Glen Calvin Psychology 321 Dr. Morgan 12/3/99 The Visual Cortex The area of the human brain which converts light energy into a nervous impulse and perceive the world around us is known as the visual cortex. Although the complete extent of the human visual cortex is still unmapped, we do know that most of the occipital lobe and parts of the inferior temporal cortex and posterior parietal cortex serve visual functions (Peters 283). Total size of this visual cortex is between 150 and 250 cubic centimeters of the 800 cubic cm in each hemisphere (Peters 283). The physical structure of our visual system is both layered and columnar, with columns about 2mm deep and 30-100 micrometers wide (Martin 114). The human visual system is made up of the eye which converts light energy into all or none electrical impulses, the optic nerve, which delivers this information to the dorsal lateral geniculate nucleus of the thalamus (LGN), and the primary visual (striate) cortex (Carlson 172). Also known as Brodmann's Area 17, the primary visual cortex is also called the striate cortex because it has a distance strip of white matter known as the Stria of Genari, which itself is the result of the termination of a large number of myelinated axons extending from the lateral geniculate nucleus in layer IV (Martin 114). This 'optic radiation' from the LGN is approximately three millimeters thick (Martin 114). The LGN projections end almost exclusively in the striate cortex, making it a 'gateway' for visual info to reach the rest of the neo- cortex (Rose 65). At least 20 subcortical structures and nuclei have been identified as projecting information to the occipital lobe (Peters 369). Damage to the parts of the visual system connections between the eye and the primary visual cortex result in blindness is all or part of the visual field (Carlson 172). The primary visual cortex, also abbreviated V1 (Logothetis 70), which receives information form the visual system is located at the back of the brain on the inner surfaces of the cerebral hemispheres, primarily on the upper and lower banks of the calcarine or 'spur shaped' fissure (Carlson 68). Most inputs to the visual association cortex which helps organize and interpret visual info, come from the striate cortex (Carlson 171), which we now know sends the information on to at least two dozen separate cortical regions (Logothetis 70). In 1982, Ungerleider and Mishkin stated that the info received by the striate cortex is split in two "streams of analysis", one of which flows downward into the inferior temporal cortex, and the other which flows up into the posterior parietal lobe (Carlson 172). The roles of these cortexes have also been determined, with the ventral, temporal cortex stream being responsible for determining 'what an object or pattern is', and the dorsal, parietal lobe stream recognizing "where an object is located" (Carlson 172). Earlier, in 1969, Schnieder called these the geniculostriate pathway (for identifying stimuli and pattern discrimination), and the retinotectal pathway for spatial recognition (Martin 115). The striate cortex projects its axons and information to the extrastriate cortex, or visual association areas surrounding it (Carlson 173). This 'prestriate' or 'circumstriate' cortex contains specialized neurons which respond to specific visual information like orientation, motion, spatial frequency, retinal disparity, or color (Carlson 173). Because any loss of brain tissue can have dramatic effects on brain functioning, it is necessary to continue charting the known functions of the human brain. there are now five major approaches to experimental techniques for revealing the organization of the visual cortex (Peters 260). These include architectonics, the study of cortical structure through staining and magnification; connectivity patters which map cortical inputs and outputs from cortical areas or subcortical nuclei; topographic mapping which uses topographically oriented physiological or anatomical techniques; physiological functioning which identifies visual areas and determines their extent using single unit recording PET scans; and behavioral analysis of lesion, stimulation, or inactivation effects on an area which examines specific changes in visual performance (Peters 261 264). Although a functional deficit in behaviour or perception after a circumscribed experimental brain lesion following a tumor, trauma, or stroke may implement that damaged or destroyed area as being necessary for a specific function, it does not always indicate 'localization' at this specific area (Creutzfeldt 274). Often, patients who have part of their visual cortex surgically removed do not at first notice or feel anything (Lausch 73). Neurosurgeon Wilder Penfield wrote "I have found it necessary... to remove large areas of cerebral cortex form a patient while he was still conscious, using local anesthesia. As long as the brain stem is not molested, the patient remains conscious and, curiously enough, is not aware of any changes until he turns his attention to a proposition that calls for specific use of the removed portion of his cerebral cortex" (Lausch 73). Blindsight phenomenon (caused by damage to the PVC or the optic radiations leading to it) shows that visual