1/31. Akinetopsia from nefazodone toxicity.PURPOSE: To investigate two cases of selective impairment of motion perception (akinetopsia) induced by toxicity from the antidepressant nefazodone, a new drug that blocks serotonin reuptake and antagonizes 5-HT2 receptors. methods: case reports. RESULTS: A 47-year-old man receiving nefazodone (Serzone; Bristol-Meyers Squibb, new york, N.Y.) (100 mg twice daily), reported a bizarre derangement of motion perception. Moving objects were followed by a trail of multiple "freeze-frame" images, which dissipated promptly when motion ceased. A 48-year-old woman receiving nefazodone (400 mg daily at bedtime) reported a similar phenomenon, with visual trails following moving objects. In both patients, vision returned to normal after the dosage of nefazodone was reduced or eliminated. CONCLUSIONS: Nefazodone toxicity can result in akinetopsia, characterized by the inability to perceive motion in a normal, smooth fashion; persistence of multiple, strobelike images; and visual trails behind moving objects. In this rare syndrome, stationary elements are perceived normally, indicating that nefazodone causes selective impairment of pathways involved in motion processing in the visual system.- - - - - - - - - - ranking = 1keywords = motion (Clic here for more details about this article) |
2/31. blindness to form from motion despite intact static form perception and motion detection.We studied the motion perception, including form and meaning generated by motion, in a hemianopic patient who also had visual perceptual impairments in her seeing hemifield as a result of a lesion in ventral extrastriate cortex. She was unable to recognise 2- or 3-dimensional forms, and even borders, generated by motion alone, failed to recognise mimed actions or the Johannson 'biological motion' display, and ceased to recognise people well-known to her when they moved. Her performance with static displays, although impaired, could not explain her inability to perceive shape or derive meaning from moving displays. Unlike a motion-blind patient, she can still see and describe the motion, with the exception of second-order motion, but not what it creates or represents.- - - - - - - - - - ranking = 3keywords = motion (Clic here for more details about this article) |
3/31. A transient deficit of motion perception in human.We studied the motion perception abilities in a young adult, SF, who had her right occipito-temporal cortices resected to treat epilepsy. Following resection, SF showed transient deficits of both first- and second-order motion perception that recovered to normal within weeks. Previous human studies have shown either first- or second n order motion deficits that have lasted months or years after cerebral damage. SF also showed a transient defect in processing of shape-from-motion with normal perception of shape from non-motion cues. Furthermore, she showed greatly increased reaction times for a mental rotation task, but not for a lexical decision task. The nature and quick recovery of the deficits in SF resembles the transient motion perception deficit observed in monkey following ibotenic acid lesions, and provides additional evidence that humans possess specialized cortical areas subserving similar motion perception functions.- - - - - - - - - - ranking = 2.2keywords = motion (Clic here for more details about this article) |
4/31. Disordered recognition of facial identity and emotions in three Asperger type autists.In this report we aim to explore severe deficits in facial affect recognition in three boys all of whom meet the criteria of Asperger's syndrome (AS), as well as overt prosopagnosia in one (B) and covert prosopagnosia in the remaining two (C and D). Subject B, with a familially-based talent of being highly gifted in physics and mathematics, showed no interest in people, a quasi complete lack of comprehension of emotions, and very poor emotional reactivity. The marked neuropsychological deficits were a moderate prosopagnosia and severely disordered recognition of facial emotions, gender and age. Expressive facial emotion, whole body psychomotor expression and speech prosody were quasi absent as well. In all three boys these facial processing deficits were more or less isolated, and general visuospatial functions, attention, formal language and scholastic performances were normal or even highly developed with the exception of deficient gestalt perception in B. We consider the deficient facial emotion perception as an important pathogenetic symptom for the autistic behaviour in the three boys. prosopagnosia, the absent facial and bodily expression, and speech prosody were important but varying co-morbid disorders. The total clinical picture of non-verbal disordered communication is a complex of predominantly bilateral and/or right hemisphere cortical deficits. Moreover, in B, insensitivity to pain, smells, noises and internal bodily feelings suggested a more general emotional anaesthesia and/or a deficient means of expression. It is possible that a limbic component might be involved, thus making affective appreciation also deficient.- - - - - - - - - - ranking = 2keywords = motion (Clic here for more details about this article) |
5/31. Beware and be aware: capture of spatial attention by fear-related stimuli in neglect.Stimuli with threat significance may be privileged in summoning attention, allowing fast detection even outside the field of attention. We studied patients with unilateral neglect and visual extinction, who usually remain unaware of contralesional stimuli presented together with concurrent ipsilesional stimuli, to learn whether emotional stimuli might differentially be affected by contralesional extinction. Pictures of spiders or flowers with similar features were presented in right, left, or both fields. On bilateral trials, the patients detected emotional stimuli (spiders) on the left side much more often than neutral pictures (flowers). While mechanisms of spatial attention are impaired after parietal damage in neglect patients, intact visual pathways to the ventral temporal lobe and amygdala might still mediate distinct mechanisms of emotional attention.- - - - - - - - - - ranking = 0.6keywords = motion (Clic here for more details about this article) |
