Abstract

Recent evidence suggests that neglect patients seem to have particular problems representing relatively smaller numbers corresponding to the left part of the mental number line. However, while this indicates space-based neglect for representational number space little is known about whether and - if so - how object-based neglect influences number processing.To evaluate influences of object-based neglect in numerical cognition, a group of neglect patients and two control groups had to compare two-digit numbers to an internally represented standard. Conceptualizing two-digit numbers as objects of which the left part (i.e., the tens digit should be specifically neglected) we were able to evaluate object-based neglect for number magnitude processing.Object-based neglect was indicated by a larger unit-decade compatibility effect actually reflecting impaired processing of the leftward tens digits. Additionally, faster processing of within- as compared to between-decade items provided further evidence suggesting particular difficulties in integrating tens and units into the place-value structure of the Arabic number system.In summary, the present study indicates that, in addition to the spatial representation of number magnitude, also the processing of place-value information of multi-digit numbers seems specifically impaired in neglect patients.

Highlights

  • Hemi-spatial neglect typically follows focal brain lesions in the parietal cortex [1] or regions interconnected with the parietal cortex [2,3]

  • The EC 301 R showed no sign of acalculia in any one of the patients, apart from some perceptual difficulties in processing specific items that seemed to be associated with symptoms of neglect rather than a general number processing deficit

  • The clinical examination demonstrated that number processing was not impaired per se in neglect patients

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Summary

Introduction

Hemi-spatial neglect typically follows focal brain lesions in the parietal cortex [1] or regions interconnected with the parietal cortex [2,3]. Patients suffering from neglect usually fail to explore the side of space contralateral to their brain lesion site ([4]; for a review see [5]). These spatial manifestations of neglect can be observed in patients’ everyday behaviour. When asked to bisect a physical line, neglect patients tend to indicate the midpoint of the horizontal line to be located to the right of the veridical center [7], as if they partially ignored the left part of the line. Thereby, line bisection is a simple and common clinical assessment tool

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