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Research Report Now you see it, now you don’t: Variable hemineglect in a commissurotomized man Michael C. Corballis a, * , Paul M. Corballis b , Mara Fabri c , Aldo Paggi d , Tullio Manzoni c a Research Centre for Cognitive Neuroscience, University of Auckland, Auckland, New Zealand b Department of Psychology, Georgia Institute of Technology, Atlanta, GA 30332, USA c Department of Neuroscience, Section of Physiology, Universita ` Politecnica delle Marche, Ancona, Italy d Centro Epilessia, Ospedale Regionale ‘‘Umberto I’’, Ancona, Italy Accepted 9 August 2005 Available online 9 September 2005 Abstract We describe the case of a callosotomized man, D.D.V., who shows unusual neglect of stimuli in the left visual field (LVF). This is manifest in simple reaction time (RT) to stimuli flashed in the LVF and in judging whether pairs of filled circles in the LVF are of the same or different color. It may reflect strong left-hemispheric control and consequent attention restricted to the right side of space. It is not evident in simple RT when there are continuous markers in the visual fields to indicate the locations of the stimuli. In this condition, his RTs are actually faster to LVF than to right visual field (RVF) stimuli, suggesting a switch to right-hemispheric control that eliminates the hemineglect. Neglect is also not evident when D.D.V. responds by pointing to or touching the locations of the stimuli, perhaps because these responses are controlled by the dorsal rather than the ventral visual system. Despite his atypical manifestations of hemineglect, D.D.V. showed evidence of functional disconnection typical of split-brained subjects, including prolonged crossed – uncrossed different in simple reaction time, inability to match colors between visual fields, and enhanced redundancy gain in simple RT to bilateral stimuli even when the stimulus in the LVF was neglected. D 2005 Elsevier B.V. All rights reserved. Theme: Sensory systems Topic: Subcortical visual pathways Keywords: Corpus callosum; Hemineglect; Redundancy gain; Split brain 1. Introduction Patients with right-sided brain injury commonly show hemineglect of space on the left side, which is generally taken to indicate that the left hemisphere directs attention only to the right side of space. Right-sided hemineglect occurs only rarely, or transiently, following left-sided injury, indicating that the right hemisphere directs attention to both sides of space (e.g., [19]). Rather surprisingly, there is little evidence for hemineglect in patients with complete section of the corpus callosum, even though one might expect attention to be controlled by a single hemisphere. For example, Joynt [24] observed that split-brained patients showed no evidence of hemineglect in their everyday lives, and Plourde and Sperry [29] found no evidence of left hemineglect in three split-brained patients when they used their right hands, implying that the left hemisphere mediated awareness of both sides of space. One of these patients, L.B., did show evidence of left hemineglect when asked whether briefly flashed horizontal lines extended further to the right or to the left, but no such bias when the lines were available for unlimited viewing [9]. Split-brained patients do show some weakness in response to stimuli in the left visual field (LVF). For example, in a simple reaction time (RT) study, two 0926-6410/$ - see front matter D 2005 Elsevier B.V. All rights reserved. doi:10.1016/j.cogbrainres.2005.08.002 Abbreviations: LVF, left visual field; RVF, right visual field; RT, reaction time * Corresponding author. Fax: +64 9 373 7450. E-mail address: [email protected] (M.C. Corballis). Cognitive Brain Research 25 (2005) 521 – 530 www.elsevier.com/locate/cogbrainres

Now you see it, now you don't: Variable hemineglect in a commissurotomized man

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www.elsevier.com/locate/cogbrainres

Cognitive Brain Research

Research Report

Now you see it, now you don’t: Variable hemineglect in a

commissurotomized man

Michael C. Corballis a,*, Paul M. Corballis b, Mara Fabri c, Aldo Paggi d, Tullio Manzoni c

aResearch Centre for Cognitive Neuroscience, University of Auckland, Auckland, New ZealandbDepartment of Psychology, Georgia Institute of Technology, Atlanta, GA 30332, USA

cDepartment of Neuroscience, Section of Physiology, Universita Politecnica delle Marche, Ancona, ItalydCentro Epilessia, Ospedale Regionale ‘‘Umberto I’’, Ancona, Italy

Accepted 9 August 2005

Available online 9 September 2005

Abstract

We describe the case of a callosotomized man, D.D.V., who shows unusual neglect of stimuli in the left visual field (LVF). This is manifest

in simple reaction time (RT) to stimuli flashed in the LVF and in judging whether pairs of filled circles in the LVF are of the same or different

color. It may reflect strong left-hemispheric control and consequent attention restricted to the right side of space. It is not evident in simple RT

when there are continuous markers in the visual fields to indicate the locations of the stimuli. In this condition, his RTs are actually faster to

LVF than to right visual field (RVF) stimuli, suggesting a switch to right-hemispheric control that eliminates the hemineglect. Neglect is also

not evident when D.D.V. responds by pointing to or touching the locations of the stimuli, perhaps because these responses are controlled by the

dorsal rather than the ventral visual system. Despite his atypical manifestations of hemineglect, D.D.V. showed evidence of functional

disconnection typical of split-brained subjects, including prolonged crossed–uncrossed different in simple reaction time, inability to match

colors between visual fields, and enhanced redundancy gain in simple RT to bilateral stimuli even when the stimulus in the LVF was neglected.

