Optic ataxia: a specific disruption in visuomotor mechanisms. I. Different aspects of the deficit in reaching for objects

Effects of MT lesions on visuomotor performance in macaques

Monkeys with selective bilateral lesions of area MT were trained on tasks designed to examine visuomotor function. They were required to: 1- retrieve a small food pellet from a narrow slot; 2- locate and retrieve a loose peanut mounted on a background of fixed peanuts; and 3- retrieve an erratically moving food pellet from a spinning bowl. After the lesions, these monkeys were behaviorally impaired relative to their own preoperative performances and also relative to the postoperative performances of the control monkeys with lesions in optic radiation fibers (OR) under MT or lesions in the posterior parietal cortex (PP). Although their performance improved with practice and time, the MT-lesioned monkeys showed long-term impairments twenty weeks after surgery. Control monkeys performed no worse on the tasks after their lesions. Another task which required the monkeys to retrieve a food pellet without visual guidance revealed that all the animals performed equally poorly when visual cues were unavailable, but that only the control monkeys benefited when visual cues were available. None of the monkeys were impaired on a pattern discrimination learning task. Besides that, direct observations revealed that the MT-lesioned animals grasped peanuts in a manner different from the control animals.

The effect of the Müller-Lyer configuration on saccadic eye movements is not fully due to illusory perception

Previous research has shown that both perception and oculomotor control are affected by visual illusions. While these findings appear to suggest a common code of visual processing for perception and oculomotor control, there remains the possibility that the perceptual and the oculomotor effects emerge through partially different processes. In three experiments, we replicated the previous finding that perception and saccades were both biased by the typical Müller-Lyer configurations. However, using a non-Müller-Lyer setup in which the perceptual illusion effect was much restrained, we did not observe a comparable reduction in the saccadic effect. Instead, the saccadic effect by Müller-Lyer configuration could be partially due to the center-of-gravity (CoG) effect (i.e., the tendency for saccades to land at the center of gravity of the stimuli). These results indicate that the influence of the Müller-Lyer configuration on saccadic eye movements is a mixed effect of perceptual representation and CoG, rather than exclusively due to the illusory perception. We further found that the saccadic and perceptual effects were not correlated at the trial-by-trial level, which suggest that there could be largely independent sources of noise for perception and saccadic control.NEW & NOTEWORTHY The Müller-Lyer illusion affects both perception and oculomotor control, but it is unknown whether these effects arise from the same or different underlying mechanisms. We developed a modified version of the Müller-Lyer configuration, which largely reduced the perceptual illusion effect compared with the typical configuration but reduced the saccadic effect to a much less extent. Such difference indicates that influence of the Müller-Lyer configuration on saccadic eye movements is not fully mediated by illusory perception.

Disrupted neural signals in patients with concomitant exotropia

PURPOSE

Decreased binocular and oculomotor function in strabismics has recently been considered as cortical in origin. This study aimed to investigate functional abnormalities using a frequency-specific neuroimaging method in patients with concomitant exotropia (XT), and to demonstrate the clinical implications.

METHODS

Resting-state functional magnetic resonance imaging data were collected in 26 XT patients and 26 matched controls. To evaluate the local spontaneous neural activity, the amplitude of low frequency fluctuations (ALFF) was calculated in the typical frequency band (0.01-0.08 Hz) as well as five narrowly-defined frequency bands (slow-6: 0-0.01 Hz, slow-5: 0.01-0.027 Hz, slow-4: 0.027-0.073 Hz, slow-3: 0.073-0.167 Hz, and slow-2: 0.167-0.25 Hz), respectively.

RESULTS

Patients with XT showed decreased ALFF in the bilateral parieto-occipital sulcus (POS), and increased ALFF in the bilateral thalamus within the typical frequency band. Frequency-dependent ALFF alterations were found in the higher visual areas such as the right lateral occipital complex (LOC). Furthermore, ALFF in the right LOC in the slow-5 band was positively correlated with fusion control score (r = 0.70, p < 0.0001) and binocular function score (r = 0.67, p = 0.0002). Regression analyses showed that early age of onset remained the only significant explanatory factor for ALFF reduction in the right POS in the typically-measured frequency band (also referred to as the typical frequency band) (Odds ratio, 0.038; 95% confidence interval, 0.001 to 0.075).

CONCLUSIONS

Our findings provide spatial information regarding the functionally disrupted regions in XT. Moreover, the frequency-dependent ALLF alteration in the right LOC might reflect a potential plastic capacity in binocular function, which could be a potential objective index for evaluating disease severity.

