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To quantitate a size distortion involving the side of space contralateral to the lesion (contralesional) in two right-brain-damaged patients.

Left caloric vestibular stimulation (CVS) transiently reduces impairments of right-brain-damaged patients with left unilateral neglect, including left hemianesthesia, contralateral to the side of the lesion (contralesional). Conversely, no effect on right contralesional hemianesthesia in left-brain-damaged patients is seen with right CVS. This discrepancy is unexplained.

The internal representation of space involves the integration of different sensory inputs-visual, somatosensory/proprioceptive, vestibular-yielding reference frames which are not based on individual peripheral sensory codes, being organized instead in ego-centred (e.g. head, trunk, arm) and object- or environment-centred coordinates. Lateralized or direction-specific stimulation of peripheral sensory systems, such as caloric vestibular stimulation (CVS), posterior neck muscle mechanical vibration (NV) and optokinetic stimulation, can induce a distortion of egocentric coordinates, causing, for example, a deviation of the subjective straight ahead in pointing tasks. Appropriate forms of this stimulation can also temporarily improve a variety of pathological manifestations of unilateral neglect. We used PET measurements of regional cerebral blood flow changes in normal volunteers to measure the brain responses shared by CVS and NV. We show that somatosensory areas of the perisylvian cortex including the insula and retroinsular cortex, the temporoparietal junction and somatosensory area II receive signals from both sensory channels. We propose that these anatomical sites contribute to egocentric representation of space.

The internal representation of space involves the integration of different sensory inputs—visual, somatosensory/proprioceptive, vestibular—yielding reference frames which are not based on individual peripheral sensory codes, being organized instead in ego-centred (e.g. head, trunk, arm) and object- or environment-centred coordinates. Lateralized or direction-specific stimulation of peripheral sensory systems, such as caloric vestibular stimulation (CVS), posterior neck muscle mechanical vibration (NV) and optokinetic stimulation, can induce a distortion of egocentric coordinates, causing, for example, a deviation of the subjective straight ahead in pointing tasks. Appropriate forms of this stimulation can also temporarily improve a variety of pathological manifestations of unilateral neglect. We used PET measurements of regional cerebral blood flow changes in normal volunteers to measure the brain responses shared by CVS and NV. We show that somatosensory areas of the perisylvian cortex including the insula and retroinsular cortex, the temporoparietal junction and somatosensory area II receive signals from both sensory channels. We propose that these anatomical sites contribute to egocentric representation of space.

Polyglot and non-polyglot Italian subjects were given tests assessing verbal (phonological) and visuo-spatial short-term and long-term memory, general intelligence, and vocabulary knowledge in their native language. Polyglots had a superior level of performance in verbal short-term memory tasks (auditory digit span and nonword repetition) and in a paired-associate learning test, which assessed the subjects’ ability to acquire new (Russian) words. By contrast, the two groups had comparable performance levels in tasks assessing general intelligence, visuo-spatial short-term memory and learning, and paired-associate learning of Italian words. These findings, which are in line with neuropsychological and developmental evidence, as well as with data from normal subjects, suggest a close relationship between the capacity of phonological memory and the acquisition of foreign languages.

Norms are provided for verbal and visuo-spatial immediate memory span, two tasks widely used in the clinical assessment of short-term memory and its neurological disorders. Data have been collected from 1355 male and female adult subjects, with various educational backgrounds and a 20–99 years age range. Span shows a major decrement after the late sixties and is affected by educational level. Male subjects score better on the spatial task. Data collected from 1112 male and female children, 4-to-10 year-old, show that span increases with age and boys score better on the spatial test.

We recorded somatosensory or visual evoked potentials (SEPs, VEPs) to stimuli contralateral and ipsilateral to the lesion in three right-brain-damaged patients with left spatial hemineglect and in three left-brain-damaged patients without evidence of neglect, as assessed by visual exploratory tasks. All patients had contralateral homonymous hemianopia or hemianesthesia. The three neglect patients showed normal SEPs or VEPs to stimuli delivered to the left half-field or to the left hand, without conscious perception and verbal report of the stimulation. By contrast, the three left-brain-damaged patients without neglect showed no recognizable cortical evoked response to contralateral visual or somatosensory stimuli. In all patients, the cortical evoked responses to ipsilateral stimulation were normal. In patients with spatial hemineglect, hemianopia and hemianesthesia may be manifestations of the neglect syndrome (visual and somatosensory hemi-inattention), rather than representing primary sensory deficit. Visual and somatosensory hemi-inattention may be due to defective access to the neural processes subserving conscious perception by information that has undergone early sensory processing.

Abstract: Right brain-damaged patients with left visuospatial neglect were required to bisect a line placed in front of them in two different body positions (upright and supine) and two different light conditions (light and dark). The neglect patients, unlike right brain-damaged patients without neglect, strongly reduced their rightward directional error in the supine compared with the upright position. No systematic changes were produced by the light-dark manipulation. The present result cannot be explained with an attentional interpretation of hemispatial neglect. We suggest that the present data provide futher evidence that hemineglect is the consequence of a mismatch between different afferent information integrated into an egocentric space representation. According to this model, the presence of a lateralized brain lesion produces asymmetries in some intermediate spatial representations (eye-head, head-trunk, body-environment) but not in the retinotopic one. Any experimental manipulation that reduces the asymmetry of the intermediate representation such as the reduction of gravitational inputs may improve the dynamic integration of the egocentric coordinates.