D 2005 Elsevier B.V. All rights reserved.

Theme: Sensory systems

Topic: Subcortical visual pathways

Keywords: Corpus callosum; Hemineglect; Redundancy gain; Split brain

1. Introduction

Patients with right-sided brain injury commonly show

hemineglect of space on the left side, which is generally

taken to indicate that the left hemisphere directs attention

only to the right side of space. Right-sided hemineglect

occurs only rarely, or transiently, following left-sided injury,

indicating that the right hemisphere directs attention to both

sides of space (e.g., [19]). Rather surprisingly, there is little

evidence for hemineglect in patients with complete section

0926-6410/$ - see front matter D 2005 Elsevier B.V. All rights reserved.

doi:10.1016/j.cogbrainres.2005.08.002

Abbreviations: LVF, left visual field; RVF, right visual field; RT,

reaction time

* Corresponding author. Fax: +64 9 373 7450.

E-mail address: [email protected] (M.C. Corballis).

of the corpus callosum, even though one might expect

attention to be controlled by a single hemisphere. For

example, Joynt [24] observed that split-brained patients

showed no evidence of hemineglect in their everyday lives,

and Plourde and Sperry [29] found no evidence of left

hemineglect in three split-brained patients when they used

their right hands, implying that the left hemisphere mediated

awareness of both sides of space. One of these patients,

L.B., did show evidence of left hemineglect when asked

whether briefly flashed horizontal lines extended further to

the right or to the left, but no such bias when the lines were

available for unlimited viewing [9].

Split-brained patients do show some weakness in

response to stimuli in the left visual field (LVF). For

example, in a simple reaction time (RT) study, two

25 (2005) 521 – 530

M.C. Corballis et al. / Cognitive Brain Research 25 (2005) 521–530522

callosotomized men, M.E. and J.W., responded more slowly

to LVF than to RVF stimuli [3,33], and J.W.’s event-related

potentials (ERPs) also show a reduced P300 component to

LVF stimuli [31]. Both J.W. and M.E. also show extinction

to LVF stimuli when presented simultaneously with RVF

stimuli. When asked to indicate what they saw, J.W.

reported ‘‘both’’ on only 47.5% of bilateral trials [33],

while M.E. responded ‘‘both’’ on only 22.5% of bilateral

trials [4]. On nearly all remaining bilateral trials, they

reported only the stimulus in the RVF.

The most striking, and indeed unusual, example of left-

sided neglect in a callosotomized patient comes from a patient

known as D.D.V. who shows a strong tendency in simple RT

to ignore visual stimuli flashed in the LVF [14]. Out of 60

LVF trials with each hand, he responded only once with his

right hand and 13 times with his left hand. Previous research

indicates that subjects with hemineglect show prolonged RTs

to unilateral LVF stimuli and sometimes fail to respond to

them [28], but D.D.V.’s near total failure to respond might be

taken as indicative of a visual field defect rather than

hemineglect. This is unlikely, however, for several reasons.

First, he shows a strong rightward bias in line bisection [18],

indicative of left hemineglect rather than of a visual field

defect. Second, he showed no evidence of failing to see LVF

stimuli when asked to point to the location of stimuli flashed

in either LVF or RVF [14]. Third, Savazzi and Marzi [34]

report no evidence of hemineglect in D.D.V. in a study very

similar to that of Corballis et al. [14], the main difference

being that guide boxes were continuously present in LVF and

RVF to indicate where the stimuli would be located. While

these last two findings seem to rule out a visual field defect,

they also show that D.D.V.’s hemineglect is intermittent, and

the main aim of the present study was to determine the factors

influencing it.

Although D.D.V.’s hemineglect is unusual, his RTs are

similar to those of other split-brained patients in that he

shows marked redundancy gain when presented with stimuli

in both visual fields, with shorter RTs to bilateral pairs of

stimuli than to single stimuli presented unilaterally. More-

over, RTs to bilateral stimuli in split-brained subjects are

faster than predicted from a race model, in which it is simply

assumed that responses to bilateral stimuli are the outcome

of a race between processes initiated by the two unilateral

stimuli [27,32], whereas in normal subjects, RTs to bilateral

stimuli typically do not violate the race model [10,13,22,

26,33,34]. In the case of D.D.V., violation of the race model

occurred both when there was neglect of LVF stimuli [14]

and when there was no such neglect [36]. Redundancy gain

in excess of that predicted by the race model implies

interhemispheric neural summation.

Two kinds of explanation for this paradoxical summation

in the split brain have been proposed. According to one, the

effect arises, not because RT is decreased to bilateral

stimulation, but because RTs to unilateral stimuli are slowed

relative to those in the normal brain [33,34]. Others have

argued that it occurs because RTs to bilateral stimuli are

decreased in the split brain either because of a release from

interhemispheric inhibition [10,13,36] or because of

increased neural summation [22]. Whatever the explanation,

it is clear from D.D.V.’s results, as well as those from other

studies [35,37], that redundancy gain can occur even when

unilateral stimuli in one visual field are below the threshold

of detection. It has also been found that redundancy gain

in both normal and split-brained subjects is reduced or

abolished under conditions in which the stimuli are equilu-

minant with the background [10] or when the stimuli are in

monochromatic purple [36]—conditions expected to mini-

mize input to the superior colliculus. These results suggest that

the superior colliculus may be the site of neural summation.