Bimanual visually guided movements are more than the sum of their parts: Evidence from optic ataxia

Many reaching actions involve both hands. An open question is whether two-handed reaching involves two simultaneous, independent unimanual reaches, or recruits additional or different processes than those mediating one-handed reaching. We tested optic ataxic patient MDK on a set of unimanual and bimanual reaching tasks. Although MDK was impaired in both types of reaching task, his bimanual reaching was considerably better than his unimanual reaching. These results imply that bimanual reaching involves different or additional processes relative to unimanual reaching. We suggest that bimanual reaching may involve monitoring of the distance between the two hands relative to the distance between the two targets.

On the Neurocircuitry of Grasping: The influence of action intent on kinematic asymmetries in reach-to-grasp actions

Evidence from electrophysiology suggests that nonhuman primates produce reach-to-grasp movements based on their functional end goal rather than on the biomechanical requirements of the movement. However, the invasiveness of direct-electrical stimulation and single-neuron recording largely precludes analogous investigations in humans. In this review, we present behavioural evidence in the form of kinematic analyses suggesting that the cortical circuits responsible for reach-to-grasp actions in humans are organized in a similar fashion. Grasp-to-eat movements are produced with significantly smaller and more precise maximum grip apertures (MGAs) than are grasp-to-place movements directed toward the same objects, despite near identical mechanical requirements of the two subsequent (i.e., grasp-to-eat and grasp-to-place) movements. Furthermore, the fact that this distinction is limited to right-handed movements suggests that the system governing reach-to-grasp movements is asymmetric. We contend that this asymmetry may be responsible, at least in part, for the preponderance of right-hand dominance among the global population.

Growing up with Bilateral parieto-occipital injury: over ten years of clinical observation and neuropsychological follow-up

This paper presents a follow-up of a child with Balint's syndrome over more than a decade. The patient experienced traumatic brain injury before age 12, resulting in bilateral occipito-parietal infarctions and a clinical presentation of Balint's syndrome. Neuropsychological assessments at three time points showed average verbal abilities alongside persistent difficulties in visual orientation, mirrored in the patient's daily life. Her outstanding compensatory abilities in the face of these impairments are discussed with respect to the recruitment of the ventral visual stream and the role of top-down processing. This profile may help to determine interventions for younger patients with similar lesions.

Allocentric representations for target memory and reaching in human cortex

The use of allocentric cues for movement guidance is complex because it involves the integration of visual targets and independent landmarks and the conversion of this information into egocentric commands for action. Here, we focus on the mechanisms for encoding reach targets relative to visual landmarks in humans. First, we consider the behavioral results suggesting that both of these cues influence target memory, but are then transformed-at the first opportunity-into egocentric commands for action. We then consider the cortical mechanisms for these behaviors. We discuss different allocentric versus egocentric mechanisms for coding of target directional selectivity in memory (inferior temporal gyrus versus superior occipital gyrus) and distinguish these mechanisms from parieto-frontal activation for planning egocentric direction of actual reach movements. Then, we consider where and how the former allocentric representations of remembered reach targets are converted into the latter egocentric plans. In particular, our recent neuroimaging study suggests that four areas in the parietal and frontal cortex (right precuneus, bilateral dorsal premotor cortex, and right presupplementary area) participate in this allo-to-ego conversion. Finally, we provide a functional overview describing how and why egocentric and landmark-centered representations are segregated early in the visual system, but then reintegrated in the parieto-frontal cortex for action.

Grasping Discriminates between Object Sizes Less Not More Accurately than the Perceptual System

Ganel, Freud, Chajut, and Algom (2012) demonstrated that maximum grip apertures (MGAs) differ significantly when grasping perceptually identical objects. From this finding they concluded that the visual size information used by the motor system is more accurate than the visual size information available to the perceptual system. A direct comparison between the accuracy in the perception and the action system is, however, problematic, given that accuracy in the perceptual task is measured using a dichotomous variable, while accuracy in the visuomotor task is determined using a continuous variable. We addressed this problem by dichotomizing the visuomotor measures. Using this approach, our results show that size discrimination in grasping is in fact inferior to perceptual discrimination therefore contradicting the original suggestion put forward by Ganel and colleagues.

