Implicit perception in patients with visual neglect: lexical specificity in repetition priming.

Twelve patients with left-sided neglect, five patients with left-sided hemianopia, and 16 matched controls performed lexical decisions for foveally presented target words or pseudowords. Target words or pseudowords could be preceded by the same stimuli, presented for 150 ms as primes in either the left (LVF) or the right (RVF) visual hemifield. Primes in the RVF caused similar levels of priming across the three groups. In contrast, whereas primes in the affected LVF did not cause priming in hemianopic patients, patients with neglect showed highly significant priming from LVF primes, and the level of priming from these neglected primes was increased relative to normal control levels. This priming effect was attributed to lexical access, because no repetition priming was observed for pronounceable pseudowords. In striking contrast to the priming results, neglect patients' explicit recognition performance for these prime stimuli was at chance for the left hemifield, although it was near perfect for the right hemifield. This demonstrates that the observed priming effects in the left hemifield were indeed caused by stimuli that were not explicitly perceived.