Landmark based navigation in brain-damaged patients with neglect

Neuropsychologia. 2008;46(7):1898-907. doi: 10.1016/j.neuropsychologia.2008.01.013. Epub 2008 Jan 31.

Abstract

We tested navigational abilities of brain-damaged patients suffering from representational or perceptual neglect asking them to retrieve a location according to salient spatial cues included in a rectangular empty room. Both groups of patients showed difficulties in learning the spatial definition of the target location in relation to two landmarks. However in a delayed attempt performed after several trials the group of patients with perceptual neglect proved able to easily retrieve the target location. In this condition they performed as controls showing a spared ability to navigate according to a stable representation of the room in long-term memory. In contrast the difficulty of patients with representational neglect remained unchanged across experimental conditions. At variance with clinical assessment, in which patients show asymmetrical performances in describing a well-known environment from memory, this latter result depicts a behavioural counterpart of the disorder, namely the inability to orient in a new environment according to an inner representation. Data are further discussed in order to provide a description of the cognitive mechanisms required for space representation for navigation.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Brain Damage, Chronic / physiopathology*
  • Control Groups
  • Cues*
  • Exploratory Behavior / physiology
  • Female
  • Form Perception / physiology
  • Functional Laterality / physiology
  • Humans
  • Male
  • Maze Learning / physiology
  • Memory / physiology
  • Middle Aged
  • Neuropsychological Tests
  • Orientation / physiology*
  • Perceptual Disorders / diagnosis*
  • Perceptual Disorders / physiopathology
  • Photic Stimulation
  • Reaction Time / physiology
  • Space Perception / physiology