A possible selective impairment of magnocellular function in compression of the anterior visual pathways

Two parallel visual systems, the magnocellular (M) and parvocellular (P) pathways, originate from different types of retinal ganglion cells, and are known to be segregated in different portions of the pregeniculate visual pathways. Their relative contribution to two main cortical streams, dorsal and ventral, is still under discussion, but it is reasonable to suppose that selective damage to the M or P subcortical system might interfere with specific aspects of processing within one or the other cortical system. Using two different apparent-motion tasks, we compared the performance of patients affected by compression of the ventral part of the pregeniculate visual pathways with that of normal controls. In the first task, observers detected small displacements of a low-contrast vertical bar, while in the second task they estimated the visible persistence of moving dots. In the first task, patients were impaired with parafoveal displays, especially in the temporal portion of the visual field. In the second task, patients showed reduced suppression of visible persistence at long, but not at short, exposure durations. Three considerations support the hypothesis that these results represent a selective impairment of the M system. First, M axons are more likely to suffer from compression, particularly in the case of a mass growing from below since they are known to occupy a ventral subpial position in the optic chiasm and tract. Second, the performance of patients with a ventral compression is consistent with the characteristics of the response properties of P ganglion cells, which have previously been shown to exhibit elevated and unmodulated thresholds for displacement detection in the macaque monkey. Third, such patients are less sensitive to the inhibitory signals that suppress visible persistence, which probably originate in the M system.

Pathways of interhemispheric transfer in normals and in a split-brain subject. A positron emission tomography study

We studied with PET the intra- and interhemispheric pathways subserving a simple, speeded-up visuomotor task. Six normal subjects and one patient with a complete section of the corpus callosum (M.E.) underwent regional cerebral blood flow (rCBF) measurements under conditions of lateralized tachistoscopic visual presentations in a simple manual reaction time paradigm. Confirming previous behavioural findings, we found that on average crossed hand and/or hemifield conditions, i.e. those requiring an interhemispheric transfer of information, yielded a longer RT than uncrossed conditions. This difference (0.7 ms) was dramatically larger (45.6 ms) in the callosum-sectioned patient M.E. In normal subjects the cortical areas selectively activated in uncrossed and crossed conditions were different. In the former condition, most activation foci were anterior to the ventral anterior commissure (VAC) plane, whereas in the latter there was a prevalent parietal and occipital activation. This shows that a simple model in which the cortical visuo-motor pathways are similar in the intra- and the interhemispheric condition, with an extra callosal route for the latter, is too simplistic. Furthermore, these results suggest that the bulk of visuomotor interhemispheric transfer takes place through the widespread callosal fibres interconnecting the parietal cortices of the two hemispheres. The pattern of activation in the two crossing conditions was markedly different in M.E., in whom interhemispheric transfer might take place via his intact anterior commissure or subcortical commissures.

The spatial distribution of visual attention in hemineglect and extinction patients

We studied the visual field distribution of speed and accuracy of manual responses to small brief light flashes, in patients with left hemineglect or extinction resulting from right hemisphere vascular lesions and in brain-damaged and healthy control subjects. All patients with right hemisphere lesions showed a greater impairment in both the speed of response and the detection rate in the contralesional than in the ipsilesional hemifield. This interfield difference increased with the eccentricity of stimulus presentation and was especially pronounced in neglect patients who showed a paradoxical increase in speed of response and detection rate at increasingly larger eccentricities in the ipsilesional hemifield. We hypothesize that both the contralesional slowing down and the ipsilesional speeding up of the response depends upon an exaggerated gradient of attention towards the ipsilesional hemifield. To assess whether these abnormalities concern automatic or controlled attentional processes, in a second experiment, we manipulated the predictability of the side of the stimulus presentation by using blocked rather than randomized stimulus presentations. This resulted in a speeding up of responses in both hemifields thus showing that the patients were able to focus attention to the side of stimulus presentation voluntarily. However, there was no modification of the contra-ipsilesional differences which, therefore, are likely to be related to abnormal automatic processes rather than controlled attention.

Spike topography and functional magnetic resonance imaging (fMRI) in benign rolandic epilepsy with spikes evoked by tapping stimulation

We performed a spike topography study and a functional magnetic resonance imaging (fMRI) in a female patient with benign rolandic epilepsy presenting single high-amplitude evoked spikes in response to somatosensory peripheral stimulation. The stimulus was delivered to the first finger of the right hand using a tendon hammer, which evoked a single spike followed by a slow wave, showing the maximal amplitude over the left central regions. fMRI showed that the contralateral sensory cortices (S1 and S2) and the motor cortex (M I) were activated during tapping stimulation. In 3 normal subjects, tapping stimulation produced no fMRI activation. This fMRI study documents a highly focal activation of sensorimotor areas related to subclinical evoked spikes in benign rolandic epilepsy.

