PubMed Health⌕ Search

Biomedical subjects

J Zihl

Publications and source records attributed to J Zihl.

At least 55 records · Page 3Linked to original sources

Selective disturbance of movement vision after bilateral brain damage.

A patient who suffered bilateral posterior brain damage exhibited disturbance of movement vision in a rather pure form. The patient had no impression of movement in depth, and could only discriminate between a stationary and a moving target in the periphery of her otherwise intact visual fields. She had some movement vision in the central part of her visual fields, provided that target velocity did not exceed 10 deg/s. Neither did she possess visual movement after effects nor apparent (phi) visual movement. In addition, visually guided eye and finger movements were impaired. In contrast to the disturbance of movement perception in the visual modality, movement perception elicited by acoustic and tactile stimuli was not impaired. On the basis of the localization of the cerebral damage (as judged by CT scanning and neuropsychological testing) it is concluded that the observed disorder in movement vision is due to bilateral cerebral lesions affecting the lateral temporo-occipital cortex and the underlying white matter. The selectivity of the visual disturbance supports the idea that movement vision is a separate visual function depending on neuronal mechanisms beyond the primary visual cortex.

Adult↗

Restitution of visual field in patients with damage to the geniculostriate visual pathway.

Previous experiments have investigated the effect of specific practice on partially blinded monkeys after striate cortex lesions. Similar procedures were adapted for patients suffering homonymous field defects due to geniculostriate damage. Both methods, light detection and saccadic localization, led to an enlargement of the visual field. The amount of this enlargement depended on the eccentricity of the field border as well as on the level of light sensitivity in the region between the intact field and the scotoma. Recovery of visual field included the reappearance of various visual functions (e.g. visual acuity, color identification). In periods without training visual field did not recover. It is hypothesized that recovery can take place at the level of the striate cortex, and is mediated by structures interacting with the striate cortex, e.g. the superior colliculus.

Adult↗

Recovery of visual functions in patients with cerebral blindness. Effect of specific practice with saccadic localization.

Patients with homonymous visual field defects after damage to the geniculo-striate pathway were forced to make saccadic eye movements to light targets presented briefly in their perimetrically blind regions. This specific type of saccadic localization led to an increase in visual field size in the region subjected to this practice. Visual acuity and color identification also improved in the restored region, provided that the lesion was mainly limited to the striate cortex. The enlargement of the visual field strongly depended on a specific practice. The degree of recovery was related to the sharpness of the visual field border. In patients with a rather shallow gradient of light sensitivity in the area between the intact visual field and the scotoma, a fairly good recovery was obtained, whereas in patients with a steeper gradient the enlargement of the visual field was small. It is suggested that recovery takes place at the level of the striate cortex and is probably mediated by the retino-tectal pathway.

Adult↗

Registration of light stimuli in the cortically blind hemifield and its effect on localization.

Patients who suffer from unilateral damage to the geniculostriate system were asked to make a voluntary blink response whenever they guessed that a light stimulus was presented in their perimetrically blind hemifield. After about 600 trials they were able to register the presence of a light stimulus appearing in the 'blind' part of their visual field without any conscious visual access and, additionally, without any link to correct verbal responses. The patients' ability to localize targets presented in the hemianopic part of the visual field was at a high level of accuracy (as judged by their saccadic responses) after this procedure. The results indicate that there is a common extrastriate visual pathway subserving the performance in registration and localization of visual stimuli.

Adult↗

Phasic electrodermal responses after visual stimulation in the cortically blind hemifield.

Phasic electrodermal responses were recorded after presenting targets within the blind part of the visual field to patients with damage to the geniculostriate pathway. The results suggest that the electrodermal component of the orienting response can also be elicited after damage to the visual cortex. The electrodermal responses are interpreted in terms of registration of a visual stimulus. This registration seems to be mediated by extrastriate pathways.

Dominance, Cerebral↗

Colour anomia restricted to the left visual hemifield after splenial disconnexion.

