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Brain, Vol. 119, No. 3, 851-857, 1996
© 1996 Guarantors of Brain


research-article

Beyond unilateral neglect

Edoardo Bisiach1,, Luigi Pizzamiglio2,3, Daniele Nico2,3 and Gabriella Antonucci2,3

1Dipartiments di Psicologia, Università di Torino Roma, Italy 2Dipartimento di Psicologia, Universita di Roma Roma, Italy 3IRCCS Clinica S. Lucia Roma, Italy

Correspondence to: Correspondence to: E. Bisiach, 22070 Lurago Marinone (Como), Italy

When required to set the endpoints of an imaginary horizontal line of a given length on the basis of its midpoint printed on a sheet of paper, left neglect patients most frequently misplaced endpoints leftwards. Though giving rise to the very same disproportion usually found with these patients on canonical line bisection tasks, this behaviour cannot be accommodated by current explanations of unilateral neglect. When the task was executed during leftward optokinetic stimulation (OKS), a manoeuvre known temporarily to improve neglect symptoms, the disproportion increased instead of vanishing. We therefore suggest that unilateral neglect is a manifestation of a disorder primarily implying a horizontal anisometry of space representation and that manipulations such as OKS may remove neglect without normalizing the representational medium itself.

unilateral neglect; space representation; optokinetic stimulation

Received September 29, 1995. Revised December 14, 1995. Accepted January 23, 1996.


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