Interhemispheric imbalance during visuospatial attention investigated by unilateral and bilateral TMS over human parietal cortices.

We used single-pulse transcranial magnetic stimulation (TMS) to study visuospatial attention. TMS was applied over one hemisphere, or simultaneously over both the right and left posterior parietal cortex (PPC), at two different interstimulus intervals (ISI) during a visual detection task. Unilateral TMS over the right and left PPC, respectively, impaired detection of contralateral presented visual stimuli at an ISI of 150 ms. By contrast, simultaneous biparietal TMS induced no significant changes in correct stimulus detection. TMS at an ISI of 250 ms evoked no changes for magnetic stimulation over either the right or the left parietal cortex. These results suggest that both PPC play a crucial role at a relatively early stage in the widely distributed brain network of visuospatial attention. The abolition of behavioral deficits during simultaneous biparietal TMS underlines the common hypothesis that an interhemispheric imbalance might underlie the disorders of neglect and extinction seen following unilateral brain damage.

Shift in sound localization induced by rTMS of the posterior parietal lobe.

Neuroimaging studies in human subjects and single-unit recordings in monkeys have suggested the primate posterior parietal cortex (PPC) to be involved in auditory space perception. Here we tested this hypothesis by combining repetitive focal transcranial magnetic stimulation (rTMS) of the right PPC with a task of pointing to free-field-sound stimuli. After a period of 15 min rTMS at 1Hz, subjects exhibited an overall signed error in pointing by 2.5 degrees, directed to the left and downward, with reference to a baseline condition with "sham rTMS". No effects of rTMS on the general precision of sound localization (unsigned errors) were found. Thus, low-frequency offline rTMS may have specifically affected neuronal circuits transforming auditory spatial coordinates in both azimuth and elevation. This is in accordance with the view that the PPC may represent a neural substrate of the perceptual stability in spatial hearing.