Perceiving "ghost" images: a unique case of visual allesthesia with hemianopsia in mitochondrial disease

Action blindsight and antipointing in a hemianopic patient

Blindsight refers to the observation of residual visual abilities in the hemianopic field of patients without a functional V1. Given the within- and between-subject variability in the preserved abilities and the phenomenal experience of blindsight patients, the fine-grained description of the phenomenon is still debated. Here we tested a patient with established "perceptual" and "attentional" blindsight (c.f. Danckert and Rossetti, 2005). Using a pointing paradigm patient MS, who suffers from a complete left homonymous hemianopia, showed clear above chance manual localisation of 'unseen' targets. In addition, target presentations in his blind field led MS, on occasion, to spontaneous responses towards his sighted field. Structural and functional magnetic resonance imaging was conducted to evaluate the magnitude of V1 damage. Results revealed the presence of a calcarine sulcus in both hemispheres, yet his right V1 is reduced, structurally disconnected and shows no fMRI response to visual stimuli. Thus, visual stimulation of his blind field can lead to "action blindsight" and spontaneous antipointing, in absence of a functional right V1. With respect to the antipointing, we suggest that MS may have registered the stimulation and subsequently presumes it must have been in his intact half field.

Phantoms on the hands: Influence of the body on brief synchiric visual percepts

Recent studies have found preferential responses for brief, transient visual stimuli near the hands, suggesting a link between magnocellular visual processing and peripersonal representations. We report an individual with a right hemisphere lesion whose illusory phantom percepts may be attributable to an impairment in the peripersonal system specific to transient visual stimuli. When presented with a single, brief (250 ms) visual stimulus to her ipsilesional side, she reported visual percepts on both sides - synchiria. These contralesional phantoms were significantly more frequent when visual stimuli were presented on the hands versus off the hands. We next manipulated stimulus duration to examine the relationship between these phantom percepts and transient visual processing. We found a significant position by duration interaction, with substantially more phantom synchiric percepts on the hands for brief compared to sustained stimuli. This deficit provides novel evidence both for preferential processing of transient visual stimuli near the hands, and for mechanisms that, when damaged, result in phantom percepts.