Human blindsight is mediated by an intact geniculo-extrastriate pathway

Although damage to the primary visual cortex (V1) causes hemianopia, many patients retain some residual vision; known as blindsight. We show that blindsight may be facilitated by an intact white-matter pathway between the lateral geniculate nucleus and motion area hMT+. Visual psychophysics, diffusi...

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Main Authors: Ajina, S, Pestilli, F, Rokem, A, Kennard, C, Bridge, H
Format: Journal article
Language:English
Published: eLife Sciences Publications 2015
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author Ajina, S
Pestilli, F
Rokem, A
Kennard, C
Bridge, H
author_facet Ajina, S
Pestilli, F
Rokem, A
Kennard, C
Bridge, H
author_sort Ajina, S
collection OXFORD
description Although damage to the primary visual cortex (V1) causes hemianopia, many patients retain some residual vision; known as blindsight. We show that blindsight may be facilitated by an intact white-matter pathway between the lateral geniculate nucleus and motion area hMT+. Visual psychophysics, diffusion-weighted magnetic resonance imaging and fibre tractography were applied in 17 patients with V1 damage acquired during adulthood and 9 age-matched controls. Individuals with V1 damage were subdivided into blindsight positive (preserved residual vision) and negative (no residual vision) according to psychophysical performance. All blindsight positive individuals showed intact geniculo-hMT+ pathways, while this pathway was significantly impaired or not measurable in blindsight negative individuals. Two white matter pathways previously implicated in blindsight: (i) superior colliculus to hMT+ and (ii) between hMT+ in each hemisphere were not consistently present in blindsight positive cases. Understanding the visual pathways crucial for residual vision may direct future rehabilitation strategies for hemianopia patients.
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spelling oxford-uuid:bd95ff93-f402-431e-b6b0-c588b059feb42022-10-28T11:27:31ZHuman blindsight is mediated by an intact geniculo-extrastriate pathwayJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:bd95ff93-f402-431e-b6b0-c588b059feb4EnglishSymplectic Elements at OxfordeLife Sciences Publications2015Ajina, SPestilli, FRokem, AKennard, CBridge, HAlthough damage to the primary visual cortex (V1) causes hemianopia, many patients retain some residual vision; known as blindsight. We show that blindsight may be facilitated by an intact white-matter pathway between the lateral geniculate nucleus and motion area hMT+. Visual psychophysics, diffusion-weighted magnetic resonance imaging and fibre tractography were applied in 17 patients with V1 damage acquired during adulthood and 9 age-matched controls. Individuals with V1 damage were subdivided into blindsight positive (preserved residual vision) and negative (no residual vision) according to psychophysical performance. All blindsight positive individuals showed intact geniculo-hMT+ pathways, while this pathway was significantly impaired or not measurable in blindsight negative individuals. Two white matter pathways previously implicated in blindsight: (i) superior colliculus to hMT+ and (ii) between hMT+ in each hemisphere were not consistently present in blindsight positive cases. Understanding the visual pathways crucial for residual vision may direct future rehabilitation strategies for hemianopia patients.
spellingShingle Ajina, S
Pestilli, F
Rokem, A
Kennard, C
Bridge, H
Human blindsight is mediated by an intact geniculo-extrastriate pathway
title Human blindsight is mediated by an intact geniculo-extrastriate pathway
title_full Human blindsight is mediated by an intact geniculo-extrastriate pathway
title_fullStr Human blindsight is mediated by an intact geniculo-extrastriate pathway
title_full_unstemmed Human blindsight is mediated by an intact geniculo-extrastriate pathway
title_short Human blindsight is mediated by an intact geniculo-extrastriate pathway
title_sort human blindsight is mediated by an intact geniculo extrastriate pathway
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AT pestillif humanblindsightismediatedbyanintactgeniculoextrastriatepathway
AT rokema humanblindsightismediatedbyanintactgeniculoextrastriatepathway
AT kennardc humanblindsightismediatedbyanintactgeniculoextrastriatepathway
AT bridgeh humanblindsightismediatedbyanintactgeniculoextrastriatepathway