Visual processing of words in a patient with visual form agnosia: A behavioural and fMRI study

Patient D.F. has a profound and enduring visual form agnosia due to a carbon monoxide poisoning episode suffered in 1988. Her inability to distinguish simple geometric shapes or single alphanumeric characters can be attributed to a bilateral loss of cortical area LO, a loss that has been well established through structural and functional fMRI. Yet despite this severe perceptual deficit, D.F. is able to “guess” remarkably well the identity of whole words. This paradoxical finding, which we were able to replicate more than 20 years following her initial testing, raises the question as to whether D.F. has retained specialized brain circuitry for word recognition that is able to function to some degree without the benefit of inputs from area LO. We used fMRI to investigate this, and found regions in the left fusiform gyrus, left inferior frontal gyrus, and left middle temporal cortex that responded selectively to words. A group of healthy control subjects showed similar activations. The left fusiform activations appear to coincide with the area commonly named the visual word form area (VWFA) in studies of healthy individuals, and appear to be quite separate from the fusiform face area. We hypothesize that there is a route to this area that lies outside area LO, and which remains relatively unscathed in D.F

The Magic Grasp: Motor Expertise in Deception

Background: Most of us are poor at faking actions. Kinematic studies have shown that when pretending to pick up imagined objects (pantomimed actions), we move and shape our hands quite differently from when grasping real ones. These differences between real and pantomimed actions have been linked to separate brain pathways specialized for different kinds of visuomotor guidance. Yet professional magicians regularly use pantomimed actions to deceive audiences. Methodology and Principal Findings: In this study, we tested whether, despite their skill, magicians might still show kinematic differences between grasping actions made toward real versus imagined objects. We found that their pantomimed actions in fact closely resembled real grasps when the object was visible (but displaced) (Experiment 1), but failed to do so when the object was absent (Experiment 2). Conclusions and Significance: We suggest that although the occipito-parietal visuomotor system in the dorsal stream is designed to guide goal-directed actions, prolonged practice may enable it to calibrate actions based on visual inputs displaced from the action

Neural correlates of hand-tool interaction

Background: The recent advent of non-invasive functional magnetic resonance image (fMRI) has helped us understand how visual information is processed in the visual system, and the functional organising principles of high-order visual areas beyond striate cortex. In particular, evidence has been reported for a constellation of high-order visual areas that are highly specialised for the visual processing of different object domains such as faces, bodies, and tools. A number of accounts of the underlying principle of functional specialisation in high-order visual cortex propose that visual properties and object domain drive the category selectivity of these areas. However, recent evidence has challenged such accounts, showing that non-visual object properties and connectivity constraints between specialised brain networks can, in part, account for the visual system’s functional organisation. Methodology: Here I will use fMRI to examine how areas along the visual ventral stream and dorsal action stream process visually presented hands and tools. These categories are visually dissimilar but share similar functions. By using different statistical analyses, such as univariate group and single-subject region of interest (ROI) analyses, multivariate multivoxel pattern analyses, and functional connectivity analyses, I will investigate the topics of category-selectivity and the principles underlying the organisation of high-order visual areas in left occipitotemporal and left parietal cortex. Principle Findings: In the first part of this thesis I report novel evidence that, similar to socially relevant faces and bodies, the human high-order visual areas in left occipitotemporal and left parietal cortex houses areas that are selective for the visual processing of human hands. In the second part of this thesis, I show that the visual representation of hands and tools in these areas show large anatomical overlap and high similarity in the response patterns to these categories. As hands and tools differ in visual appearance and object domain yet share action-related properties, the results demonstrate that these category-selective responses in the visual system reflect responses to non-visual action-related object properties common to hands and tools rather than to purely visual properties or object domain. This proposition is further supported by evidence of selective functional connectivity patterns between hand/tool occipitotemporal and parietal areas. Conclusions/Significance: Overall these results indicate that high-order visual cortex is functionally organised to process both visual properties and non-visual object dimensions (e.g., action-related properties). I propose that this correspondence between hand and tool representations in ventral ‘visual’ and parietal ‘action’ areas is constrained by the necessity to connect visual object information to functionally-specific downstream networks (e.g., frontoparietal action network) to facilitate hand-tool action-related processing.EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Structural and Functional Changes across the Visual Cortex of a Patient with Visual Form Agnosia