Scalp topography and source analysis of interictal spontaneous spikes and evoked spikes by digital stimulation in benign rolandic epilepsy

OBJECTIVES

We report the analysis of scalp topography and dipole modeling of the rolandic spikes in 6 patients suffering of benign rolandic epilepsy of childhood with extremely high amplitude SEP by tapping stimulation of the finger of the hand.

METHODS

EEG and BESA analysis were performed for both rolandic spontaneous interictal spikes and high amplitude scalp activity evoked by tapping and electrical stimulation of the first finger of the right hand.

RESULTS

The evoked responses showed a morphology characterized by a rapid phase (spike) followed by a slow phase (slow wave). The spike presented an early small positive component followed by a main negative component. Similar morphology, dipole configuration and source localization were observed for both rolandic spikes and evoked high amplitude scalp responses. Dipole localization showed an overlap of spatial coordinates between rolandic and evoked spikes.

CONCLUSIONS

These findings suggest that the extremely high amplitude SEPs could be evoked spikes which probably had the same cortical generators of the spontaneous rolandic spikes.

Influence of somatosensory input on paroxysmal activity in benign rolandic epilepsy with 'extreme somatosensory evoked potentials'

We studied six patients suffering from benign rolandic epilepsy of childhood with central temporal spikes who presented so-called 'extreme somatosensory evoked potentials (SEPs)' following peripheral somatosensory stimulation. Stimuli were delivered to the fingers of one hand using both a triggered tendon hammer and low-intensity electrical stimulation. The electrical stimulation was delivered in sequences in different conditions (i.e. random order, 1, 3 and 10 Hz). Both tapping and electrical stimulation produced scalp evoked potentials in all subjects, characterized by a spike followed by a slow wave, similar in morphology and scalp distribution to the spontaneously occurring spikes. This paroxysmal activity was sensitive to stimulus rate; the number of evoked spikes was inversely related to the frequency of stimulation, being maximal at 1 Hz and disappearing at high frequencies (10 Hz). Spontaneous spikes disappeared during high-frequency stimulation but were present during low-frequency stimulation. Averaged SEPs at 3-Hz stimulation showed a late high-amplitude component, identical in morphology and distribution to the single evoked spike. We therefore conclude that, in these subjects, the so-called 'extreme SEPs' are evoked spikes and that evoked and spontaneous spikes share common cortical sensorimotor generators. The evidence that these generators can be influenced by afferent input provides important information regarding the functional mechanisms involved in modulating cortical excitability in benign rolandic epilepsy. Moreover, we suggest that peripheral electrical stimulation can be used as an additional activation test in this kind of epilepsy.

Neural site of the redundant target effect electrophysiological evidence

The present study represents an attempt to find an electrophysiological correlate of the redundant targets effect, or RTE (i.e., the speeding up of reaction time, or RT, for redundant vs. single targets). Subjects made a speeded response either to one small checkerboard presented to the left or right of fixation or to a pair of identical checkerboards presented simultaneously to both hemifields. Both single and double targets could appear either in the upper or lower visual hemifield. The task required detection but not discrimination of the stimuli. During task performance, we recorded the event-related potentials (ERPs) elicited by the checkerboard targets. As in previous studies, we found that manual RTs to bilateral stimuli were faster than those to unilateral stimuli. This effect was more marked for lower- than for upper-field stimuli and could not be ascribed to probability summation. In addition, we found that the P1 and N1 components of the visual ERP had a shorter latency for bilateral than for summed unilateral stimuli presented to the two hemifields. In parallel with the behavioral findings, the latency values for the above components showed a larger RTE for lower-field stimuli. These findings indicate that the RTE occurs at the level of early visual processing, probably in the extrastriate visual cortex, rather than at late decisional or pre-motor stages.

Transcranial magnetic stimulation selectively impairs interhemispheric transfer of visuo-motor information in humans

We investigated the cerebral cortical route by which visual information reaches motor cortex when visual signals are used for manual responses. Subjects responded unimanually to photic stimuli delivered to the hemifield ipsilateral or contralateral to the moving hand. On some trials, trans-cranial magnetic stimulation (TMS) was applied unilaterally over the occiput, with the aim of stimulating extrastriate visual areas and thereby modifying transmission of visual input. In association with the side of a visual stimulus and a motor response, TMS could change inter- or intra-hemispheric transmission needed to convey visual information to motor areas. Reaction time differences following TMS suggested that TMS exerted an inhibitory effect only when visuo-motor information had to be transferred interhemispherically. This result reinforces evidence for an extrastriate pathway of interhemispheric transfer of visuomotor information.