In the present study, we report further data from D.D.V.,

with a view to isolating more explicitly the variables

influencing whether or not he shows neglect for stimuli in

the LVF. In Experiment 1, we examine whether D.D.V.

continues to show hemineglect when asked to make

different keyboard responses to LVF and RVF stimuli. In

Experiment 2, we examine D.D.V.’s performance both in

keyboard responding and in pointing to, and touching, the

stimulus when there are guides to the location of the stimuli,

as in the study by Savazzi and Marzi [36]. In Experiment 3,

we examine whether he shows neglect in a more complex

task involving same–different judgments about stimuli

presented in the LVF, RVF, or bilaterally.

2. Experiment 1

In our earlier study, D.D.V. was able to respond

accurately to stimuli in either visual field by pointing with

his left hand to stimuli in the LVF or with his right hand to

stimuli in the RVF but responded only rarely when

responding with a single hand on the keyboard [14]. One

question was whether his ability to respond by pointing was

due to the use of spatially separated responses (left-sided vs.

right-sided) or whether it was due to pointing per se. In this

experiment, D.D.V. was asked to respond to LVF stimuli by

pressing a key on the left of the keyboard to stimuli in the

LVF, a key on the right of the keyboard to stimuli in the

RVF, and either key if the stimuli appeared in both visual

fields. For comparative purposes, another callosotomized

subject, J.W., also performed this task.

2.1. Method

2.1.1. Subjects

D.D.V. underwent complete callosotomy in two stages,

the final stage in 1994. He was tested in two sessions, one

when he was 38 years old and one when he was 39. J.W.

underwent two-stage callosotomy in 1979 and was 46 when

tested. Both are right-handed. Further details of the neuro-

logical status of D.D.V. are provided by Fabri et al. [15] and

of J.W. by Gazzaniga et al. [16]. There is no evidence of a

visual field defect in D.D.V., and other than his failure to

Table 1

Mean RTs and number of responses under each condition for each subject

in Experiment 1

J.W. D.D.V.

LVF RVF Bilateral LVF RVF Bilateral

Mean RT 398 327 339 391 330 297

Left-hand responses 30 0 6 3 0 0

Right-hand responses 0 30 24 0 28 29

No response 0 0 0 27 2 1

M.C. Corballis et al. / Cognitive Brain Research 25 (2005) 521–530 523

respond to LVF stimuli in simple RT, the only previous

evidence of hemineglect is his marked rightward bias in line

bisection [18]. Both subjects gave informed consent, and the

research was approved by the University of Auckland

Human Participants Ethics Committee.

2.1.2. Stimuli

The stimuli were the same as those used in the experi-

ment by Corballis et al. [14]. They were filled circular disks,

white against a dark gray background, 0.86- in visual angle,

and centered 5- either to the left or right of a central fixation

cross. They were presented on a fast-fade videographics

adapter screen for 100 ms and were viewed from a distance

of 57 cm.

2.1.3. Procedure

There were 99 experimental trials, 30 in which the disks

were presented in the left visual field (LVF), 30 in which they

were in the right visual field (RVF), 30 in which stimuli were

presented simultaneously in both fields (bilateral), and 9

‘‘catch’’ trials in which no stimulus was presented. At the

beginning of each block, a small fixation cross appeared in

themiddle of the screen and remained there for the duration of

the experiment. The subject sat with the forefinger of the left

hand lightly placed on the X key and the forefinger of the

right hand lightly placed on the M key. He was asked to press

the M key if a stimulus appeared in the RVF, the X key if a

stimulus appeared in the LVF, and either key, or both keys, if

stimuli appeared in both fields. RTs were recorded from

stimuli onset, and, in the case of bilateral stimuli, only the first

response was recorded if the subject pressed both keys.

On catch trials, the subject was required to withhold

response for 1700 ms following the stimulus. Following the

response, or a ‘‘time-out’’ period if no response occurred,

there was a variable interval of 1300, 1400, 1500, 1600, or

1700 ms before the stimulus appeared. Each of the five

variable intervals was paired six times with each stimulus

configuration to make up the 90 trials on which stimuli

appeared, and these were randomly intermixed with the nine

catch trials.

Prior to the experimental trials, the subjects were given

10 practice trials in which the stimulus conditions were

randomly selected.

2.2. Results

Table 1 shows the means RTs and number of responses to

the stimuli for each subject. It is clear that, unlike J.W.,

D.D.V showed strong neglect of LVF stimuli. Furthermore,

he always responded with his right hand to bilateral stimuli,

whereas J.W. responded with his right hand on 24 trials and

his left hand on 6. Analysis of variance of J.W.’s RTs

revealed a significant difference between the three con-

ditions (F(2, 87) = 9.51, P < 0.001), and Scheffe tests

further showed that his RTs to LVF stimuli were signifi-

cantly (P < 0.005) longer than those to RVF or bilateral

stimuli, which did not differ significantly from each other

(P = 0.804). Hence, there was no evidence for faster

responding to bilateral stimuli. For D.D.V., the 3 RTs to LVF

stimuli were omitted from an analysis of variance which

showed that RTs were significantly faster to bilateral than to

RVF stimuli (F(1, 55) = 7.06, P = 0.01). Hence, D.D.V,

unlike J.W., did show more rapid responses to bilateral than

to RVF stimuli, even though he only rarely responded to

LVF stimuli when they were presented unilaterally.

