Zuanazzi Arianna, Cattaneo Luigi
Center for Mind/Brain Sciences (CIMeC), Trento, Italy.
Department of Neurosciences, Biomedicine and Movement, University of Verona, Verona, Italy.
Neuropsychologia. 2017 Jul 28;102:197-205. doi: 10.1016/j.neuropsychologia.2017.06.005. Epub 2017 Jun 9.
The capacity to allocate visuospatial attention is traditionally considered right-lateralized according to the effects of unilateral cerebral lesions. Contralateral hemi-spatial neglect occurs much more frequently after lesions of the right hemisphere, which has therefore been dubbed as 'dominant'. This pattern of symptoms is supported by functional models that postulate either independence or reciprocal influences between the two hemispheres. Here we specifically explored the dependency of the right hemisphere (RH) from the left hemisphere (LH) in spatial attention. We capitalized on the well-known effect of online transcranial magnetic stimulation (TMS) on the RH in healthy individuals, consisting in transient neglect-like manifestations in the left hemi-space. We assessed whether prior stimulation of the left posterior parietal cortex with a long-lasting neuromodulatory procedure (transcranial direct current stimulation - tDCS) affected the acute effects of TMS on the right posterior parietal cortex. We performed a within-subjects factorial study with two factors: LH tDCS (sham or real) and RH TMS (sham or real), resulting in a 2×2 design. The effects on spatial attention were examined separately for the two hemi-spaces by means of a modified line-bisection task. The results indicated that TMS over the RH produced a spatial attention deficit in the left hemi-space alone and the behavioural effects of TMS were not modulated by prior stimulation of the LH. Interestingly, additional analyses showed that tDCS over the LH alone produced a deficit in spatial attention to the right hemi-space. We interpret the current results as evidence for a largely independent contribution of each hemisphere to the allocation of visuospatial attention limited to the contralateral hemi-space.
根据单侧脑损伤的影响,传统上认为视觉空间注意力分配能力是右侧化的。右侧半球损伤后,对侧半空间忽视更为常见,因此右侧半球被称为“优势半球”。这种症状模式得到了功能模型的支持,这些模型假定两个半球之间存在独立或相互影响。在这里,我们专门探讨了右半球(RH)在空间注意力方面对左半球(LH)的依赖性。我们利用了在线经颅磁刺激(TMS)对健康个体右半球的众所周知的影响,即左半空间出现短暂的类似忽视的表现。我们评估了事先用持久的神经调节程序(经颅直流电刺激 - tDCS)刺激左后顶叶皮层是否会影响TMS对右后顶叶皮层的急性作用。我们进行了一项受试者内析因研究,有两个因素:左半球tDCS(假刺激或真刺激)和右半球TMS(假刺激或真刺激),形成2×2设计。通过改良的线二等分任务分别检查了两个半空间对空间注意力的影响。结果表明,仅对右半球进行TMS会在左半空间产生空间注意力缺陷,并且TMS的行为效应不受左半球事先刺激的调节。有趣的是,额外的分析表明,仅对左半球进行tDCS会导致对右半空间的空间注意力缺陷。我们将当前结果解释为每个半球在视觉空间注意力分配方面对仅对侧半空间的贡献在很大程度上是独立的证据。