Decoding Grasping Movements from the Parieto-Frontal Reaching Circuit in the Nonhuman Primate

Prehension movements typically include a reaching phase, guiding the hand toward the object, and a grip phase, shaping the hand around it. The dominant view posits that these components rely upon largely independent parieto-frontal circuits: a dorso-medial circuit involved in reaching and a dorso-lateral circuit involved in grasping. However, mounting evidence suggests a more complex arrangement, with dorso-medial areas contributing to both reaching and grasping. To investigate the role of the dorso-medial reaching circuit in grasping, we trained monkeys to reach-and-grasp different objects in the dark and determined if hand configurations could be decoded from functional magnetic resonance imaging (MRI) responses obtained from the reaching and grasping circuits. Indicative of their established role in grasping, object-specific grasp decoding was found in anterior intraparietal (AIP) area, inferior parietal lobule area PFG and ventral premotor region F5 of the lateral grasping circuit, and primary motor cortex. Importantly, the medial reaching circuit also conveyed robust grasp-specific information, as evidenced by significant decoding in parietal reach regions (particular V6A) and dorsal premotor region F2. These data support the proposed role of dorso-medial "reach" regions in controlling aspects of grasping and demonstrate the value of complementing univariate with more sensitive multivariate analyses of functional MRI (fMRI) data in uncovering information coding in the brain.

Effect of object substitution, spontaneous compensation and repetitive training on reaching movements in a patient with optic ataxia

We report the case of M.B. who demonstrated severe optic ataxia with the right hand following stroke in the left hemisphere. The clinical picture may shed light on both the pathological characteristics of reaching and grasping actions, and potential rehabilitation strategies for optic ataxia. First, M.B. demonstrated a dissociation between severely impaired reaching and relatively spared grasping and tool use skills and knowledge, which confirms that grasping may be more intermingled with non-motoric cognitive mechanisms than reaching. Besides, M.B.'s reaching performance was sensitive to movement repetition. We observed a substitution effect: Reaching time decreased if M.B. repeatedly reached toward the same object but increased when object identity changed. This may imply that not only object localization but also object identity, is integrated into movement programming in reach-to-grasp tasks. Second, studying M.B.'s spontaneous compensation strategies ascertained that the mere repetition of reaching movements had a positive effect, to the point M.B. almost recovered to normal level after an intensive one-day repetitive training session. This case study seems to provide one of the first examples of optic ataxia rehabilitation. Reaching skills can be trained by repetitive training even two years post-stroke and despite the presence of visuo-imitative apraxia.

Impairments in action and perception after right intraparietal damage

We examined visually-guided reaching and perception in an individual who underwent resection of a small tumor in right intraparietal sulcus (pIPS). In the first experiment, she reached to targets presented on a touch screen. Vision was occluded from reach onset on half of the trials, whereas on the other half she had vision during the entire reach. For visually-guided reaching, she demonstrated significantly more reach errors for targets left of fixation versus right of fixation. However, there were no hemispatial differences when reaching without vision. Furthermore, her performance was consistent for reaches with either hand, providing evidence that pIPS encodes location based on an eye-centered reference frame. Second, previous studies reported that optic ataxics are more accurate when reaching to remembered versus visible target locations. We repeated the first experiment, adding a five second delay between stimulus presentation and reach initiation. In contrast to prior reports, she was less accurate in delayed versus immediate reaching. Finally, we examined whether a small pIPS resection would disrupt visuospatial processing in a simple perceptual task. We presented two small circles in succession in either the same location or offset at varying distances, and asked whether the two circles were presented in the same or different position. She was significantly more impaired left of fixation compared to right of fixation, providing evidence for a perceptual deficit after a dorsal stream lesion.

Visuomotor adaptation in the absence of input from early visual cortex

Prism adaptation is a time-honored tool for studying how the motor system adapts to sensory perturbations. Past research on the neural substrates of prism adaptation has implicated the posterior parietal cortex (PPC) and the cerebellum, under the assumption that these structures gain their visual input from the dominant retinogeniculate pathway to V1. Here we question whether this pathway is even required for visuomotor adaptation to occur. To investigate this, we examined prism adaptation in 'MC', someone who is blind to static stimuli following bilateral lesions that encompass much of her occipital cortex and the caudal-most areas of ventrotemporal cortex. Remarkably, MC shows evidence of prism adaptation that is similar to healthy control participants. First, when pointing with either the left or the right hand, MC shows spatial realignment; the classical after-effect exhibited by most people when adapting to displacing prisms. Second, MC demonstrates strategic recalibration - a reduction in her pointing error over time - that is similar in magnitude to healthy controls. These findings suggest that the geniculostriate pathway is not necessary for visuomotor adaptation to take place. Alternatively, we suggest that an extrageniculostriate pathway which provides visual inputs to the cerebellum from area MT and the PPC via the dorsolateral pons plays a significant and appreciable role in the guidance of unconscious automatic visuomotor adaptation.