Blindsight in hemispherectomized patients as revealed by spatial summation across the vertical meridian

The present study provides a demonstration of blindsight in two hemispherectomy patients who showed a visual spatial summation effect across the vertical meridian despite their lack of visual awareness in one hemifield. Such an effect cannot be related to light diffusion onto the sighted hemifield because it was not present when one of the stimuli fell into the retinal blind spot of control subjects. We conclude that blindsight phenomena of the simple type described in the present study can be subserved by sub-cortical mechanisms and do not necessarily require cortical processing.

Interhemispheric transfer of visual information in humans: the role of different callosal channels

We have assessed the interhemispheric transmission time (IHTT) by electrophysiological means in normal subjects performing a visuomotor reaction time task. We subtracted the latency of ERP components (P1 and N1) evoked by lateralized visual stimuli presented to the ipsilateral hemifield (indirect-callosal pathway) from the latency of the same components evoked by stimulation of the contralateral hemifield (direct pathway). Estimates of IHTT ranged between 5.77 msec and 12.54 depending upon the type of component and the location of the electrode sites. More anterior locations yielded shorter values of IHTT, and overall IHTT tended to be 7 msec shorter for the N1 component than for the P1 component. Moreover, there was an asymmetric IHTT for N1 in central sites with shorter latencies in the direction right-to-left hemisphere than in the opposite direction. Taken together, these results are in keeping with the idea that interhemispheric transfer of visuomotor information does not occur at the level of the primary visual areas but at more anterior cortical areas. The shorter IHTT for the N1 component suggests the involvement of the callosal connections between the inferotemporal areas of the two hemispheres.

Input and response determinants of visual extinction: a case study

We have studied a patient, CZ, with contralateral visual extinction due to a large ischaemic frontal-parietal-temporal lesion in the right hemisphere. We found that manipulation of intensity of the visual stimulus had little effect while an increase in eccentricity substantially increased extinction rate. An important factor was represented by the hemifield of stimulus presentation: when double stimuli were presented to the contralesional (left) hemifield, the leftmost stimulus was consistently extinguished while when stimuli were presented to the ipsilesional (right) hemifield, extinction was absent. Such effect was specific to hemifield rather than to head- and trunk-defined hemispace. Manipulation of response-related variables affected extinction to a large extent: In particular, the use of nonverbal responses diminished extinction considerably. This suggests that an important component of extinction may be represented by an impaired access of visual information to the left hemisphere. Finally, the RT results confirmed previous evidence of an ipsilesional attentional bias favouring the rightmost stimuli both in the contralesional and in the ipsilesional hemifield.

Implicit redundant-targets effect in visual extinction

Patients with left visual extinction as a result of unilateral right hemisphere damage were tested on a redundant-targets effect paradigm (RTE). LED-generated brief flashes were lateralized either to the left or to the right visual hemifield or presented bilaterally. Subjects were asked to press a key as fast as possible following either unilateral or bilateral stimuli and immediately afterwards to report on the number of stimuli presented. As previously found in normal subjects, bilateral stimuli were responded to faster than unilateral ones, and this was evidence of a RTE. The main thrust of this study was that extinction patients showed a RTE not only for correctly perceived bilateral stimuli but also in trials in which they extinguished the stimulus on the field contralateral to the lesion. This result is compatible with a preserved processing of the extinguished input at least up to the stage at which it may interact with the input from the normal side to yield a speeded motor response. Interestingly, the implicit redundancy gain of extinction patients was found to fit a coactivation (i.e. neural) rather than a probabilistic model.

Abnormal spatial but normal temporal resolution in the Siamese cat: a behavioral correlate of a genetic disorder of the parallel visual pathways

Six ordinary and one Siamese cat were tested for spatial frequency contrast sensitivity and for flicker discrimination thresholds. The Siamese cat was markedly impaired in the former task but performed normally in the latter. This result is consistent with single-cell physiological evidence showing an abnormally high Y/X cell ratio in the area centralis of Siamese cats. Under a more general perspective, this genetically related dissociation of visual impairments confirms the idea of parallel pathways subserving spatial and temporal resolution, respectively.

