Visual deficits in a patient with 'kaleidoscopic disintegration of the visual world'.
We describe psychophysical, neuropsychological and neuro-ophthalmological studies of visual abilities in a patient who, following a right hemisphere stroke, had difficulty in combining parts of objects into a whole and in reading. Strikingly, her perceptual problems were accentuated when the objects moved or when she moved. Formal testing showed that her main deficits were in depth perception, various tasks of motion and object recognition of degraded stimuli. But low-level detection and discrimination of form and color were normal. Despite her deficits in visual motion and degraded static-object recognition, her visual recognition of 'biological motion' stimuli was normal. Structural magnetic resonance imaging revealed an infarct in the ventro-medial occipito-temporal region, extending ventro-laterally and leading to a 'kaleidoscopic disintegration of visible objects'.
Vaina
L M
LM
Brain and Vision Research Laboratory, Biomedical Engineering and Neurology, Boston University, MA 02215, USA. vaina@engc.bu.edu
Cowey
A
A
LeMay
M
M
Bienfang
D C
DC
Kikinis
R
R
D000315:Adrenalectomy / Q000009:adverse effects; D002544:Cerebral Infarction / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D005260:Female; D006801:Humans; D008875:Middle Aged; D009039:Motion Perception / Q000502:physiology; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D009483:Neuropsychological Tests; D010364:Pattern Recognition, Visual / Q000502:physiology; D010911:Pituitary Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D011183:Postoperative Complications / Q000473:pathology / Q000503:physiopathology; D011597:Psychomotor Performance / Q000502:physiology; D013028:Space Perception / Q000502:physiology; D020521:Stroke / Q000150:complications* / Q000473:pathology / Q000503:physiopathology; D013702:Temporal Lobe / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology*; D014786:Vision Disorders / Q000209:etiology / Q000473:pathology / Q000503:physiopathology*; D014793:Visual Cortex / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology*; D014794:Visual Fields / Q000502:physiology; D014795:Visual Pathways / Q000098:blood supply / Q000473:pathology / Q000503:physiopathology*