1
|
Moretta P, Cavallo ND, Fonzo E, Maiorino A, Ferrante C, Ambrosino P, Femiano C, Santangelo G, Marcuccio L. Visual vertical neglect in acquired brain injury: a systematic review. Front Psychol 2024; 15:1360057. [PMID: 38529094 PMCID: PMC10962212 DOI: 10.3389/fpsyg.2024.1360057] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2023] [Accepted: 02/28/2024] [Indexed: 03/27/2024] Open
Abstract
Vertical neglect represents a visuospatial deficit occurring as a possible consequence of acquired brain injury (ABI). Differently from unilateral spatial neglect on horizontal space, vertical neglect is poorly studied in the literature and rarely assessed in clinical practice. In the available studies, the terms "radial," "vertical," and "altitudinal" neglect are often used interchangeably, although they do not describe the same spatial dimension. "Altitudinal" and "vertical" refer to the sagittal plane, whereas "radial" refers to the transverse plane. The term "vertical" is sometimes used interchangeably with respect to both axes. The aim of this systematic review was to identify the main characteristics of vertical neglect after ABI, the diagnostic tools used, and the treatment options. We also proposed a clarification of the manifestations and characteristics of vertical and radial neglect. The 23 articles reviewed, showed that the vertical neglect occurred more frequently on the lower space than on the upper space, that its presence was associated with horizontal neglect, and that it could also occur with compromise of the radial space, with the near radial being more common. The most frequent etiology associated with vertical neglect is vascular, particularly ischaemic. The lesions side are very heterogeneous and include both cortical and subcortical areas and all lobes, although the temporal lobe is most affected. With regard to the assessment tools, paper and pencil tasks are the most commonly used diagnostic tools to identify vertical neglect, although in recent years the use of computer-based tasks increased. Taken together, our results suggest that vertical neglect may be underestimated in patients with right hemisphere lesions and should always be assessed, especially in cases where the patient shows signs of horizontal neglect. The clinical assessment of vertical neglect is very important since it can lead to important functional limitations in everyday life, such as poor wheelchair handling, stumbling over unnoticed obstacles located below (or above), walking down stairs, taking off shoes.
Collapse
Affiliation(s)
- Pasquale Moretta
- Istituti Clinici Scientifici Maugeri IRCCS, Neuromotor Rehabilitation Unit of Telese Terme Institute, Benevento, Italy
| | - Nicola Davide Cavallo
- Department of Psychology, Università della Campania ‘Luigi Vanvitelli’, Caserta, Italy
| | - Eleonora Fonzo
- Department of Psychology, Università della Campania ‘Luigi Vanvitelli’, Caserta, Italy
| | - Antonio Maiorino
- Istituti Clinici Scientifici Maugeri IRCCS, Neuromotor Rehabilitation Unit of Telese Terme Institute, Benevento, Italy
| | - Cesario Ferrante
- Istituti Clinici Scientifici Maugeri IRCCS, Neuromotor Rehabilitation Unit of Telese Terme Institute, Benevento, Italy
| | - Pasquale Ambrosino
- Istituti Clinici Scientifici Maugeri IRCCS, Scientific Directorate of Telese Terme Institute, Benevento, Italy
| | - Cinzia Femiano
- Istituti Clinici Scientifici Maugeri IRCCS, Neuromotor Rehabilitation Unit of Telese Terme Institute, Benevento, Italy
| | - Gabriella Santangelo
- Department of Psychology, Università della Campania ‘Luigi Vanvitelli’, Caserta, Italy
| | - Laura Marcuccio
- Istituti Clinici Scientifici Maugeri IRCCS, Neuromotor Rehabilitation Unit of Telese Terme Institute, Benevento, Italy
| |
Collapse
|
2
|
Ricci M, Iavarone A, Ilardi CR, Chieffi S. Influence of hand starting position on radial line bisection. Front Psychol 2023; 14:1293624. [PMID: 38144997 PMCID: PMC10748601 DOI: 10.3389/fpsyg.2023.1293624] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 11/17/2023] [Indexed: 12/26/2023] Open
Abstract
When normal individuals are asked to localize and mark the midpoint of a radial line, they tend to bisect it farther than the true center. It has been suggested that radial misbisection depends on the presence of a visual attentional bias directed toward the far space. The aim of the present study was to investigate whether the localization of the center of radial lines was affected by the starting position of the hand. There were two starting positions: one between the body and the radial line ("near"), the other beyond the radial line ("far"). Thirty-four subjects participated in the experiment. The results showed that (i) participants bisected radial lines farther than the true center, measured with reference to their body, in both near and far condition, and (ii) bisection errors in the near condition were greater than those in the far condition. We suggest that hand starting position and direction of ongoing movement influenced radial line misbisection by modulating visual attentional bias directed to far space.