Fig. 1 plots cumulative distributions of responses over

time for the two subjects. If it is assumed that each

hemisphere independently races for control of response,

the following relation should hold:

pB ¼ pL þ pR � pL I pRð Þ;

where pB is the probability of a response having occurred to

stimuli in both fields, pL is the probability of a response

having occurred to the stimulus in the LVF alone, and p is

the probability of a response having occurred to the stimulus

in the RVF alone [32]. In Fig. 1, responses were collected

cumulatively in bins of 5, with bin 1 representing the

baseline, bin 2 the fastest 5 responses, bin 3 the fastest 10

responses, and so on. Responses in each bin were then

allocated to the different visual field conditions (LVF, RVF,

and bilateral). The frequencies in each bin were then divided

by 30 to produce cumulative probabilities for each visual

field. D.D.V. responded only 3 times to stimuli in the LVF.

It is clear that, for D.D.V., the responses to bilateral

stimuli cannot be explained in terms of this model since

pL = 0 and pB > pR over nearly all of the distribution. In a

more stringent version of this so-called race model, in which

the races in two hemispheres are not independent, the

following inequality should still hold [27]:

pB V pL þ pR;

D.D.V.’s responses also fail to conform to this inequality.

These results suggest that D.D.V.’s RTs to bilateral stimuli

result from neural summation, rather than probability

summation, between the hemispheres.

2.3. Discussion

In this experiment, the response arrangement was some-

what analogous to that in which the subject points to the

stimuli in that the subject responded to different locations

depending on the location of the stimuli. Nevertheless, D.D.V.

Fig. 1. Cumulative distributions of RT for J.W. and D.D.V. in Experiment 1.

M.C. Corballis et al. / Cognitive Brain Research 25 (2005) 521–530524

continued to show the strong hemineglect of LVF stimuli

reported earlier [14], suggesting that the absence of neglect

when he pointed to the stimuli themselves was not due to

differential response mapping. Rather, it suggests that point-

ing may depend on different pathways. D.D.V. made only

three (very late) responses with his left hand to LVF stimuli,

and none to bilateral stimuli. This may have been due simply

to his perceptual neglect of the LVF stimuli. As in previous

studies [13,33], J.W. also showed a bias in favor of the RVF

and the right hand, even when the stimuli were bilateral (see

Table 1), implying dominant left-hemispheric control.

It is also clear that, despite his neglect of LVF stimuli,

D.D.V. responded more quickly to bilateral stimuli than to

RVF stimuli. Since this exceeded the race model, it implies

neural summation. J.W., in contrast, did not show any

advantage in responding to bilateral stimuli, despite always

responding to unilateral LVF stimuli. It seems likely that

J.W.’s responses to bilateral stimuli were slowed somewhat

by uncertainty as to which hand to respond with, counter-

acting any summation effect. D.D.V., on the other hand,

appears to have been unaware of LVF stimuli even under the

bilateral condition and responded effectively as though there

were stimuli only in the RVF. Yet, the strong advantage to

bilateral stimuli shows that LVF stimuli did register under

the bilateral condition, speeding the response. This is further

evidence that neural summation can occur even though one

of the stimuli, when presented alone, is below detection

threshold [14,35,37].

3. Experiment 2

Savazzi and Marzi [36] reported that D.D.V. showed no

neglect of LVF stimuli in an experiment in which the stimuli

appeared in ‘‘guide boxes’’ to the left or right of fixation.

Each box was a 3- by 3- square comprised of 9 smaller

squares that changed randomly in luminance from 0.98 to

2.23 cd/m2 every 67 ms, against a background of 0.01 cd/

m2. After a variable interval, the stimulus appeared in the

center of this arrangement. Savazzi and Marzi suggest that

the presence of the guide boxes may have eliminated the

neglect of LVF stimuli observed by Corballis et al. [14].

In the present experiment, circles were located in the left

and right visual fields, and the stimuli appeared inside these

circles. The question was whether these markers would have

the same effect as the guide boxes in eliminating neglect of

the LVF stimuli. D.D.V. was given trials in which he

responded by touching the circles in which a stimulus had

appeared, or by touching the central fixation cross, or by

pressing the space bar. The touch responses were essentially

the same as the pointing responses in the experiment by

Corballis et al. [14], but D.D.V. was required to actually

touch the screen so that his RTs could be recorded.

3.1. Method

3.1.1. Subject

D.D.V. was the only subject tested in this experiment.

3.1.2. Stimuli

The stimuli were white disks, 0.86- cm in diameter,

centered 5- left or right of a fixation cross. They appeared

for 100 ms within white unfilled circles of diameter 1- thatwere continually present, and that served as markers for

touching responses. The screen was a touch screen that

allowed touches on the screen to be recorded as responses,

and RTs were measured from the onset of the stimulus.

3.1.3. Procedure

Stimulus presentations were arranged in randomly

ordered blocks of 90 trials, 30 in the LVF, 30 in the RVF,

and 30 in both fields. Following response to a stimulus, or

an interval of 2 s if there was no response, there was an

interval of 1500, 1700, 1900, 2100, or 2300 ms before the

next stimulus appeared. There were no catch trials. D.D.V.

was asked to respond to stimulus presentations in the

following ways:

1. Touching the stimulus locations. If he saw a disk appear

within either circle, he was to raise his hand and touch

that circle with his forefinger. In one block, he used the

forefinger of his left hand for LVF stimuli, his right hand

for RVF stimuli, and either (or both) hands for bilateral

stimuli. In a second block, he used only the left hand and

in a third block only the right hand.

