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NEUROLOGY 2007;69:1619-1621
© 2007 American Academy of Neurology

Looking at human eyes affects contralesional stimulus processing after right hemispheric stroke

A. Maravita, MD, PhD, L. Posteraro, MD, M. Husain, DPhil, FRCP, P. Vuilleumier, MD, S. Schwartz, PhD and J. Driver, DPhil, FMedSci

From the Dipartimento di Psicologia (A.M.), Universitá di Milano–Bicocca, Italy; U.O. Riabilitazione Neuromotoria (L.P.), P.R.M. Bozzolo, Az. Ospedaliera di Mantova, Italy; UCL Institute of Cognitive Neuroscience (M.H., J.D.), University College London, UK; Laboratory of Neurology and Imaging of Cognition (P.V., S.S.), Departments of Neurology and Neurosciences, University Medical Center, Geneva, Switzerland; National Center for Affective Science (P.V., J.D.), University of Geneva, Switzerland.

Address correspondence and reprint requests to Dr. Angelo Maravita, Dipartimento di Psicologia, Universitá di Milano–Bicocca, Via dell’Innovazione, 10, 20126, Milano, Italy angelo.maravita{at}unimib.it

Human eyes are a powerful social cue that may automatically attract the attention of an observer. Here we tested whether looking toward open human eyes, as often arises in standard clinical "confrontation" tests, may affect contralesional errors in a group of right brain–damaged patients showing visual extinction. Patients were requested to discriminate peripheral shape-targets presented on the left, right, or bilaterally. On each trial they also saw a central task-irrelevant stimulus, comprising an image of the eye sector of a human face, with those seen eyes open or closed. The conditions with central eye stimuli open (vs closed) induced more errors for contralesional peripheral targets, particularly for bilateral trials. These results suggest that seeing open eyes in central vision may attract attentional resources there, reducing attention to the periphery, particularly for the affected contralesional side. The seen gaze of the examiner may thus need to be considered during confrontation testing and may contribute to the effectiveness of that clinical procedure.

Funded by grants from the Italian MURST (A.M.); the Medical Research Council (UK) and the Wellcome Trust (J.D. and M.H.); and the Swiss National Science Foundation (P.V. and S.S.).

Disclosure: The authors report no conflicts of interest.

Received November 21, 2006. Accepted in final form May 9, 2007.