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Corbetta et al.
Presented by: Vanessa Wong
Inability
to pay attention to space
Most common cause is stroke
Caused by focal injury to temporoparietal
cortex or ventral frontal cortex
Damage in right hemisphere and neglects left
side of space
Local injury hypothesis
Injury to a brain area
causes behaviour deficits
that reflect local
dysfunction of neurons at
the site of injury
Distributed injury hypothesis
Lesion causes dysfunction
in other nodes of a
functional brain network,
impairing processes other
than those mediated by
neurons at the site of
injury
Does
the distributed injury
hypothesis apply to spatial
neglect?
Hypothesis: Recovery is associated with a
normalization of activity in attention
networks
11
participants (3 females, 8 males, M=60
years)
All with unilateral (right side) stroke with no
damage to visual field areas and are
representative of the most common lesion
sites in neglect
All underwent standard rehabilitation for at
least 3 months
Tested at acute(~4 weeks) and chronic
(~39weeks) recovery stage
fMRI
*
*
Independent
Valid cue or Invalid cue
Left or right visual field
Acute or chronic stage
Dependent
Reaction time
Accuracy
Significant recovery
from acute to chronic
stage
Decrease in rightward
processing bias
Greater improvement in
reaction time for left
than right visual field
targeting
Improvement in
attentional
reorientating
Less reaction time and
more hit rates in
targeting invalid cues
Failed
to support the local injury hypothesis
Supported the distributed injury hypothesis
Recovery correlates with reactivation and
rebalancing of normal activity within
network
Small
sample size (N=11)
Even though all patients have clinical
neglect, different areas of brain are
damaged
Strengths
Brain scans and graphs
In depth description
of brain regions
Clearly presented the
results found
Well organized
Short and concise
Weakness
Little detail on the
rehabilitation
The
distributed impairment principle can
likely be applicable to aphasia or sensorymotor deficits
Re-examination of localization of anatomical
basis and functional information on specific
neuropsychological disorders
Corbetta, M., Kincade, M.J., Lewis, C., Znyder, A.Z. & Sapir,
A. (2005). Neural basis and recovery of spatial attention
deficits in spatial neglect. Nature Neuroscience, 8 (11),
1603-1610.