Corpus callosum and simple visuomotor integration

Malcolm Jeeves was the first to demonstrate lengthened interhemispheric transmission times in subjects with agenesis of the corpus callosum by using a simple reaction time paradigm with lateralized unstructured light stimuli and crossed and uncrossed hand responses. Uncrossed responses can be integrated within one hemisphere, whereas crossed responses require a communication between the two hemispheres. In the normal brain this communication is effected rapidly by the corpus callosum, whereas in the acallosal brain it must occur much more slowly by way of less efficient alternative interhemispheric pathways. Using a similar experimental paradigm we have studied normal subjects, subjects with a complete callosal agenesis and epileptic patients with surgical callosal sections, either complete or partial. All subjects with complete callosal defects showed much lengthened interhemispheric times compared to normal controls. Virtually normal interhemispheric transmission times were found in subjects with partial callosal defects, whether anterior or posterior, suggesting a possible equipotentiality of different portions of the corpus callosum in the mediation of crossed manual responses. In both normals and acallosals there were no crossed-uncrossed differences in reaction time when responses were made unilaterally with lower limb effectors or para-axial upper limb effectors, as well as bilaterally with upper-limb proximal and para-axial effectors. Since these effectors can be controlled directly from either side of the brain via bilaterally distributed motor pathways, crossed responses using them, unlike crossed manual responses, do not require an interhemispheric integration.

Left-right asymmetry of callosal transfer in normal human subjects

Interhemispheric transfer (IT) of visuomotor information can be assessed by measuring the crossed-uncrossed difference (CUD) in the Poffenberger paradigm [14]. We report a series of experiments aimed at casting light on two aspects of IT: the importance of motor response variables and the nature of the left-right asymmetries found in a recent meta-analysis of studies using the Poffenberger paradigm [10]. In Experiments 1 and 2 we found no effect of varying the finger used for response while there was a larger CUD when using the left hand in comparison to the right hand. In Experiment 3, which employed visual stimuli different from the two preceding experiments, CUD asymmetries were related to hemifields rather than to hands with a CUD larger for the right than for the left visual hemifield. These findings suggests that both motor and visual variables are important for CUD asymmetries to occur and are in keeping with a horse race model according to which overall speed of IT is determined by whichever signal (visual or pre-motor) is more rapid in crossing from one side to the other. As to the issue of lateral asymmetries in the CUD, the results of Expt. 3 have also shown that asymmetries arise only in tasks requiring an IT and therefore cannot depend upon additive hemispheric effects.

Magno- and parvocellular pathways are segregated in the human optic tract

There is abundant psychophysical evidence in humans suggesting the existence of parallel pathways subserving different aspects of vision. However, there is little direct proof of the neural structures underlying the two pathways. We present direct anatomical evidence that in the normal human optic tract fibres are segregated according to size. Large axons, likely to correspond to the magnocellular pathway of non-human primates, take a more ventral and superficial course than the smaller axons belonging to the parvocellular pathway. This anatomical segregation not only reinforces the hypothesis of parallel pathways but, more importantly, offers a unique opportunity for studying the psychophysical effects of selective damage to one or the other fibre contingent.

Is interhemispheric transfer of visuomotor information asymmetric? Evidence from a meta-analysis

Using a meta-analytic procedure we have analysed 16 studies employing a simple unimanual reaction time (RT) paradigm and lateralized visual stimuli to provide an estimate of interhemispheric transfer time in normal right-handed subjects. We found a significant overall RT advantage of the left visual field over the right and of the right hand over the left. These asymmetries can be explained by a superiority of the right hemisphere for the detection of simple visual stimuli and by a corresponding superiority of the left hemisphere for the execution of the manual response, respectively. Alternatively, they may be interpreted as related to an asymmetry of interhemispheric transmission of visuomotor information, with transfer from the right hemisphere (side of stimulus entry) to the left (side of response generation) faster than in the reverse direction. Although a direct test of these hypotheses is still lacking, we think that the evidence available is more in keeping with the latter possibility.

Bilateral hemispheric control of foot distal movements: evidence from normal subjects

Normal subjects have been tested for interhemispheric transfer (IT) of visuo-motor information using a simple reaction time (RT) paradigm and lateralized stimuli and responses (the so-called Poffenberger paradigm). In this paradigm IT time is assumed to correspond to the RT difference between crossed and uncrossed stimulus-response combinations (CUD). In Experiment 1, two types of movements were used: a unilateral flexion of the thumb and a unilateral plantar flexion of the big toe. A reliable CUD (7.4 msec) was found only with manual responses. Changing stimulus retinal eccentricity (10 degrees vs. 70 degrees) or attentional demands (blocked vs. random stimulus presentation) did not result in any reliable effect on the CUD. In Experiment 2 the number of RTs for each subject was considerably increased and several visual field sites (from areas close to the vertical meridian to the monocular crescent) were tested. Notwithstanding these modifications, this experiment confirmed the lack of CUD found for foot responses in Exp. 1. Taken together, these results are in keeping with a less lateralized hemispheric control of distal foot movements in comparison to hand movements.

