title: Bilateral impairment of concurrent saccade programming in hemispatial neglect.
abstract: When healthy observers make a saccade that is erroneously directed toward a distracter stimulus, they often produce a corrective saccade within 100ms after the end of the primary saccade. Such short inter-saccadic intervals indicate that programming of the secondary saccade has been initiated prior to the execution of the primary saccade and hence that the two saccades have been programmed concurrently. Here we show that concurrent saccade programming is bilaterally impaired in left spatial neglect, a strongly lateralized disorder of visual attention resulting from extensive right cerebral damage. Neglect patients were asked to make saccades to targets presented left or right of fixation while disregarding a distracter presented in the opposite hemifield. We examined those experimental trials on which participants first made a saccade to the distracter, followed by a secondary (corrective) saccade to the target. Compared to healthy and right-hemisphere damaged control participants the proportion of secondary saccades directing gaze to the target instead of bringing it even closer to the distracter was bilaterally reduced in neglect patients. In addition, the characteristic reduction of secondary saccade latency observed in both control groups was absent in neglect patients, whether the secondary saccade was directed to the left or right hemifield. This pattern is consistent with a severe, bilateral impairment of concurrent saccade programming in left spatial neglect.
authors.affiliation: Division of Neurorehabilitation, University Hospital Geneva, 1211 Geneva 14, Switzerland. radek.ptak@hcuge.ch
authors.forename: Radek
authors.initials: R
authors.lastname: Ptak
authors.forename: Armin
authors.initials: A
authors.lastname: Schnider
authors.forename: René
authors.initials: R
authors.lastname: Müri
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001288:Attention; D005260:Female; D005403:Fixation, Ocular; D007839:Functional Laterality; D006801:Humans; D020300:Intracranial Hemorrhages / Q000150:complications* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010364:Pattern Recognition, Visual; D010468:Perceptual Disorders / Q000209:etiology / Q000503:physiopathology*; D010775:Photic Stimulation; D011581:Psychological Tests; D011930:Reaction Time; D012438:Saccades; D020521:Stroke / Q000150:complications* / Q000503:physiopathology; D014794:Visual Fields