Collapse
Affiliation(s)
- Mariateresa Ricci
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, Naples, Italy
| | | | | | - Sergio Chieffi
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, Naples, Italy
| |
Collapse
|
3
|
La Marra M, Messina A, Ilardi CR, Staiano M, Di Maio G, Messina G, Polito R, Valenzano A, Cibelli G, Monda V, Chieffi S, Iavarone A, Villano I. Factorial Model of Obese Adolescents: The Role of Body Image Concerns and Selective Depersonalization-A Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11501. [PMID: 36141782 PMCID: PMC9517425 DOI: 10.3390/ijerph191811501] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Revised: 09/02/2022] [Accepted: 09/09/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND The relationship binding body weight to psychological well-being is unclear. The present study aims at identifying the contribution, and specificity, of some dimensions (i.e., eating-related symptoms, body image disorders, eating habits, personality traits, and emotional difficulties) characterizing the psychological profile of obese adolescents (749 participants, 325 females; 58.3% normal-weight, 29.9% overweight, and 11.7% obese; mean age = 16.05, SD = 0.82). METHODS By introducing the scores obtained by standardized self-report tools into a generalized linear model, a factorial reduction design was used to detect the best fitting discriminant functions and the principal components explaining the higher proportion of the variance. RESULTS We found two discriminant functions correctly classifying 87.1% of normal-weight, 57.2% of overweight, and 68.2% of obese adolescents. Furthermore, two independent factors, explaining 69.68% of the total variance, emerged. CONCLUSIONS The first factor, "Body Image Concerns", included the drive for thinness, body dissatisfaction, and interpersonal distrust. The second factor, "Selective Depersonalization", included a trend toward depersonalization and dissatisfaction with the torso. The neurophysiological implications of our findings will be discussed.
Collapse
Affiliation(s)
- Marco La Marra
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| | - Antonietta Messina
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| | - Ciro Rosario Ilardi
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
- Department of Psychology, University of Campania “Luigi Vanvitelli”, 81100 Caserta, Italy
| | - Maria Staiano
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| | - Girolamo Di Maio
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| | - Giovanni Messina
- Department of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy
| | - Rita Polito
- Department of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy
| | - Anna Valenzano
- Department of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy
| | - Giuseppe Cibelli
- Department of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy
| | - Vincenzo Monda
- Department of Movement Sciences and Wellbeing, University of Naples “Parthenope”, 80133 Naples, Italy
| | - Sergio Chieffi
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| | - Alessandro Iavarone
- Neurological Unit, CTO Hospital, AORN “Ospedali dei Colli”, 80131 Naples, Italy
| | - Ines Villano
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| |
Collapse
|
4
|
Neuropsychology of posteromedial parietal cortex and conversion factors from Mild Cognitive Impairment to Alzheimer's disease: systematic search and state-of-the-art review. Aging Clin Exp Res 2022; 34:289-307. [PMID: 34232485 PMCID: PMC8847304 DOI: 10.1007/s40520-021-01930-y] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Accepted: 06/28/2021] [Indexed: 02/06/2023]
Abstract
In the present review, we discuss the rationale and the clinical implications of assessing visuospatial working memory (VSWM), awareness of memory deficits, and visuomotor control in patients with mild cognitive impairment (MCI). These three domains are related to neural activity in the posteromedial parietal cortex (PMC) whose hypoactivation seems to be a significant predictor of conversion from MCI to Alzheimer’s disease (AD) as indicated by recent neuroimaging evidence. A systematic literature search was performed up to May 2021. Forty-eight studies were included: 42 studies provided analytical cross-sectional data and 6 studies longitudinal data on conversion rates. Overall, these studies showed that patients with MCI performed worse than healthy controls in tasks assessing VSWM, awareness of memory deficits, and visuomotor control; in some cases, MCI patients’ performance was comparable to that of patients with overt dementia. Deficits in VSWM and metamemory appear to be significant predictors of conversion. No study explored the relationship between visuomotor control and conversion. Nevertheless, it has been speculated that the assessment of visuomotor abilities in subjects at high AD risk might be useful to discriminate patients who are likely to convert from those who are not. Being able to indirectly estimate PMC functioning through quick and easy neuropsychological tasks in outpatient settings may improve diagnostic and prognostic accuracy, and therefore, the quality of the MCI patient’s management.
