Brain Substrates for Distinct Spatial Processing Components Contributing to Hemineglect in Humans
Several cortical and sub-cortical regions in the right hemisphere, particularly in the parietal and frontal lobes, but also in the temporal lobe and thalamus, are part of neural networks critically implicated in spatial and attentional functions. Damage to different sites within these networks can cause hemispatial neglect. The aim of this study was to identify the neural substrates of different spatial processing components that are known to contribute to neglect symptoms. Firstly, three different spatial tasks (visual search, bisection, and visual memory) were tested in 26 healthy controls. The fMRI results showed a differential activation of regions in the parietal and frontal lobes during bisection and visual search, respectively. Secondly, fMRI was used in 27 patients with focal right brain damage. Voxel-based lesion–symptom mapping was used to determine the relationships between specific sites of damage and the severity of deficits in these three spatial tasks. In the patients, we confirmed a critical role of the right lateral parietal cortex in bisection, but lesions in the frontal and temporal lobes were critical for visual search. These data support the existence of distinct components in spatial attentional processes that might be damaged to different degrees in neglect patients.