Spontaneous in-flight accommodation of hand orientation to unseen grasp targets: A case of action blindsight

The division of labour between the dorsal and ventral visual pathways is well established. The ventral stream supports object identification, while the dorsal stream supports online processing of visual information in the service of visually guided actions. Here, we report a case of an individual with a right inferior quadrantanopia who exhibited accurate spontaneous rotation of his wrist when grasping a target object in his blind visual field. His accurate wrist orientation was observed despite the fact that he exhibited no sensitivity to the orientation of the handle in a perceptual matching task. These findings indicate that non-geniculostriate visual pathways process basic volumetric information relevant to grasping, and reinforce the observation that phenomenal awareness is not necessary for an object's volumetric properties to influence visuomotor performance.

Visual illusions modify object size estimates for prospective action judgements

How does the eye guide the hand in an ever-changing world? The perception-action model posits that visually-guided actions rely on object size estimates that are computed from an egocentric perspective independently of the visual context. Accordingly, adjusting grip aperture to object size should be resistant to illusions emerging from the contrast between a target and surrounding elements. However, experimental studies gave discrepant results that have remained difficult to explain so far. Visual and proprioceptive information of the acting hand are potential sources of ambiguity in previous studies because the on-line corrections they allow may contribute to masking the illusory effect. To overcome this problem, we investigated the effect on prospective action judgements of the Ebbinghaus illusion, a visual illusion in which the perceived size of a central circle varies according to the size of surrounding circles. Participants had to decide whether they thought they would be able to grasp the central circle of an Ebbinghaus display between their index finger and thumb, without moving their hands. A control group had to judge the size of the central circle relative to a standard. Experiment 1 showed that the illusion affected perceptual and grasping judgements similarly. We further investigated the interaction between visual illusions and grip aperture representation by examining the effect of concurrent motor tasks on grasping judgements. We showed that participants underestimated their ability to grasp the circle when they were squeezing a ball between their index finger and thumb (Experiment 2), whereas they overestimated their ability when their fingers were spread apart (Experiment 3). The illusion also affected the grasping judgement task and modulated the interference of the squeezing movement, with the illusion of largeness enhancing the underestimation of one's grasping ability observed in Experiment 2. We conclude that visual context and body posture both influence action anticipation, and that perception and action support each other.

Visual and visuomotor processing of hands and tools as a case study of cross talk between the dorsal and ventral streams

A major principle of organization of the visual system is between a dorsal stream that processes visuomotor information and a ventral stream that supports object recognition. Most research has focused on dissociating processing across these two streams. Here we focus on how the two streams interact. We tested neurologically-intact and impaired participants in an object categorization task over two classes of objects that depend on processing within both streams-hands and tools. We measured how unconscious processing of images from one of these categories (e.g., tools) affects the recognition of images from the other category (i.e., hands). Our findings with neurologically-intact participants demonstrated that processing an image of a hand hampers the subsequent processing of an image of a tool, and vice versa. These results were not present in apraxic patients (N = 3). These findings suggest local and global inhibitory processes working in tandem to co-register information across the two streams.

Towards a unified perspective of object shape and motion processing in human dorsal cortex

Although object-related areas were discovered in human parietal cortex a decade ago, surprisingly little is known about the nature and purpose of these representations, and how they differ from those in the ventral processing stream. In this article, we review evidence for the unique contribution of object areas of dorsal cortex to three-dimensional (3-D) shape representation, the localization of objects in space, and in guiding reaching and grasping actions. We also highlight the role of dorsal cortex in form-motion interaction and spatiotemporal integration, possible functional relationships between 3-D shape and motion processing, and how these processes operate together in the service of supporting goal-directed actions with objects. Fundamental differences between the nature of object representations in the dorsal versus ventral processing streams are considered, with an emphasis on how and why dorsal cortex supports veridical (rather than invariant) representations of objects to guide goal-directed hand actions in dynamic visual environments.

