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Virtual Reality Tools for Assessing Unilateral Spatial Neglect: A Novel Opportunity for Data Collection
Published on: March 10, 2021
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Number space is made by response space: Evidence from left spatial neglect
Mario Pinto1, Michele Pellegrino2, Stefano Lasaponara3
1Fondazione Santa Lucia IRCCS, Roma, Italy.
Neuropsychologia
|February 10, 2021
Summary
The spatial representation of numbers on a Mental Number Line (MNL) is triggered by using left/right spatial codes, not inherent to number magnitude itself. Patients with spatial neglect showed this effect only when tasks required contrasting spatial responses.
Area of Science:
- Cognitive Neuroscience
- Numerical Cognition
- Neuropsychology
Background:
- The spatial representation of numbers on a Mental Number Line (MNL) is debated, with some theories suggesting an intrinsic left-to-right spatial component.
- Right brain damaged patients with left spatial neglect (N+) provide a unique model to study spatial cognition due to their attentional deficits.
Purpose of the Study:
- To investigate whether number magnitude representation has an intrinsic spatial component or if it is triggered by spatial coding.
- To examine the role of spatial codes in activating the Mental Number Line (MNL).
Main Methods:
- Utilized a bimanual Magnitude Comparison SNARC (Spatial Numerical Association of Response Codes) task requiring left/right spatial codes.
- Employed a uni-manual Magnitude Comparison Go/No-Go task not requiring contrasting spatial codes.
- Assessed performance in right brain damaged patients with left spatial neglect (N+).
Main Results:
- N+ patients showed a significant Reaction Time (RT) asymmetry in the SNARC task, with slower responses to smaller numbers near a reference point.
- This RT asymmetry correlated with lesions in white matter tracts, specifically the Fronto-Occipital Fasciculus.
- No significant RT asymmetry was observed in the Go/No-Go task, indicating the absence of left-to-right number organization.
Conclusions:
- The findings suggest that the Mental Number Line (MNL) is activated by the use of contrasting left/right spatial codes, not by an inherent spatial component of number magnitude.
- Number representation is not intrinsically spatial; spatial coding is necessary to organize numbers along a left-to-right axis.
- The study highlights the crucial role of spatial coding in shaping numerical cognition and the MNL.