Position of axons in the cat's optic tract in relation to their retinal origin and chiasmatic pathway

The positions of the crossed and uncrossed optic axons of distinct diameter classes has been examined in the optic tract of the adult cat. In addition, the retinal origin of axons occupying different positions within the tract has been studied. Since the position of a fibre within the optic tract reflects its time of arrival during development, we have used axonal position as an indicator of age and have related this to the chiasmatic pathway choice of the axons. Cats were either monocularly enucleated, to reveal the position and diameter of surviving crossed and uncrossed optic axons in semithin and thin sections, or implants of horseradish peroxidase (HRP) were placed so as to retrogradely label the ganglion cells giving rise to axons within the deep (early arriving), or superficial (later arriving) parts of the tract selectively. This was accomplished by either 1) surgically implanting HRP into the superficial portion of the optic tract, via a transbuccal approach, or 2) making such a transbuccal transection of the superficial fibres, followed by intracerebral injections of HRP to retrogradely label the surviving, deeper, optic axons from their target nuclei. The deep parts of the optic tract contain fine and medium, crossed and uncrossed axons arising from mainly medium sized cells in the contralateral nasal and the ipsilateral temporal retina; there is a clear line of decussation. In contrast, the superficial parts of the tract contain mainly fine diameter axons arising from small cells in the whole contralateral retina, and a small proportion of large diameter axons arising from large, alpha cells in the whole contralateral retina and in the ipsilateral temporal retina. The likelihood that axons from the temporal retina will project contralaterally therefore increases as development proceeds, since these axons are found in the superficial parts of the tract only. This suggests that a time-dependent signal that weakens with age is responsible for directing early arriving optic axons from the temporal retina to take an exclusively uncrossed course.

Effectiveness of different task paradigms in revealing blindsight

Four patients with hemianopia from posterior cerebral artery infarction were tested for residual unconscious vision ('blindsight') in their anopic hemifield. One task tested for spatial summation between the normal and the abnormal hemifields. A second task tested for temporal interactions between the two hemifields. A third task required a manual localization of the site of a brief flash in the hemianopic side. The last test was administered either in a condition of free gaze during pointing or in a condition in which the gaze was kept fixed throughout all phases of the task. The first two tasks differed from the third not only in the type of visual function, that is, detection vs spatial localization, but also in the response criterion. A forced-choice procedure was adopted in the localization task while in the spatial and temporal interfield interaction tasks a reaction time paradigm that did not require guessing was used. One patient showed unequivocal evidence of blindsight on all tasks, thus excluding the possibility that his blindsight depended on the nature of the response. An interesting dissociation was found in the localization task where 1 patient showed evidence of blindsight when tested under conditions of unrestrained gaze during pointing but not when tested under fixed gaze conditions.

Ipsilateral inhibition and contralateral facilitation of simple reaction time to non-foveal visual targets from non-informative visual cues

Orienting to an extrafoveal light cue without foveating it induces a temporary inhibition of responses to subsequent targets presented in the same visual hemifield, as evinced from the fact that reaction time (RT) to targets ipsilateral to the cue relative to fixation is longer than RT to targets contralateral to the cue. This study has tested the hypothesis that ipsilateral RT inhibition is associated with contralateral RT facilitation by attempting to divide the difference between ipsilateral and contralateral RTs into costs and benefits. A neutral condition suited to this purpose should involve a cue that does not require a lateral orientation. Such neutral condition was provided by measuring RT to lateralized light targets following a central overhead auditory cue (experiment 1) or a foveal visual cue (experiment 2). In both experiments RT in the neutral condition was intermediate between ipsilateral and contralateral RTs, and the differences reaches significance in the second experiment. Benefits over the neutral condition measured in the contralateral condition were thus associated with costs in the ipsilateral condition. These results suggest that a reciprocal antagonism between opposite turning tendencies underlies the organization of covert orienting. They also agree with general multi-channel theories of selective attention according to which the facilitation of given channels is an obligatory accompaniment of the inhibition of other competing channels and vice versa.