2. Touching the fixation cross. Whenever he saw a stimulus,

he was to touch the fixation cross, with his right hand on

one block and his left hand on another block.

Fig. 2. Distribution of the violation function ( pB � ( pL + pR � ( pL I pR))for RT in touching stimulus locations in Experiment 2. Violations of

independent race model for touching stimulus locations in Experiment 2

(D.D.V.). As in Fig. 1, responses are cumulated in bins of 5, and the

probabilities in each bin subjected to Eq. (1). Where the function rises

above 0, we can infer violation of the race model.

M.C. Corballis et al. / Cognitive Brain Research 25 (2005) 521–530 525

3. Keyboard response. Whenever he saw a stimulus, he was

to press the space bar with his right hand on one block

and his left hand on another block.

3.2. Results

3.2.1. Touching the stimulus locations

Table 2 shows the number of times, out of 30, that

D.D.V touched the circle locations correctly, within 2 s of

the stimulus having appeared, for responding with both

hands, the right hand alone, and the left hand alone. The

only indication of left hemineglect is that he missed nearly

half of the LVF stimuli when responding with his right

hand. Nevertheless, a Chi-square test showed that the

proportion of responses to each visual field did not depend

significantly on the hand or hands used for response,

v2(4) = 1.59, N.S.

Mean RTs are also shown in Table 2. These are slow

relative to keyboard responses since D.D.V. had to move his

hand from a position below the screen. Nevertheless, there

is again little evidence of hemineglect—although mean RTs

to LVF stimuli (1092 ms) were slightly slower overall than

those to RVF (1069 ms) and bilateral stimuli (975 ms),

analysis of variance showed that the effect of condition

failed to reach significance, F(2, 215) = 2.90, P = 0.057, as

did the interaction between hand and condition, F(4, 215) =

1.90, P = 0.112. The main effect of hand was significant,

F(2, 215) = 10.87, P < 0.001, and post-hoc Scheffe tests

showed right-hand responses to be significantly (P < 0.001)

faster than left-hand and bimanual responses, which did not

differ significantly from each other. In this case, the right-

hand advantage cannot be attributed to neglect of the LVF

stimuli since D.D.V. showed little if any neglect in this

experiment. It may have been due to slowness in moving the

nondominant left hand up to the screen location. Although

the interaction between hand and field for univariate stimuli

was not significant, F(1, 90) = 1.99, P = 0.162, D.D.V. was

faster with his right hand to RVF stimuli and with his left

hand to LVF stimuli, with a mean crossed–uncrossed

difference of 111 ms.

Table 2 nevertheless suggests a redundancy gain with

right-hand responses, but not with left-hand responses. To

Table 2

Number of touches on stimulus location and mean RT (standard error in

brackets) for each hand combination and each condition in Experiment 2

LVF RVF Bilateral

No. of responses (out of 30)

Bimanual 26 25 27

Left hand 28 25 27

Right hand 17 24 25

Mean RT (SE)

Bimanual 1261 (60) 1078 (61) 1034 (59)

Left hand 1054 (58) 1186 (61) 1058 (59)

Right hand 961 (74) 911 (62) 833 (61)

examine this further, we assumed the race model in which

each hemisphere independently races for control of

response. According to this model, the following relation

should hold

pB ¼ pL þ pR � pL I pRð Þ

where pB, pL, and pR are defined as in Experiment 1.

Consequently, we can check for violations of the race model

by cumulating the expression

pB � pL þ pR � pL I pRð Þð Þ ð1Þ

over the distribution of RTs. This is shown in Fig. 2. RTs

were cumulated in bins of 5, from the fastest to the

slowest, as for Fig. 1. Expression (1) was then calculated

for each bin and plotted in Fig. 2. Where the function rises

above zero, the independent race model is violated. This

suggests redundancy gain in excess of the race-model

predictions for right-hand responses, but not for left-hand

responses.

3.2.2. Touching the fixation cross

Table 3 shows the number of times, out of 30, that D.D.V

touched the fixation cross correctly, within 2 s of the

stimulus having appeared, shown separately for left-hand

and right-hand responses. His mean RTs are also shown. In

this condition, there was quite strong left hemineglect, with

Table 3

Number of touches on fixation cross and mean RT (standard error in

brackets) for each hand and each condition in Experiment 2

LVF RVF Bilateral

No. of responses (out of 30)

Left hand 13 23 24

Right hand 13 27 30

Mean RT (SE)

Left hand 1209 (58) 1352 (61) 1382 (59)

Right hand 1156 (74) 933 (62) 1135 (61)

Fig. 3. Distribution of the violation function ( pB � ( pL + pR � ( pL I pR))for RT in keyboard responses in Experiment 2. Violations of independent

race model for keyboard responses in Experiment 2 (D.D.V.).

M.C. Corballis et al. / Cognitive Brain Research 25 (2005) 521–530526

D.D.V. responding to LVF stimuli on only 13 out of 30 trials

with either hand. Mean RTs show a compatibility effect,

with faster responses to LVF than to RVF stimuli with the

left hand, and the opposite for the right hand, resulting in a

crossed–uncrossed difference of 183 ms.

