The relationship between visuospatial ability and cognitive function in patients with right-hemisphere infarction



      The relationship between visuospatial ability and cognitive function is still controversial among the patients with right-hemisphere damage.


      To elucidate the relationship between the visuospatial ability and cognitive function in patients with right-hemisphere infarction, we analyzed the mini-mental state examination (MMSE) and behavioral inattention test (BIT).


      The present study was based on 54 right-handed patients (35 men, 19 women; 69.3±11.1 years old) who were admitted to our hospital due to the right-hemisphere infarction in acute and subacute stages. Those who showed recent bilateral or infero-tentorial lesions were excluded. A total of 77 sets of MMSE and BIT Japanese edition were carried out. BIT is consisted of conventional and behavioral subtest, and conventional subtest includes 6 subtests: line cancelation, star cancelation and character cancelation subtests were categorized as intentional tasks, whereas copy, line bisection, and drawing subtests as attentional tasks.


      With Spearman's rank correlation, there was a significant correlation between MMSE score and number of errors in the attentional tasks (p=0.0022, ρ=0.352), whereas there was no significant correlation between MMSE score and number of errors in the intentional tasks (p=0.1769).


      Since the attentional tasks of BIT were more deeply influenced by cognitive function than the intentional tasks, the visuospatial ability reflecting in the attentional tasks was considered to be more closely associated with the cognitive function among the patients with cerebral infarction on their right cerebral hemisphere.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of the Neurological Sciences
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Heilman K.M.
        • Watson R.T.
        • Valenstein E.
        Neglect and related disorders.
        in: Heilman K.M. Valenstein E. Clinical neuropsychology. Fourth edition. Oxford University Press, New York2003: 296-346
        • Wilson B.
        • Cockburn J.
        • Halligan P.
        Behavioural inattention test.
        Thames Valley Test Company, England1987
        • Vuilleumier P.
        Hemispatial neglect.
        in: Godefroy O. Bogousslavsky J. The behavioral and cognitive neurology of stroke. Cambridge University Press, Cambridge2007: 148-197
        • Bisiach E.
        • Luzzatti C.
        Unilateral neglect of representational space.
        Cortex. 1978; 14: 129-133
        • Ishiai S.
        Behavioural inattention test: Japanese edition.
        Shinkoh Igaku Shuppan, Tokyo1999
        • Ishiai S.
        • Sugishita M.
        • Ichikawa T.
        • Gono S.
        • Watabiki S.
        Clock-drawing test and unilateral spatial neglect.
        Neurology. 1993; 43: 106-110
        • Seki K.
        • Ishiai S.
        • Koyama Y.
        • Sato S.
        • Hirabayashi H.
        • Inaki K.
        Why are some patients with severe neglect able to copy a cube? The significance of verbal intelligence.
        Neuropsychologia. 2000; 38: 1466-1472
        • Tegnér R.
        • Levander M.
        Through a looking glass. A new technique to demonstrate directional hypokinesia in unilateral neglect.
        Brain. 1991; 114: 1943-1951
        • Bisiach E.
        • Geminiani G.
        • Berti A.
        • Rusconi M.L.
        Perceptual and premotor factors of unilateral neglect.
        Neurology. 1990; 40: 1278-1281
        • Binder J.
        • Marshall R.
        • Lazar R.
        • Benjamin J.
        • Mohr J.P.
        Distinct syndromes of hemineglect.
        Arch Neurol. 1992; 49: 1187-1194
        • Bisiach E.
        • Tegnér R.
        • Làdavas E.
        • Rusconi M.L.
        • Mijović D.
        • Hjaltason H.
        Dissociation of ophthalmokinetic and melokinetic attention in unilateral neglect.
        Cereb Cortex. 1995; 5: 439-447
        • Mesulam M.M.
        A cortical network for directed attention and unilateral neglect.
        Ann Neurol. 1981; 10: 309-325
        • Mesulam M.M.
        Spatial attention and neglect: parietal, frontal and cingulate contributions to the mental representation and attentional targeting of salient extrapersonal events.
        Philos Trans R Soc Lond B Biol Sci. 1999; 354: 1325-1346