Single Units in the Posterior Parietal Cortex Encode Patterns of Bimanual Coordination

Bimanual coordination is critical for a broad array of behaviors. Drummers, for example, must carefully coordinate movements of their 2 arms, sometimes beating on the same drum and sometimes on different ones. While coordinated behavior is well-studied, the early stages of planning are not well understood. In the parietal reach region (PRR) of the posterior parietal cortex (PPC), the presence of neurons that modulate when either arm moves by itself has been taken as evidence for a role in bimanual coordination. To test this notion, we recorded neurons during both unilateral and bimanual movements. We find that the activity that precedes an ipsilateral arm movement is primarily a sensory response to a target in the neuron's visual receptive field and not a plan to move the ipsilateral arm. In contrast, the activity that precedes a contralateral arm movement is the sum of a movement plan plus a sensory response. Despite not coding ipsilateral arm movements, about half of neurons discriminate between different patterns of bimanual movements. These results provide direct evidence that PRR neurons represent bimanual reach plans, and suggest that bimanual coordination originates in the sensory-to-motor processing stream prior to the motor cortex, within the PPC.

Spatial eye-hand coordination during bimanual reaching is not systematically coded in either LIP or PRR

When we reach for something, we also look at it. If we reach for two objects at once, one with each hand, we look first at one and then the other. It is not known which brain areas underlie this coordination. We studied two parietal areas known to be involved in eye and arm movements. Neither area was sensitive to the order in which the targets were looked at. This implies that coordinated saccades are driven by downstream areas and not by the parietal cortex as is commonly assumed.

We often orient to where we are about to reach. Spatial and temporal correlations in eye and arm movements may depend on the posterior parietal cortex (PPC). Spatial representations of saccade and reach goals preferentially activate cells in the lateral intraparietal area (LIP) and the parietal reach region (PRR), respectively. With unimanual reaches, eye and arm movement patterns are highly stereotyped. This makes it difficult to study the neural circuits involved in coordination. Here, we employ bimanual reaching to two different targets. Animals naturally make a saccade first to one target and then the other, resulting in different patterns of limb–gaze coordination on different trials. Remarkably, neither LIP nor PRR cells code which target the eyes will move to first. These results suggest that the parietal cortex plays at best only a permissive role in some aspects of eye–hand coordination and makes the role of LIP in saccade generation unclear.

Vision for Prehension in the Medial Parietal Cortex

In the last 2 decades, the medial posterior parietal area V6A has been extensively studied in awake macaque monkeys for visual and somatosensory properties and for its involvement in encoding of spatial parameters for reaching, including arm movement direction and amplitude. This area also contains populations of neurons sensitive to grasping movements, such as wrist orientation and grip formation. Recent work has shown that V6A neurons also encode the shape of graspable objects and their affordance. In other words, V6A seems to encode object visual properties specifically for the purpose of action, in a dynamic sequence of visuomotor transformations that evolve in the course of reach-to-grasp action.We propose a model of cortical circuitry controlling reach-to-grasp actions, in which V6A acts as a comparator that monitors differences between current and desired hand positions and configurations. This error signal could be used to continuously update the motor output, and to correct reach direction, hand orientation, and/or grip aperture as required during the act of prehension.In contrast to the generally accepted view that the dorsomedial component of the dorsal visual stream encodes reaching, but not grasping, the functional properties of V6A neurons strongly suggest the view that this area is involved in encoding all phases of prehension, including grasping.

Early dysfunctions of fronto-parietal praxis networks in Parkinson's disease

In Parkinson’s disease (PD) the prevalence of apraxia increases with disease severity implying that patients in early stages may already have subclinical deficits. The aim of this exploratory fMRI study was to investigate if subclinical aberrations of the praxis network are already present in patients with early PD. In previous functional imaging literature only data on basal motor functions in PD exists. Thirteen patients with mild parkinsonian symptoms and without clinically diagnosed apraxia and 14 healthy controls entered this study. During fMRI participants performed a pantomime task in which they imitated the use of visually presented objects. Patients were measured ON and OFF dopaminergic therapy to evaluate a potential medication effect on praxis abilities and related brain functions. Although none of the patients was apraxic according to De Renzi ideomotor scores (range 62–72), patients OFF showed significantly lower praxis scores than controls. Patients exhibited significant hyperactivation in left fronto-parietal core areas of the praxis network. Frontal activations were clearly dominant in patients and were correlated with lower individual praxis scores. We conclude that early PD patients already show characteristic signs of praxis network dysfunctions and rely on specific hyperactivations to avoid clinically evident apraxic symptoms. Subclinical apraxic deficits were shown to correlate with an activation shift from left parietal to left frontal areas implying a prospective individual imaging marker for incipient apraxia.