Preattentive and attentive visual processing was examined in patients with
hemispatial neglect, hemispatial neglect with hemianopia, and control parti
cipants. In the preattentive search task, targets possessed a unique featur
e that was not shared by distracters. In the attentive search task, targets
lacked a feature that was present in the distracters. Preattentive search
was normal in 3 neglect patients with cortical lesions but not in 2 neglect
patients with hemianopia. A 4th neglect patient without hemianopia with a
subcortical infarct abnormally used serial search mechanisms in the preatte
ntive task. Neglect patients were characteristically impaired in the contra
lesional field in the attentive search task. This study demonstrates preser
ved explicit detection of visual features in cases of hemispatial neglect.