Common and distinct neural mechanisms of visual and tactile extinction: A large scale VBM study in sub-acute stroke

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@article{a876ee0a47284979983c88805729ecd6,
title = "Common and distinct neural mechanisms of visual and tactile extinction: A large scale VBM study in sub-acute stroke",
abstract = "Extinction is diagnosed when patients respond to a single contralesional item but fail to detect this item when an ipsilesional item is present concurrently. Extinction has been studied mainly in the visual modality but it occurs also in other sensory modalities (touch, audition) and hence can be considered a multisensory phenomenon. The functional and neuroanatomical relations between extinction in different modalities are poorly understood. Here, we used voxel-based mophometry (VBM) to examine the neuronal substrates of visual versus tactile extinction in a large group of sub-acute patients (n = 454) with strokes affecting different vascular territories. We found that extinction deficits in tactile and visual modalities were significantly correlated (r = 0.341; p < 0.01). Several lesions within the right hemisphere were linked to extinction including the inferior parietal lobule, the superior parietal lobule, the middle frontal and occipital gyri, while lesions involving the superior temporal gyrus, inferior temporal gyrus and putamen were associated with tactile extinction. Damage within the middle temporal gyrus and superior temporal sulcus was linked to both deficits. We conclude that extinction in different modalities emerges after damage to both common (supra-modal) and distinct (modality specific) brain regions, and that contrasting sites emerge after damage to different vascular territories. We discuss the implications for understanding extinction as a multisensory disorder.",
keywords = "Journal Article",
author = "Magdalena Chechlacz and Anna Terry and Nele Demeyere and Hassan Douis and Wai-Ling Bickerton and Pia Rotshtein and Humphreys, {Glyn W}",
year = "2013",
doi = "10.1016/j.nicl.2013.01.013",
language = "English",
volume = "2",
pages = "291--302",
journal = "NeuroImage: Clinical",
issn = "2213-1582",
publisher = "Elsevier",

}

RIS

TY - JOUR

T1 - Common and distinct neural mechanisms of visual and tactile extinction

T2 - A large scale VBM study in sub-acute stroke

AU - Chechlacz, Magdalena

AU - Terry, Anna

AU - Demeyere, Nele

AU - Douis, Hassan

AU - Bickerton, Wai-Ling

AU - Rotshtein, Pia

AU - Humphreys, Glyn W

PY - 2013

Y1 - 2013

N2 - Extinction is diagnosed when patients respond to a single contralesional item but fail to detect this item when an ipsilesional item is present concurrently. Extinction has been studied mainly in the visual modality but it occurs also in other sensory modalities (touch, audition) and hence can be considered a multisensory phenomenon. The functional and neuroanatomical relations between extinction in different modalities are poorly understood. Here, we used voxel-based mophometry (VBM) to examine the neuronal substrates of visual versus tactile extinction in a large group of sub-acute patients (n = 454) with strokes affecting different vascular territories. We found that extinction deficits in tactile and visual modalities were significantly correlated (r = 0.341; p < 0.01). Several lesions within the right hemisphere were linked to extinction including the inferior parietal lobule, the superior parietal lobule, the middle frontal and occipital gyri, while lesions involving the superior temporal gyrus, inferior temporal gyrus and putamen were associated with tactile extinction. Damage within the middle temporal gyrus and superior temporal sulcus was linked to both deficits. We conclude that extinction in different modalities emerges after damage to both common (supra-modal) and distinct (modality specific) brain regions, and that contrasting sites emerge after damage to different vascular territories. We discuss the implications for understanding extinction as a multisensory disorder.

AB - Extinction is diagnosed when patients respond to a single contralesional item but fail to detect this item when an ipsilesional item is present concurrently. Extinction has been studied mainly in the visual modality but it occurs also in other sensory modalities (touch, audition) and hence can be considered a multisensory phenomenon. The functional and neuroanatomical relations between extinction in different modalities are poorly understood. Here, we used voxel-based mophometry (VBM) to examine the neuronal substrates of visual versus tactile extinction in a large group of sub-acute patients (n = 454) with strokes affecting different vascular territories. We found that extinction deficits in tactile and visual modalities were significantly correlated (r = 0.341; p < 0.01). Several lesions within the right hemisphere were linked to extinction including the inferior parietal lobule, the superior parietal lobule, the middle frontal and occipital gyri, while lesions involving the superior temporal gyrus, inferior temporal gyrus and putamen were associated with tactile extinction. Damage within the middle temporal gyrus and superior temporal sulcus was linked to both deficits. We conclude that extinction in different modalities emerges after damage to both common (supra-modal) and distinct (modality specific) brain regions, and that contrasting sites emerge after damage to different vascular territories. We discuss the implications for understanding extinction as a multisensory disorder.

KW - Journal Article

U2 - 10.1016/j.nicl.2013.01.013

DO - 10.1016/j.nicl.2013.01.013

M3 - Article

C2 - 24179784

VL - 2

SP - 291

EP - 302

JO - NeuroImage: Clinical

JF - NeuroImage: Clinical

SN - 2213-1582

ER -