Pattern reversal visual evoked potentials in patients with hemineglect syndrome

To investigate basic visual information processing in patients with hemineglect syndrome, pattern reversal visual evoked potentials (VEPs) were recorded in 21 brain-injured patients (10 with neglect symptoms) and 6 healthy subjects. The stimulus was a checkerboard which varied in check size or temporal frequency, presented to the left or right visual field. VEPs recorded in neglect patients to stimuli presented in the subjectively neglected left visual field were comparable in amplitude to those recorded to stimuli presented in the normal right visual field. For stimuli presented centrally, there was no difference in VEPs between neglect patients and brain-damaged patients without neglect. These results support neuropsychological theories that state that the neglect syndrome is more closely related to deficits at post-sensory levels than to impairments in basic visual processing. Some evidence, however, suggests that the nature of the interaction between the two visual hemi-fields may also be altered in neglect patients.