Auditory and multisensory aspects of visuospatial neglect

Spatial neglect is a common neurological syndrome in which awareness of contralesional space is disrupted after unilateral (typically right) stroke. Although most research has focused on visual aspects of neglect, there is increasing evidence that neglect can often be multisensory. Here we focus on auditory disturbances that can co-occur with visual neglect. Patients selected for showing visual neglect often also show deficits in localization of single sounds; and also in the detection or identification of contralesional sounds, particularly in the presence of an ipsilesional competitor. Moreover, auditory and visual aspects of neglect often correlate in their severity across patients. These results are considered in relation to recent neuroimaging findings in the normal brain, showing that the brain regions typically damaged in neglect patients might contain multimodal representations of space.