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The Impact of Frontal Lobe Damage on Attention to Novel Events.

 KR Daffner, MM Mesulam and V Calvo
  
 

Abstract:
This study investigated mechanisms underlying diminished exploratory behavior following frontal lobe damage. Nine patients with infarctions in prefrontal cortex (PFC) and 20 matched normal controls (NCs) participated in an ERP study in which they viewed a series of drawings that included repetitive background, infrequent target, and infrequent novel stimuli. They controlled viewing duration by a button press that served as a measure of exploratory behavior, and responded to targets by a foot pedal. PFC damage markedly reduced the amplitude of the novelty P300 and the viewing duration of novel stimuli. The novelty P300 amplitude explained much of the variance associated with viewing duration of novel relative to background stimuli. After controlling for the effect of viewing duration, there continued to be a strong relationship between PFC damage and diminished P300 amplitude to novel events. However, after controlling for the influence of P300 amplitude, there was no association between PFC injury and reduced viewing duration on novel stimuli. PFC patients did not differ from NCs in terms of target P300 amplitude, viewing duration of targets, or reaction time. We conclude that PFC damage leads to diminished visual exploration through its disruption of neural processes indexed by the novelty P300. These processes appear to regulate the allocation of attentional resources and exploratory behaviors, and are not limited to immediate orienting responses.

 
 


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