There was no evidence of redundancy gain. We have no

explanation for this, but note that the number of responses

was very low compared to that in previous studies showing

redundancy gain in split-brained subjects.

3.2.3. Keyboard responses

The numbers of responses and mean RTs are shown for

each hand and visual field condition in Table 4. There was

no evidence of left hemineglect. Instead, there was some

weakness in response to stimuli in the RVF. Analysis of

variance of RTs revealed a significant main effect of field

condition, F(2, 159) = 11.58, P < 0.001, and a significant

interaction between field condition and hand, F(2, 159) =

3.79, P = 0.025. Overall, RTs were considerably longer to

RVF (362 ms) than to either LVF (265 ms) or bilateral (234

ms) stimuli. When the bilateral presentations were excluded,

the effect of field remained significant, F(1, 103) = 8.65, P =

0.004, indicating faster responses to LVF stimuli than to

RVF stimuli, and the interaction between hand and field was

also significant, F(1, 103) = 4.88, P = 0.029, indicating

longer RTs to crossed hand-field combinations than to

uncrossed ones. The computed crossed–uncrossed differ-

ence was 73 ms.

For both hands, RTs to bilateral presentations were

shorter to bilateral than to LVF or RVF presentations,

suggesting redundancy gain. However, when Expression

(1), the violation from the independent race model, was

plotted over responses bins, it exceeded zero only for left-

hand responses, as shown in Fig. 3. That is, interhemi-

spheric neural summation is implied only for left-hand

responses. This is in interesting contrast to what occurred

when the response was to touch the stimulus locations,

where neural summation was implied for right-hand

responses only.

3.3. Discussion

The results of this experiment largely confirm the

suggestion of Savazzi and Marzi [35] that D.D.V.’s left

Table 4

Number of keyboard responses and mean RT (standard error in brackets)

for each hand and each condition in Experiment 2

LVF RVF Bilateral

No. of responses (out of 30)

Left hand 29 28 30

Right hand 26 24 28

Mean RT (SE)

Left hand 236 (27) 406 (27) 219 (26)

Right hand 295 (28) 319 (29) 249 (27)

hemineglect is essentially eliminated when continuous

markers indicating the locations of the stimuli are provided.

The only exception occurred when D.D.V. was instructed to

respond by touching the fixation cross. Under this con-

dition, he responded to just under half of the LVF stimuli.

It is especially striking that the left hemineglect was no

longer present when D.D.V. responded by pressing the

spacebar since this condition essentially duplicates that in

which he previously showed LVF neglect [14]—except for

the presence of the markers. Furthermore, he was especially

slow in responding to RVF stimuli. This suggests that the

presence of the markers shifted control to the right hemi-

sphere, which controls attention to both sides of space,

whereas the left hemisphere controls attention largely if not

exclusively to the right side [19].

With respect to redundancy gain, the pattern of results is

somewhat inconsistent perhaps because the number of

responses under each condition was relatively low. Never-

theless, it is of interest that keyboard responses showed

redundancy gain only for the left hand, whereas touching

the stimulus locations showed a redundancy gain only for

the right hand. It is unclear what might explain this switch,

but it is perhaps noteworthy that in each case it occurred for

the hand that responded more quickly.

4. Experiment 3

In this experiment, we compare visual fields in a more

complex task to determine whether hemineglect might be

alleviated in a task requiring more cognitive resources. The

task was to decide whether pairs of filled circles flashed

either in the LVF, RVF, or on either side of fixation were of

the same or different color. This experiment is essentially a

continuation of that reported by Corballis and Corballis

[12], in which three split-brained subjects (other than

D.D.V.) performed at chance when the two circles were

flashed to opposite visual fields but were generally above

chance when they were flashed within either the left or the

right visual field.

Table 5

Number of ‘‘same–different’’ responses and number of correct responses,

both out of 96, for each subject under each condition in Experiment 3

J.W. D.D.V.

LVF RVF Bilateral LVF RVF Bilateral

No. of responses

(out of 96)

96 96 96 6 94 91

No. correct 88 86 54 5 94 45

M.C. Corballis et al. / Cognitive Brain Research 25 (2005) 521–530 527

4.1. Method

4.1.1. Subjects

D.D.V. was the principle subject of interest. For

comparative purposes, data from J.W. are also presented.

J.W.’s data are also available in the earlier publication by

Corballis and Corballis [12].

4.1.2. Stimuli

The stimuli (as also described in [12]) were filled red,

green, and blue circles of diameter 7.15 mm, presented

against a background of 5 cd/m2. The red and green circles

were matched for apparent luminance using flicker photo-

metry, and their luminances set at 23.36 and 28.28 cd/m2,

respectively. It proved impossible to match the luminance of

the blue to the other two colors using flicker photometry,

and its luminance was set at 13.47 cd/m2; although this was

close to its maximum, the blue appeared vivid but was

physically and subjectively darker than the other two colors.

The stimuli were presented in horizontal pairs centered

7.15 cm apart. For unilateral presentations, the near stimulus

was centered 3.575 cm from a central fixation cross. For

bilateral presentations, the two stimuli were centered 3.575

cm on either side of fixation. Each color pairing was

presented equally often, so there were equal numbers of

trials on which the stimuli were the same or different in

color.

