Numbers in the blind's "eye".

BACKGROUND: Although lacking visual experience with numerosities, recent evidence shows that the blind perform similarly to sighted persons on numerical comparison or parity judgement tasks. In particular, on tasks presented in the auditory modality, the blind surprisingly show the same effect that appears in sighted persons, demonstrating that numbers are represented through a spatial code, i.e. the Spatial-Numerical Association of Response Codes (SNARC) effect. But, if this is the case, how is this numerical spatial representation processed in the brain of the blind? PRINCIPAL FINDINGS: Here we report that, although blind and sighted people have similarly organized numerical representations, the attentional shifts generated by numbers have different electrophysiological correlates (sensorial N100 in the sighted and cognitive P300 in the blind). CONCLUSIONS: These results highlight possible differences in the use of spatial representations acquired through modalities other than vision in the blind population.

Leftward motion restores number space in neglect.

In the present study, a group of patients with left-sided neglect performed a number comparison task that co-occurred either with coherent motion in different directions or with random motion. Their performance was compared to that of a healthy control group and to a group of patients with right hemisphere damage (RHD) but no signs of neglect. The presence of leftward motion alleviated the difficulties that neglect patients typically show for a number smaller than the reference number 5 (i.e., number 4). Moreover, the standard distance effect was only present when the task co-occurred with leftward motion. These effects were not present in a group of participants with RHD without neglect or in a control group. The present data extend the effects of optokinetic stimulation (OKS) to representational neglect, suggesting that an external redirection of attention by the perception of motion may restore the altered access to the representation of the mental number line in neglect.

Acalculia from a right hemisphere lesion dealing with "where" in multiplication procedures.

The present study describes in detail, for the first time, a case of failure with multiplication procedures in a right hemisphere damaged patient (PN). A careful, step-by-step, error analysis made possible to show that an important portion of PN's errors could be better explained as spatial in nature and specifically related to the demands of a multi-digit multiplication. These errors can be distinguished from other types of errors, including those, expected after a right hemisphere lesion, determined by a generic inability to deal with spatial material, or from other deficits, like neglect, affecting cognitive capacities across the board. The best explanation for PN's problems is that he might have difficulties in relying on a visuo-spatial store containing a layout representation specific to multiplication. As a consequence, while knowing what, when and how to carry out the various steps, PN does not know where. What he may thus lack is a spatial schema of multiplication. Such schema is thought to help normal calculators in overcoming working memory demands of complex calculation by representing the information of where exactly each sub-step should be placed.

Is math lateralised on the same side as language? Right hemisphere aphasia and mathematical abilities.

The main purpose of the present study was to learn how mathematical abilities are located and develop in the brain with respect to language. Mathematical abilities were assessed in six right-handed patients affected by aphasia following a lesion to their non-dominant hemisphere (crossed aphasia) and in two left-handed aphasics with a right-sided lesion. Acalculia, although in different degrees, was found in all cases. The type of acalculia depended on the type of aphasia, following patterns that have been previously observed in the most common aphasias resulting from left hemisphere lesions. No sign of right hemisphere or spatial acalculia (acalculia in left lateralised right-handed subjects) was detected. These results suggest that, as a rule, language and calculation share the same hemisphere. A primitive computational mechanism capable of recursion may be the precursor of both functions.

The validity of the hospital anxiety and depression scale and the geriatric depression scale in Parkinson's disease.

We assessed the concurrent validity of the Hospital Anxiety and Depression Scale (HADS) and the Geriatric Depression Scale (GDS) against the Hamilton Rating Scale for Depression (Ham-D) in patients with Parkinson's disease (PD). Forty-six non-demented PD patients were assessed by a neurologist on the Ham-D. Patients also completed four mood rating scales: the HADS, the GDS, the VAS and the Face Scale. For the HADS and the GDS, Receiver Operating Characteristics (ROC) curves were obtained and the positive and negative predictive values (PPV, NPV) were calculated for different cut-off scores. Maximum discrimination between depressed and non-depressed PD patients was reached at a cut-off score of 10/11 for both the HADS and the GDS. At the same cut-off score of 10/11 for both the HADS and the GDS, the high sensitivity and NPV make these scales appropriate screening instruments for depression in PD. A high specificity and PPV, which is necessary for a diagnostic test, was reached at a cut-off score of 12/13 for the GDS and at a cut-off score of 11/12 for the HADS. The results indicate the validity of using the HADS and the GDS to screen for depressive symptoms and to diagnose depressive illness in PD.

