How do patients with neglect see a horizontal line? Analysis of performances in coloured line bisection task.

摘要

Twelve patients with left unilateral spatial neglect were examined with a newly devised "coloured line bisection task". They were presented with a horizontal line printed in blue on one side and in red on the other side; the proportions of the blue and red segments were varied. Immediately after placement of the subjective midpoint, the line was concealed and the patients were asked to name the colours of the right and left ends. Five patients who identified the left-end colour almost correctly had no visual field defect, while the other seven whose colour naming was impaired on the left side had left visual field defect. The rightward bisection errors were similarly distributed in the fair and poor colour-naming patients except for two patients from the latter group. The lesions of the fair colour-naming patients spared the lingual and fusiform gyri, which are known to be engaged in colour processing. Patients with neglect whose visual field is preserved may neglect the leftward extension of a line but not the colour in the neglected space. The poor colour-naming patients frequently failed to name the left-end colour that appeared to the left of their subjective midpoint, which indicates that they hardly searched leftward beyond that point. In such trials, they reported that the left end had the same colour as the right end. The results suggest that in patients with neglect and left visual field defect, both the leftward extent and the colour of a line may be represented on the basis of the information from the attended right segment.