Collapse
|
5
|
Chieffi S. Meet Our Editorial Board Member. CURRENT PSYCHIATRY RESEARCH AND REVIEWS 2021. [DOI: 10.2174/266608221603201210094328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
|
6
|
Ilardi CR, Iavarone A, Villano I, Rapuano M, Ruggiero G, Iachini T, Chieffi S. Egocentric and allocentric spatial representations in a patient with Bálint-like syndrome: A single-case study. Cortex 2020; 135:10-16. [PMID: 33341593 DOI: 10.1016/j.cortex.2020.11.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2020] [Revised: 07/28/2020] [Accepted: 11/17/2020] [Indexed: 10/22/2022]
Abstract
Previous studies suggested that egocentric and allocentric spatial representations are supported by neural networks in the occipito-parietal (dorsal) and occipito-temporal (ventral) streams, respectively. The present study aimed to explore the integrity of ego- and allo-centric spatial representations in a patient (GP) who presented bilateral occipito-parietal damage consistent with the picture of a Bálint-like syndrome. GP and healthy controls were asked to provide memory-based spatial judgments on triads of objects after a short (1.5sec) or long (5sec) delay. The results showed that GP's performance was selectively impaired in the Ego/1.5sec delay condition. As a whole, our findings suggest that GP's spared ventral stream could generate short- and long-term allocentric representations. Furthermore, the stored perceptual representation processed within the ventral stream might have been used to generate long-term egocentric representation. Conversely, the generation of short-term egocentric representation appeared to be selectively undermined by the damage of the dorsal stream.
Collapse
Affiliation(s)
- Ciro Rosario Ilardi
- Department of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy; Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
| | | | - Ines Villano
- Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - Mariachiara Rapuano
- Laboratory of Cognitive Science and Immersive Virtual Reality, Department of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy
| | - Gennaro Ruggiero
- Laboratory of Cognitive Science and Immersive Virtual Reality, Department of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy
| | - Tina Iachini
- Laboratory of Cognitive Science and Immersive Virtual Reality, Department of Psychology, University of Campania "Luigi Vanvitelli", Caserta, Italy
| | - Sergio Chieffi
- Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy
| |
Collapse
|
7
|
Chieffi S. Dysfunction of Magnocellular/dorsal Processing Stream in Schizophrenia. CURRENT PSYCHIATRY RESEARCH AND REVIEWS 2019. [DOI: 10.2174/1573400515666190119163522] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Background:
Patients with schizophrenia show not only cognitive, but also perceptual
deficits. Perceptual deficits may affect different sensory modalities. Among these, the impairment of
visual information processing is of particular relevance as demonstrated by the high incidence of
visual disturbances. In recent years, the study of neurophysiological mechanisms that underlie
visuo-perceptual, -spatial and -motor disorders in schizophrenia has increasingly attracted the
interest of researchers.
Objective:
The study aims to review the existent literature on magnocellular/dorsal (occipitoparietal)
visual processing stream impairment in schizophrenia. The impairment of relatively early stages of
visual information processing was examined using experimental paradigms such as backward masking,
contrast sensitivity, contour detection, and perceptual closure. The deficits of late processing
stages were detected by examining visuo-spatial and -motor abilities.
Results:
Neurophysiological and behavioral studies support the existence of deficits in the
processing of visual information along the magnocellular/dorsal pathway. These deficits appear to
affect both early and late stages of visual information processing.
Conclusion:
The existence of disturbances in the early processing of visual information along the
magnocellular/dorsal pathway is strongly supported by neurophysiological and behavioral observations.
Early magnocellular dysfunction may provide a substrate for late dorsal processing impairment
as well as higher-level cognition deficits.
Collapse
Affiliation(s)
- Sergio Chieffi
- Department of Experimental Medicine, University of Campania , Italy
| |
Collapse
|
8
|
Attentional bias in the radial and vertical dimensions of space. C R Biol 2019; 342:97-100. [DOI: 10.1016/j.crvi.2019.03.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2019] [Revised: 03/24/2019] [Accepted: 03/27/2019] [Indexed: 11/21/2022]
|