Laboratory for Behavioral Neurology and Imaging of Cognition, Department of Neuroscience, Medical School, and University Hospital of Geneva, University of Geneva, Michel-Servet 1, Geneva, Switzerland.
Ann N Y Acad Sci. 2013 Aug;1296:50-74. doi: 10.1111/nyas.12161. Epub 2013 Jun 10.
Spatial neglect is generally defined by various deficits in processing information from one (e.g., left) side of space contralateral to focal (e.g., right) hemisphere damage. Although classically associated with parietal lobe functions, there is now compelling evidence that neglect can follow lesions in many different cortical and subcortical sites, suggesting a dysfunction in distributed brain networks. In addition, neglect is likely to result from a combination of distinct deficits that co-occur due to concomitant damage affecting juxtaposed brain areas and their connections, but the exact nature of core deficits and their neural substrates still remains unclear. The present review describes recent progress in identifying functional components of the neglect syndrome and relating them to distinct subregions of parietal cortex. A comprehensive understanding of spatial neglect will require a more precise definition of cognitive processes implicated in different behavioral manifestations, as well as meticulous mapping of these processes onto specific brain circuits, while taking into account functional changes in activity that may arise in structurally intact areas subsequent to damage in distant portions of the relevant networks.
空间忽略通常被定义为与对侧(例如右侧)半球损伤相关的各种信息处理缺陷,这些信息来自于一侧(例如左侧)空间。尽管经典地与顶叶叶功能相关,但现在有令人信服的证据表明,忽略可能会跟随大脑许多不同皮层和皮层下部位的损伤,这表明分布式大脑网络功能失调。此外,由于同时影响相邻脑区及其连接的损伤,忽略可能是由不同缺陷的组合导致的,但是核心缺陷的确切性质及其神经基质仍然不清楚。本综述描述了在确定忽略综合征的功能成分方面的最新进展,并将其与顶叶皮层的不同亚区联系起来。要全面理解空间忽略,需要更精确地定义涉及不同行为表现的认知过程,并将这些过程细致地映射到特定的大脑回路中,同时考虑到相关网络中远处部位损伤后,结构完整区域中可能出现的活动功能变化。