4.1.3. Procedure

Stimulus presentations were initiated by the experimenter

pressing the ‘‘1’’ key on the computer keyboard. The

stimulus pair appeared 500 ms later and was on the screen

for 100 ms. The subjects responded by pressing the ‘‘N’’ key

if the colors were judged to be the same and the ‘‘M’’ key if

they were judged to be different, using the forefinger and

middle finger of a single hand. Each pair was presented 8

times in each visual field condition, making a total of 144

trials, which were randomly ordered.

Each subject received 10 practice trials followed by two

blocks of 144 experimental trials. J.W. performed the first

block with his left hand and the second with his right, while

this order was reversed for D.D.V. At least 3 s was allowed

for response.

4.2. Results

Table 5 shows the number of responses each subject

made under each condition, along with the number of

correct responses. Again, D.D.V. shows striking left hemi-

neglect but responded on most trials to bilateral or RVF

presentations. In contrast, J.W. responded on all trials.

Each subject’s responses were subjected to multidimen-

sional Chi-square [38] to determine the effects of stimulus

(same vs. different), location (LVF, bilateral, RVF), and

hand on the response selection (‘‘same’’ vs. ‘‘different’’). As

previously reported [12], J.W.’s responses depended sig-

nificantly on location, v2(1, N = 144) = 49, P < 0.001, and

were significantly above chance in the LVF (91.7% correct),

v2(1, N = 48) = 33.33, P < 0.001, and in the RVF (89.6%

correct), v2(1, N = 48) = 30.56, P < 0.001, but not with

bilateral presentation (56.3%).

D.D.V.’s responses to LVF presentations were too rare

for inclusion in the analysis, but it is noteworthy that, of the

6 responses (2 with the left hand and 4 with the right), 5

were correct, suggesting that when LVF stimuli were

attended to D.D.V. was capable of correct discrimination.

Multidimensional Chi-square computed on his responses to

bilateral and RVF stimuli revealed no significant effects of

hand. His responses were significantly related to whether

the stimuli were the same or different, v2(1, N = 185) =

52.93, P < 0.001, indicating above-chance performance

overall, and also on the visual field, v2(1, N = 185) = 26.91,

P < 0.001, indicating a strong bias to respond ‘‘same’’ to

bilateral stimuli (78 ‘‘same’’ responses vs. 17 ‘‘different’’

responses). More critically, the triple contingency between

field, same–different stimuli, and response was significant,

v2(1, N = 185) = 54.74, P < 0.001, indicating a significant

difference in accuracy between fields. He failed to respond

on 2 RVF trials but was 100% correct on the remaining 94

trials. On bilateral trials, he failed to respond 5 times but he

was correct on only 49.5% of the remaining 91 trials, which

is almost exactly at the chance level of 50%.

4.3. Discussion

In common with other callosotomized subjects [12],

including J.W., D.D.V. was at chance when making same–

different judgments about bilateral pairs, implying that

information about color cannot be matched subcortically. He

was, however, the most accurate of all callosotomized

subjects on stimuli in the RVF, indicating that he had no

difficulty understanding the task. Unlike the other subjects,

he seldom responded at all to LVF pairs, again reflecting

strong left hemineglect. Adding to the cognitive load of the

task therefore did not attenuate the left hemineglect.

5. General discussion

Earlier research showed that a callosotomized patient,

D.D.V., exhibits strong neglect of stimuli flashed in the LVF

in a simple RT task [14]. The present experiments show that

this neglect persists when D.D.V. is required to respond to

M.C. Corballis et al. / Cognitive Brain Research 25 (2005) 521–530528

LVF stimuli on a leftward key with his left hand and to RVF

stimuli on a rightward key with his right hand (Experiment

1) and when he is asked to judge pairs of circles to be the

same or different in color (Experiment 3). His hemineglect

in line bisection is also manifest regardless of which hand he

uses to bisect the lines [18]. It seems likely that performance

on these tasks is strongly dominated by the left hemisphere,

with consequent attention directed almost exclusively to the

right side of space.

The left hemineglect is no longer evident, however, when

there are fixed markers in the LVF and RVF to indicate the

locations of the stimuli. In the experiment by Savazzi and

Marzi [36], these markers consisted of squares containing

components that varied in luminance, in a twinkling fashion,

while in Experiment 2 of the present study the markers were

outline circles within which the filled circles that served as

stimuli would appear. In Experiment 2, not only was there

no evidence of left hemineglect when D.D.V. made key-

board responses, but also RTs were actually shorter to LVF

than to RVF stimuli, regardless of the hand used. This

suggests that the presence of markers may have shifted

control to the right hemisphere, with consequent attention to

both sides of space, albeit with something of a bias toward

the left. (Normal subjects typically show a slight bias to the

left in line bisection—so-called ‘‘pseudoneglect’’—suggest-

ing that attention directed by the right hemisphere is not

distributed entirely evenly [6].) Some support for the idea

that attentional control can shift from one hemisphere to the

other in the split brain is provided by evidence that a split-

brained patient, J.W., was faster to RVF stimuli when

making key-pressing responses but faster to LVF stimuli

when making target-directed saccades [20]. Levy and

Trevarthen [25] also showed that different instructions

could elicit left- or right-hemispheric control in the

interpretation of ambiguous pictures by split-brained sub-

jects, suggesting brainstem metacontrol of attention.