Loss of shape recognition in visual-form agnosia occurs without equivalent losses in the use of vision to guide actions, providing support for the hypothesis of two visual systems (for “perception” and “action”). The human individual DF received a toxic exposure to carbon monoxide some years ago, which resulted in a persisting visual-form agnosia that has been extensively characterized at the behavioral level.We conducted a detailed high-resolution MRI study of DF’s cortex, combining structural andfunctional measurements.We present the first accurate quantification of the changes in thickness across DF’s occipital cortex, finding the most substantial loss in the lateral occipital cortex (LOC). There are reduced white matter connections between LOC and other areas. Functional measures show pockets of activity that survive within structurally damaged areas. The topographic mapping of visual areas showed that ordered retinotopic maps were evident for DF in the ventral portions of visual cortical areas V1, V2, V3, and hV4. Although V1 shows evidence of topographic order in its dorsal portion, such maps could not befound inthe dorsal parts of V2 and V3. We concludethat it is not possibleto understandfully the deficits in object perception in visual-form agnosia without the exploitation of both structural and functional measurements. Our results also highlight for DF the cortical routes through which visual information is able to pass to support her well-documented abilities to use visual information to guide actions

Left lateral occipito-temporal cortex encodes compatibility between hands and tools: an fMRI adaptation study

Previous work has demonstrated that a region of the extrastriate visual cortex, the left lateral occipito-temporal cortex, contains a region that is activated by both images of human hands and manual tools. The current paper examined the functional significance of this observation. A functional Magnetic Resonance Imaging (fMRI) adaptation paradigm was used to investigate the hypothesis that this region is selective for the functional compatibility of hands and tools. The present results suggest that this region is indeed involved in matching compatible hands postures with tools for their skilled and effective use, with significant adaptation with successive presentation of compatible hands and tools. It is proposed that this region of the extrastriate visual cortex represents a crucial node within a much wider cortical network that supports skilled tool use in humans. The present results are discussed in terms of their implication for our understanding of the organization of the visual brain

Left lateral occipito-temporal cortex encodes compatibility between hands and tools: an fMRI adaptation study

Previous work has demonstrated that a region of the extrastriate visual cortex, the left lateral occipito-temporal cortex, contains a region that is activated by both images of human hands and manual tools. The current paper examined the functional significance of this observation. A functional Magnetic Resonance Imaging (fMRI) adaptation paradigm was used to investigate the hypothesis that this region is selective for the functional compatibility of hands and tools. The present results suggest that this region is indeed involved in matching compatible hands postures with tools for their skilled and effective use, with significant adaptation with successive presentation of compatible hands and tools. It is proposed that this region of the extrastriate visual cortex represents a crucial node within a much wider cortical network that supports skilled tool use in humans. The present results are discussed in terms of their implication for our understanding of the organization of the visual brain

Reprint of: Visual processing of words in a patient with visual form agnosia: A behavioural and fMRI study

© 2014 Elsevier Ltd. Patient D.F. has a profound and enduring visual form agnosia due to a carbon monoxide poisoning episode suffered in 1988. Her inability to distinguish simple geometric shapes or single alphanumeric characters can be attributed to a bilateral loss of cortical area LO, a loss that has been well established through structural and functional fMRI. Yet despite this severe perceptual deficit, D.F. is able to "guess" remarkably well the identity of whole words. This paradoxical finding, which we were able to replicate more than 20 years following her initial testing, raises the question as to whether D.F. has retained specialized brain circuitry for word recognition that is able to function to some degree without the benefit of inputs from area LO. We used fMRI to investigate this, and found regions in the left fusiform gyrus, left inferior frontal gyrus, and left middle temporal cortex that responded selectively to words. A group of healthy control subjects showed similar activations. The left fusiform activations appear to coincide with the area commonly named the visual word form area (VWFA) in studies of healthy individuals, and appear to be quite separate from the fusiform face area (FFA). We hypothesize that there is a route to this area that lies outside area LO, and which remains relatively unscathed in D.F

Redundant target effect and intersensory facilitation from visual-tactile interactions in simple reaction time

In a simple reaction time (RT) task, normal observers responded faster to simultaneous visual and tactile stimuli than to single visual of tactile stimuli. RT to simultaneous visual and tactile stimuli was also faster than RT to simultaneous dual visual or tactile stimuli. The advantage for RT to combined visual-tactile stimuli over RT to the other types of stimulation could be accounted for by intersensory neural facilitation rather than by probability summation. The direction of gaze (and presumably of visual attention) to space regions near to or far from the site of tactile stimulation had no effect on tactile RT. However, RT to single or dual tactile stimuli was fastest when observers could see the sites of tactile stimulation on their hands both directly and through a mirror at the same time. All these effects can be ascribed to the convergence of tactile and visual inputs onto neural centers which contain flexible multimodal representations of body parts