We describe a patient with a bilateral posterior lesion, who showed optic ataxia, gaze apraxia and the symptom which most authors call the inability to see more than one thing at a time. We discuss the last feature and the term simultanagnosia sometimes used to indicate it. Furthermore we stress the unusual localization of the lesion in this patient.

Five cases of facio-pharyngo-glosso-masticatory diplegia with automatic voluntary dissociation, i.e., bilateral anterior opercular syndrome (Foix-Chavany-Marie syndrome), are described together with the morphological correlations in four. The localizing value of the syndrome and of CT scanning are stressed.

Polyglot and non-polyglot Italian subjects were given tests assessing verbal (phonological) and visuo-spatial short-term and long-term memory, general intelligence, and vocabulary knowledge in their native language. Polyglots had a superior level of performance in verbal short-term memory tasks (auditory digit span and nonword repetition) and in a paired-associate learning test, which assessed the subjects' ability to acquire new (Russian) words. By contrast, the two groups had comparable performance levels in tasks assessing general intelligence, visuo-spatial short-term memory and learning, and paired-associate learning of Italian words. These findings, which are in line with neuropsychological and developmental evidence, as well as with data from normal subjects, suggest a close relationship between the capacity of phonological memory and the acquisition of foreign languages.

The investigation of a patient with a selective impairment of phonological short-term memory has recently provided evidence that this system may be involved in long-term learning of novel words, for which a pre-existing semantic representation is not available (Baddeley, Papagno, & Vallar, 1988). The present series of experiments in normal subjects explored this hypothesis. We assessed the effects of phonological similarity and item length, which reflect the operation of the phonological short-term store and the rehearsal component of verbal memory, upon paired associate long-term learning of auditorily presented words and non-words. Phonological similarity affected the learning of novel words more than known words (Experiment 1); when a delay was interposed between presentation and recall, the disruptive effect was confined to novel words (Experiment 2). Also word length disrupted the learning of novel words, but not of known words (Experiment 3). These results tie in with neuropsychological evidence to suggest a role for phonological short-term memory in the learning of new words, and they have developmental implications for the study of language acquisition.

The investigation of a patient with a selective impairment of phonological short-term memory has recently provided evidence that this system may be involved in long-term learning of novel words, for which a pre-existing semantic representation is not available (Baddeley, Papagno, & Vallar, 1988). The present series of experiments in normal subjects explored this hypothesis. We assessed the effects of phonological similarity and item length, which reflect the operation of the phonological short-term store and the rehearsal component of verbal memory, upon paired associate long-term learning of auditorily presented words and non-words. Phonological similarity affected the learning of novel words more than known words (Experiment 1); when a delay was interposed between presentation and recall, the disruptive effect was confined to novel words (Experiment 2). Also word length disrupted the learning of novel words, but not of known words (Experiment 3). These results tie in with neuropsychological evidence to suggest a role for phonological short-term memory in the learning of new words, and they have developmental implications for the study of language acquisition.

We report a patient with an ischemic stroke in the vascular territory of the right middle cerebral artery who had left spatial neglect and left hemianesthesia. The patient showed a dissociation between defective verbal reporting of somatosensory stimuli delivered to the left hand and physiologic evidence from an autonomic index. This indicates that there was processing of undetected stimuli without the patient's awareness, and suggests that the hemianesthesia was due, at least in part, to somesthetic hemiinattention.

SPATIAL cognition requires the integration of visual inputs with proprioceptive and vestibular information about the position of the eye, the head and the body. All these sources are used by the brain to produce multiple higher-order (e.g. egocentric) representations of space, subserving accurate spatial behaviour. Such spatial representations are disrupted by unilateral cerebral damage producing neglect in the contralateral side of space. In eight brain-damaged patients with left unilateral neglect the manipulation of gravitational-otolithic information, obtained by placing patients in a supine position, produced a significant reduction of the right-ward directional error in the line bisection task in all cases. This finding suggests that, in patients with neglect, gravitational information is processed in a non-symmetrical fashion, with a rightward bias towards the side of the lesion. This is the first study showing that manipulation of gravitational input affects neuropsychological disorders of visuo-spatial processing.

Patients with global amnesia of different aetiologies (n = 11), and patients with probable Alzheimers disease of recent onset and mild to moderate severity (n = 18) underwent extensive neuropsychological examination, which included the evaluation of multiple components of memory, and a measurement of regional cerebral glucose metabolism with [18F)fluoro-deoxyglucose (18F(FDG) and PET. In the neuropsychological tests, both global amnesia and Alzheimers disease patients had impaired episodic long-term memory, while deficits of short-term, semantic and implicit memory were present only in Alzheimers disease. When local metabolic rates for glucose were compared with values from age-and education-matched normal controls, a common pattern of bilateral hypometabolism was present in the hippocampus, cingulate and frontal basal cortex of both global amnesia and Alzheimers disease patients. On the other hand, significant hypometabolism was found in the thalamus in only global amnesia, and in the frontal, parietal and temporal associative cortex in only Alzheimers disease. The results of a multivariate regression analysis of test scores with metabolic data indicated that different clusters of cerebral areas were associated with each of the main components of memory function. These data are in agreement with ‘neural network’ models of the neural basis of cognition, according to which complex functions are subserved by multiple interconnected cortical and subcortical structures.