In a patient with damage to the right occipital lobe and to the splenium of the corpus callosum, an incomplete colour anopia in the left upper quadrants and a colour anomia was found for the complete left visual hemifield beyond 2 degrees eccentricity. The patient had no difficulty in recognising coloured targets when presented in the periphery of the left visual hemifield and in the foveal region, but could not name them correctly. The results suggest that the lesion of the splenium of the corpus callosum disconnects the right visual cortex from the language areas of the left hemisphere, and the specific disturbance of colour naming is the consequence.

Adult↗

Collicular function in human vision.

Threshold elevation in the periphery of the visual field as a consequence of repetitive stimulation can be abolished by stimulating a mirror-symmetric position in the contralateral visual half-field. A patient suffering from a congenital malformation of the right superior colliculus did not exhibit threshold elevation when stimulated repeatedly in the left visual field. Stimulation in the right visual half-field resulted in the usually observed threshold elevation, but stimulating a mirror-symmetric position in the left visual half-field did not abolish threshold elevation in the right half-field. These observations suggest that: (a) threshold elevation probably occurs as a consequence of collicular adaptation and (b) the mirror-symmetrically organized interhemispheric interaction is mediated at the collicular level.

Dominance, Cerebral↗

Roving eye movements with bilateral symmetrical lesions of the thalamus.

Typical roving eye movements (pendular deviations of the bulbi) were observed in a 41-year-old patient with bilateral symmetrical softenings in the anterior thalamic region. They constantly appeared after lid closure with a mean latency of 7.3 sec. The mean frequency was 0.25 cps, the mean amplitude 30 degrees. The phenomenon of roving eye movement is discussed with regard to the supranuclear structures regulating binocular eye movements.

Adult↗

The contribution of the 'second' visual system to directed visual attention in man.

The visual functions of a patient suffering from a brain lesion incorporating the left n. pulvinar was examined in order to assess the contribution of this structure to human vision. With the exception of the following abnormalities visual functions were normal. First, there was a decrease in the critical flicker frequency in the periphery (but not in the parafoveal region) of the right visual hemifield, that is, that contralateral to the pulvinar lesion. However, the second and most striking characteristic was--as shown by presenting visual stimuli bilaterally and simultaneously-a 'neglect' for the periphery of this contralateral visual half-field. This 'neglect' was a function of (a) position in the visual field (eccentricity), (b) stimulus properties (size and luminance), (c) temporal properties (length of presentation and interstimulus interval). In addition to this reduced capacity to detect stimuli appearing in the periphery of the right visual hemifield, there was also prolonged latency of visually evoked saccadic eye movements and a paucity of spontaneous eye movements directed towards the right visual hemifield. These results are interpreted in terms of a contribution of the n. pulvinar to the detection of light stimuli presented in the periphery of the visual field, and support the view that the tectopulvinar extrastriate visual pathway plays an important role in the control of visual attention.

Attention↗

Restitution of visual function in patients with cerebral blindness.

Patients with postchiasmatic visual field defects were trained at the border of their visual field. Using a psychophysical method, light-difference thresholds were determined repeatedly in this visual field area. Improvement in contrast sensitivity and increase in size of the visual field could be obtained by this training procedure. The improvement was confined to the trained visual field area and showed interocular transfer indicating its central nature. Althoughh only contrast sensitivity was trained, the observed improvement was not limited to this visual function. Visual acutity, critical flicker fusion, and colour perception also showed and improvement suggesting an association of these functions. The improvement was restricted to the training period-no spontaneous recovery was observed between or after the periods of training. It is suggested that a lesion in the central visual system does not always result in a complete and permanent loss of function. The critical level of function that normally has to be reached for sufficient neuronal sensitivity may be obtained by systematic visual stimulation in the area between the intact and blind parts of the visual field. This increase in neuronal sensitivity leads to an improvement in visual performance.

Adult↗

[The frequency of rapid eye movements and blinks as an activation indicator (author's transl)].

Electrooculographic (EOG) records were studied in 10 neurological patients with disturbances of activation according to clinical assessment and in 12 normal subjects. Rapid horizontal eye movements (saccades) and movements of the eyelids (blinks) were measured. It was concluded that the frequency distribution of blinks and saccades indicates activation deficits in a sensitive and reliable way. The continuous decrease of activation from orthological to pathological states could be shown by counting the frequencies of blinks and saccades. The relationship between the two variables is interpreted with regard to its functional significance.

Adolescent↗