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右侧顶叶内损伤后动作与感知功能的损害。

Impairments in action and perception after right intraparietal damage.

作者信息

Medina Jared, Jax Steven A, Coslett H Branch

机构信息

Department of Psychological and Brain Sciences, University of Delaware, United States.

Moss Rehabilitation Research Institute, United States.

出版信息

Cortex. 2020 Jan;122:288-299. doi: 10.1016/j.cortex.2019.02.004. Epub 2019 Feb 21.

Abstract

We examined visually-guided reaching and perception in an individual who underwent resection of a small tumor in right intraparietal sulcus (pIPS). In the first experiment, she reached to targets presented on a touch screen. Vision was occluded from reach onset on half of the trials, whereas on the other half she had vision during the entire reach. For visually-guided reaching, she demonstrated significantly more reach errors for targets left of fixation versus right of fixation. However, there were no hemispatial differences when reaching without vision. Furthermore, her performance was consistent for reaches with either hand, providing evidence that pIPS encodes location based on an eye-centered reference frame. Second, previous studies reported that optic ataxics are more accurate when reaching to remembered versus visible target locations. We repeated the first experiment, adding a five second delay between stimulus presentation and reach initiation. In contrast to prior reports, she was less accurate in delayed versus immediate reaching. Finally, we examined whether a small pIPS resection would disrupt visuospatial processing in a simple perceptual task. We presented two small circles in succession in either the same location or offset at varying distances, and asked whether the two circles were presented in the same or different position. She was significantly more impaired left of fixation compared to right of fixation, providing evidence for a perceptual deficit after a dorsal stream lesion.

摘要

我们对一名接受了右侧顶内沟(pIPS)小肿瘤切除术的个体的视觉引导伸手动作和感知能力进行了检查。在第一个实验中,她伸手去触碰触摸屏上呈现的目标。在一半的试验中,从伸手动作开始时视觉就被遮挡,而在另一半试验中,她在整个伸手过程中都有视觉。对于视觉引导的伸手动作,她在注视点左侧的目标上表现出的伸手误差明显多于注视点右侧的目标。然而,在没有视觉的情况下伸手时,没有半空间差异。此外,她用两只手进行伸手动作的表现是一致的,这表明pIPS基于以眼睛为中心的参考框架对位置进行编码。其次,先前的研究报告称,视共济失调患者在伸手去够记忆中的目标位置时比去够可见目标位置时更准确。我们重复了第一个实验,在刺激呈现和伸手动作开始之间增加了五秒的延迟。与之前的报告相反,她在延迟伸手时比即时伸手时准确性更低。最后,我们研究了pIPS的小范围切除是否会在一个简单的感知任务中扰乱视觉空间处理。我们相继在同一位置或不同距离处呈现两个小圆圈,并询问这两个圆圈是在相同还是不同的位置呈现。与注视点右侧相比,她在注视点左侧的表现明显受损,这为背侧通路损伤后的感知缺陷提供了证据。

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