Silvetti Massimo, Pessa Eliano, Doricchi Fabrizio
Fondazione Santa Lucia IRCCS, Roma, Italy.
Neuropsychologia. 2007 Jun 18;45(11):2553-60. doi: 10.1016/j.neuropsychologia.2007.03.012. Epub 2007 Mar 23.
Right brain damaged patients affected by contralesional object-centred neglect are able to process all objects around them but systematically omit the left part of these objects. We show that pure object-centred neglect can be simulated by a basis function neural network in which the activity of units allowing head-centred coding of space is based on the activity of gaze-dependent units with no lateral gradient of preferred eye positions along the horizontal space. This type of network simulates complete dissociation between object-centred and egocentric neglect, as observed in patients' copies of multi-item drawings. Based on these results and available neurophysiological, clinical and brain imaging data, it is proposed that disruption of a cerebral network including dorsal occipital and parietal areas and the supplementary eye fields could be the main cause of object-centred neglect.
受对侧以物体为中心的忽视影响的右脑损伤患者能够处理周围的所有物体,但会系统性地忽略这些物体的左侧部分。我们表明,纯以物体为中心的忽视可以由一个基函数神经网络模拟,其中允许以头部为中心进行空间编码的单元活动基于与注视相关的单元活动,且沿水平空间不存在首选眼位的侧向梯度。这种类型的网络模拟了以物体为中心和以自我为中心的忽视之间的完全分离,正如在患者对多物品绘图的临摹中所观察到的那样。基于这些结果以及现有的神经生理学、临床和脑成像数据,有人提出,包括枕叶背侧和顶叶区域以及辅助眼区在内的脑网络中断可能是以物体为中心的忽视的主要原因。