There was also little sign of hemineglect when D.D.V.

was asked to point to the locations of the stimuli [14] or

when he actually touched these locations (Experiment 2). It

is perhaps unlikely that this can be attributed to right-

hemispheric control since there was no indication that RTs

to LVF stimuli were faster than those to RVF stimuli—if

anything, they were slightly slower. An alternative possi-

bility is that pointing depends on the dorsal visual system

and keyboard responses on the ventral system [17]. There is

a cluster of neurons in the posterior parietal lobe of the

macaque specialized for reaching to a visible or remembered

target [8], and a similar system in the human brain may be

involved in pointing and touching.

Some degree of left hemineglect did return, however,

when D.D.V. was asked to touch the fixation cross rather

than the actual stimulus locations when a stimulus appeared

in either visual field, despite the fact that the markers were

present. Since this response was no longer the relatively

hard-wired act of reaching for or touching the location of an

event, control may have been returned to the ventral system,

and attention to the fixation cross for response as well as for

stimulus presentation may have favored left- rather than

right-hemispheric control. It is possible that this task may

have increased the demand on cognitive resources since RTs

were very slow. D.D.V. also showed strong neglect in

making same–different judgments in Experiment 3, a task

that presumably made greater demands on cognitive

resources than any of the other tasks. It is not clear,

however, whether hemineglect in these cases was due to

left-hemispheric control or to increased cognitive demands

per se. The circumstances under which one or other

hemisphere assumes control are not fully understood and

may in fact be fickle. Nevertheless, the results, taken

together, suggest three possible mechanisms of control—

one left-hemispheric, one right-hemispheric, and one via the

dorsal visual system.

Most researchers have interpreted hemineglect in terms

of an attentional imbalance (e.g., [3,4,6,19,24,28]), as have

we. There are nevertheless other possible interpretations.

Some of these interpretations relate to impaired registration

of a stimulus in the damaged hemisphere, whether due to

low arousal [19] or to disturbed mental imagery [5]. In the

case of D.D.V., there is no evidence of right-hemispheric

impairment, and his ability to respond to LVF stimuli when

markers were present, or to point to LVF stimuli, suggests

that his perception of LVF stimuli is intact. His failure to

make keyboard responses to LVF stimuli when no markers

are present therefore seems better attributed to attentional

failure rather than a failure of perception or registration.

Another possibility is that neglect is due to failure to

disengage from a previously attended object and move

attention to the left [30]. Perhaps, then, D.D.V.’s hemi-

neglect, when it occurs, is due to attention to the fixation

cross and subsequent failure to move his attention to the left.

This might be tested by removing the fixation cross.

Aside from his unusual degree of hemineglect, D.D.V.

showed other typical signs of disconnection. Like other

split-brained patients, he was unable to compare colors

between visual fields at better than chance [12,23]. In the

earlier study, the crossed–uncrossed difference in RT, as a

measure of interhemispheric transfer time, could not be

calculated due to the paucity of responses to LVF stimuli.

Experiment 2, however, provided three estimates. When the

response was to touch the locations, the estimate was 111

ms; when it was to touch the fixation cross, it was 183 ms;

when it was to press the spacebar, it was 78 ms. The last of

these is probably the most valid since RTs were relative

short and the responses did not involve movements of the

hand. In any event, as in previous studies of split-brained

patients [1,10,21], these values are clearly well in excess of

those typically obtained from normal subjects, which are

typically in the range of 2–6 ms [2,7,11].

D.D.V. also showed evidence of enhanced redundancy

gain, characteristic of split-brained patients but not of

normal subjects [10,13,22,26,33,34]. In Experiment 1, as

in the earlier study by Corballis et al. [14], this effect was

M.C. Corballis et al. / Cognitive Brain Research 25 (2005) 521–530 529

present despite neglect of the LVF stimuli, adding to

evidence that redundancy gain can occur even when one

of the stimuli is below response threshold [35]. Experiment

2 was more equivocal; D.D.V. showed redundancy gain

when touching the locations of the stimuli with his right

hand, but not when touching with his left hand, and when

pressing the spacebar with his left hand, but not when

touching with his right hand. In both cases, redundancy gain

was associated with the hand showing the faster responses.

These results raise the possibility that redundancy gain may

vary depending on the neural locus of control, but it will

require further study to clarify this.

In summary, the most important finding is that the striking

left hemineglect shown by the callosotomized patient D.D.V.

is sometimes present, sometimes not, depending on the

conditions. It appears to be present when response is under

control of the left cerebral hemisphere, but not when it is

under the control of the right hemisphere. It is also absent

when the subject points to or touches the locations of stimuli

on the screen perhaps because these responses are under the

separate control of the dorsal visual system. It is also clear that

D.D.V.’s hemineglect persisted when he was required to

make same–different judgments, indicating that hemineglect

is not diminished, and is, if anything, increased, by increasing

demands on cognitive resources.

Acknowledgments

We thank Gabriella Venanzi and Gabriele Polonara for

arranging the testing of D.D.V., and we also thank D.D.V.

for his willing cooperation. We also thank Margaret Francis

for writing the programs for Experiment 2. This research

was supported by grants from the Marsden Fund of New

Zealand and MIUR, Cofin 2003 in Italy.

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