revealed a compensatory strategy (continuous attention to the neglected space) and its neural correlates in patients with unilateral spatial neglect. In conclusion, patients with unilateral spatial neglect who recognized their own neglect behaviour intentionally focused on the neglected space as a compensatory strategy to avoid careless oversight.

リンク情報
DOI
https://doi.org/10.1093/brain/aww226
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000388564400024&DestApp=WOS_CPL
ID情報
  • DOI : 10.1093/brain/aww226
  • ISSN : 0006-8950
  • eISSN : 1460-2156
  • Web of Science ID : WOS:000388564400024

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