6/31. Unilateral right parietal damage leads to bilateral deficit for high-level motion.patients with right parietal damage demonstrate a variety of attentional deficits in their left visual field contralateral to their lesion. We now report that patients with right lesions also show a severe loss in the perception of apparent motion in their "good" right visual field ipsilateral to their lesion. Three tests of attention were conducted, and losses were found only in the contralesional fields for a selective attention and a multiple object tracking task. Losses in apparent motion, however, were bilateral in all cases. The deficit in apparent motion in the parietal patients supports previous claims that this relatively effortless percept is mediated by attention. However, the bilateral deficit suggests that the disruption is due to a bilateral loss in the temporal resolution of attention to transient events that drive the apparent motion percept.- - - - - - - - - - ranking = 1.6keywords = motion (Clic here for more details about this article) |
7/31. Direction-specific motion blindness induced by focal stimulation of human extrastriate cortex.Motion blindness (MB) or akinetopsia is the selective disturbance of visual motion perception while other features of the visual scene such as colour and shape are normally perceived. Chronic and transient forms of MB are characterized by a global deficit of direction discrimination (pandirectional), which is generally assumed to result from damage to, or interference with, the motion complex MT /V5. However, the most characteristic feature of primate MT-neurons is not their motion specificity, but their preference for one direction of motion (direction specificity). Here, we report that focal electrical stimulation in the human posterior temporal lobe selectively impaired the perception of motion in one direction while the perception of motion in other directions was completely normal (unidirectional MB). In addition, the direction of MB was found to depend on the brain area stimulated. It is argued that direction specificity for visual motion is not only represented at the single neuron level, but also in much larger cortical units.- - - - - - - - - - ranking = 2.2keywords = motion (Clic here for more details about this article) |
8/31. Visuospatial hemi-inattention following cerebellar/brain stem bleeding.Neglect is a unilateral lack of responsiveness to stimuli caused by visuospatial hemi-inattention, a unilateral representation deficit and/or a unilateral hypokinesia. It results most frequently from right-hemisphere brain damage, particularly of the parietal lobe but also of the frontal cortex, the basal ganglia, the thalamus, and recently it has also been described after a cerebellar lesion. We report a patient with right-sided bleeding of the posterior inferior cerebellar artery, who developed a left-sided visual hemi-inattention. She had no visual field defects, yet she had problems detecting left-sided targets in visual extinction. Furthermore, she was impaired in detecting complex motion on the left side and targets in a fixation offset paradigm. Reactions to left-sided targets in covert shifts of attention were slowed in the invalid condition. Her text reading was impaired as she could not always find the initial word of the next line. However, she was aware of her deficit. Her visuoconstructive ability was normal and she gave no indication of tactile or acoustic extinction. As the cerebellar lesion was located in the right hemisphere and the inattention involved the left side of space, we suggest that the damage to the right brain stem led to a transient imbalance of the noradrenergic ascending activation system which may explain her hemi-inattention.- - - - - - - - - - ranking = 0.2keywords = motion (Clic here for more details about this article) |
9/31. Dissociation of affective modulation of recollective and perceptual experience following amygdala damage.It has been suggested that similar neural mechanisms may underlie the affective modulation of both recollective and perceptual experience. A case is reported of a patient who has bilateral amygdala damage and marked impairment in the perception of emotion, particularly fear. The patient DR and 10 healthy control subjects (matched for school leaving age, intelligence quotient, and non-emotional memory performance) were shown a series of slides accompanied by an emotionally arousing narrative. One week later DR and the controls were given a surprise memory test for this material. In addition, they completed a verbal memory test using emotionally arousing stimuli. Both DR and the healthy control subjects showed a normative pattern of enhanced memory for emotional material. On the basis of these results and the previously demonstrated impairment of perception of emotion in this patient, it is concluded that different neural mechanisms may underlie affective modulation of recollective and perceptual experience.- - - - - - - - - - ranking = 1.2keywords = motion (Clic here for more details about this article) |
10/31. Can spatial and temporal motion integration compensate for deficits in local motion mechanisms?We studied the motion perception of a patient, AMG, who had a lesion in the left occipital lobe centered on visual areas V3 and V3A, with involvement of underlying white matter. As shown by a variety of psychophysical tests involving her perception of motion, the patient was impaired at motion discriminations that involved the detection of small displacements of random-dot displays, including local speed discrimination. However, she was unimpaired on tests that required spatial and temporal integration of moving displays, such as motion coherence. The results indicate that she had a specific impairment of the computation of local but not global motion and that she could not integrate motion information across different spatial scales. Such a specific impairment has not been reported before.- - - - - - - - - - ranking = 2.8keywords = motion (Clic here for more details about this article) |
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