Finger-digit compatibility in Arabic numeral processing.

Finger-digit response compatibility was tested by asking participants to identify Arabic digits by pressing 1 of 10 keys with all 10 fingers. The direction of the finger-digit mapping was varied by manipulating the global direction of the hand-digit mapping as well as the direction of the finger-digit mapping within each hand (in each case, from small to large digits, or the reverse). The hypothesis of a left-to-right mental number line predicted that a complete left-to-right mapping should be easier whereas the hypothesis of a representation based on finger counting predicted that a counting-congruent mapping should be easier. The results show that when all 10 fingers are used to answer, a mapping congruent with the prototypical finger-counting strategy reported by the participants leads to better performance than does a mapping congruent with a left-to-right oriented mental number line, both in palm-down and palm-up postures of the hands, and they demonstrate that finger-counting strategies influence the way that numerical information is mentally represented and processed.

Writing and rewriting arabic numerals: dissociated processing pathways?

The present paper describes two patients, AB and FS, whose deficit in transcoding verbal to Arabic numerals was greatly affected by the format of the input. Despite intact comprehension of written verbal numerals and otherwise intact production of Arabic numerals they both transcode inefficiently the former into the latter. Yet, their ability to write the same Arabic numerals on dictation was fully preserved. Moreover, in both patients' performance, a systematic error pattern emerged reflecting the influence of the lexico-syntactic structure of the input numerals in the transcoding processes. Current models of number transcoding may not easily account for this pattern of dissociation without postulating different code-dependent pathways for verbal to Arabic transcoding. Within a more parsimonious approach, it is tentatively suggested that spoken and written verbal codes activate with different efficiency the same transcoding algorithm.

Transcoding zeros within complex numerals.

This paper describes a patient (LD) showing a selective syntactic deficit in the production of Arabic numerals. Unlike in previously reported cases, LD's syntactic difficulties result in deletions rather than insertions of zeros, with a reduction of the number magnitude. The pattern of errors highlighted a distinction between "lexical zeros", i.e. the zeros in tens, that are semantically derived, and "syntactic zeros" that are syntactically produced as the result of specific production rules. In LD, only syntactic zeros were affected. Furthermore, the processing of numerals with final zeros was found to be easier than the processing of numerals with internal zeros. This pattern of errors is compatible with the lexical-semantic model of Power and Dal Martello. In this model, in fact, lexical zeros originate from a numerical concept, while syntactic zeros originate from a concatenation operation, plus an overwriting operation leaving one or more intermediary zeros. Thus, lexical zeros may be easier to manipulate than syntactic zeros that merely represent a null quantity associated to a specific power of 10.

Patterns of phonological errors as a function of a phonological versus an articulatory locus of impairment.

We present the case of two aphasic patients: one with fluent speech, MM, and one with dysfluent speech, DB. Both patients make similar proportions of phonological errors in speech production and the errors have similar characteristics. A closer analysis, however, shows a number of differences. DB's phonological errors involve, for the most part, simplifications of syllabic structure; they affect consonants more than vowels; and, among vowels, they show effects of sonority/complexity. This error pattern may reflect articulatory difficulties. MM's errors, instead, show little effect of syllable structure, affect vowels at least as much as consonants and, and affect all different vowels to a similar extent. This pattern is consistent with a more central impairment involving the selection of the right phoneme among competing alternatives. We propose that, at this level, vowel selection may be more difficult than consonant selection because vowels belong to a smaller set of repeatedly activated units.

Proper names and noun-to-determiner movement in aphasia: a case study.

Proper names (PN) have properties that are different from those of common names (CN) and as such underlie different syntactic rules. According to one of these rule, in many languages, PN, unlike CN, do not take the determiner. It has been suggested that this happens because PN move themselves from noun position to determiner position. The present study addressed the question of whether noun to determiner movement should be just considered a formal description or rather reflects actual processing. A single aphasia case study and a group study on Alzheimer's patients provide experimental support to the view that movement from nominal to determiner position reflects some psychological computation.