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Biased Visuospatial Attention in Cervical Dystonia

Published online by Cambridge University Press:  09 August 2017

Gaetana Chillemi ,
Caterina Formica ,
Adriana Salatino ,
Alessandro Calamuneri ,
Paolo Girlanda ,
Francesca Morgante ,
Demetrio Milardi ,
Carmen Terranova ,
Alberto Cacciola  and
Angelo Quartarone
...Show all authors
Gaetana Chillemi*
Affiliation:
Department of Clinical and Experimental Medicine, Messina, Italy
Caterina Formica
Affiliation:
Department of Clinical and Experimental Medicine, Messina, Italy
Adriana Salatino
Affiliation:
Department of Psychology, University of Torino, Torino, Italy
Alessandro Calamuneri
Affiliation:
Department of Clinical and Experimental Medicine, Messina, Italy
Paolo Girlanda
Affiliation:
Department of Clinical and Experimental Medicine, Messina, Italy
Francesca Morgante
Affiliation:
Department of Clinical and Experimental Medicine, Messina, Italy
Demetrio Milardi
Affiliation:
IRCCS Centro Neurolesi “Bonino Pulejo”, S.S. 113, Messina, Italy Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
Carmen Terranova
Affiliation:
Department of Clinical and Experimental Medicine, Messina, Italy
Alberto Cacciola
Affiliation:
IRCCS Centro Neurolesi “Bonino Pulejo”, S.S. 113, Messina, Italy
Angelo Quartarone
Affiliation:
IRCCS Centro Neurolesi “Bonino Pulejo”, S.S. 113, Messina, Italy Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
Raffaella Ricci
Affiliation:
Department of Psychology, University of Torino, Torino, Italy
*
Correspondence and reprint requests to: Gaetana Chillemi, Clinica Neurologica 2, Policlinico Universitario, 98125 Messina, Italy. E-mail: [email protected]
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Abstract

Objectives: There is increasing evidence of non-motor, sensory symptoms, mainly involving the spatial domain, in cervical dystonia (CD). These manifestations are likely driven by dysfunctional overactivity of the parietal cortex during the execution of a sensory task. Few studies also suggest the possibility that visuospatial attention might be specifically affected in patients with CD. Therefore, we asked whether non-motor manifestations in CD might also comprise impairment of higher level visuospatial processing. Methods: To this end, we investigated visuospatial attention in 23 CD patients and 12 matched healthy controls (for age, gender, education, and ocular dominance). The patients were identified according to the dystonia pattern type (laterocollis vs. torticollis). Overall, participants were right-handers, and the majority of them was right-eye dominant. Visuospatial attention was assessed using a line bisection task. Participants were asked to bisect horizontal lines, using their right or left hand. Results: Participants bisected more to the left of true center when using their left hand to perform the task than when using their right hand. However, overall, torticollis patients produced a significantly greater leftward deviation than controls. Conclusions: These data are consistent with preliminary findings suggesting the presence of biased spatial attention in patients with idiopathic cervical dystonia. The presence of an attentional bias in patients with torticollis seem to indicate that alterations of attentional circuits might be implicated in the pathophysiology of this type of CD. (JINS, 2018, 24, 23–32)

Keywords

LaterocollisTorticollisPseudoneglectSpatial attentionVisual systemBias
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 24 , Issue 1 , January 2018 , pp. 22 - 32
Copyright
Copyright © The International Neuropsychological Society 2017 

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