info can control behaviour without producing a conscious sensation (Carlson 171). Blindsight patients have been known to point to objects in the 'blindspots' of their visual field and can determine the size and orientation of objects located there, but will deny being aware of any object located there (Carlson 172). The influence of the amygdalofugal fibers on the visual cortex is yet unknown, but it is possible that throughout the amygdala, behavioral states could play a role in visual info processing in occipital areas (Peters 360). A lesion to a small portion of the human extrastriate cortex in the medial occipital lobe (Area V4) can result in loss of color vision without interrupting visual focus and sharpness (Carlson 174). This is known as achromatopsia or "vision without color", and unless the brain damage is bilateral, people will lose color in only half their visual field (Carlson 174). This type of trauma also renders the sufferer unable to imagine or remember colors before the brain damage (Carlson 174). Central achromatopsia (dyschromatopsia) involves a loss of color vision due to a lesion of the visual pathways (optic nerve, chiasm or both), and can occur with unilateral inferior occipital lobe lesions (Martin 230). This disorder can affect one color more that another, and patients can perform verbal tasks related to color, such as correctly answering the question "what color is blood?" (an incorrect answer would indicate specific color aphasia (Martin 230). Damage to the human visual association cortex can result in visual agnosia or "failure to know" (Carlson 177). There are two types of this agnosia, apperceptive, which is a failure in 'higher perception', and associative agnosia, which is a kind of disconnection between the perception and verbal areas (Carlson 177). Bilateral damage to certain areas of the association cortex (area V5) can produce agnosia for movement such as an inability to judge the speed of a moving object (Carlson 181). While bilateral damage to the parieto-occipital border region can cause Balint's syndrome, a condition with three types of symptoms (Carlson 182). Optic ataxia is a disturbance of hand, eye reaching coordination; occular apraxia is an inability to systematically scan the contents of a room or picture; simultanagnosia is an inability to perceive two different objects simultaneously (Carlson 182). An area of complete blindness caused by damage to the striatal cortex is called a scotoma (Martin 223). Scotoma which comes from the Greek word skotos for dark is misleading because the patient does not see blackness, and do not 'see' their scotoma (Creutzfeldt 275). The scotoma is acknowledged when the patient bumps into whatever was 'hiding' there. Lesions to the right parietotemporal cortex result in spatial neglect disorders where patients ignore entire areas of their field of view (Martin 247). Complete bilateral destruction of area 17 in humans causes contical blindness possibly leaving the patient only the ability to roughly locate bright light sources (Creutzfeldt 276). Any cooling or ablation of striate cortex blocks signals from the adjoining and deep layers of the visual cortex (Rose 65). A normal, undamaged primate visual system has great capacity for recognizing objects regardless of the many different images the object may form by changing its size, perspective, contrast, color, or even by partial obstruction by other visual stimuli (Schiller 342). The extrastriate visual cortex areas serve a complex elaborate, and interactive function in the visual process (Schiller 342). Bibliography Carlson, Neil R. Psysiology of Behavior 6th edition Allyn and Bacon, Boston, 1998. Creutzfeldt, O.D. Cortex Cerebri Oxford University Press inc., New York 1995. Lausch, Erwin Manipulation Dangers and Benefits of Brain Research The Viking Press, New York 1974. Logothetis, Nikosk "Vision a Window on Consciousness" Scientific American Vol 281 number 5 November 1999 New York Martin, Neil G. Human Neuropsychology Prentice Hall, London. 1999. Peters, Alan Cerebral Cortex vol 3 Visual Cortex Plenum Press, New York 1985. Rose, David Models of the Visual Cortex Jhn Wiley and Sons, Chichester, 1985. Schiller, Peter H. "Effects of lesions in visual cortex area V4 on the recognition of transformed objects" Nature vol 376. No 6538, 27 July 1995. Lesions of the Occipital Cortex from the Perspective of the Neuropsychologist Allison Horton In order to understand why a neuropsychologist would be interested in studying lesions to the occipital cortex, one must first have a clear picture of what a neuropsychologist is and what they do. A neuropsychologist is a scientist with a Ph.D. in psychology and one who has also had specialized training in the principles and procedures of neurology, the branch of science dealing with the nervous system and its diseases (Carlson 16). The purpose of a neuropsychologist's work is to "establish relationships between functions such as motor/sensory behavior, cognition, perception, mood, emotion and brain activity and structure" (Martin 2). According to J.G. Beaumont (an author in this field), neuropsychology is the "scientific study of the relationship between the brain and mental life" (Martin 3). Therefore, in order to understand the relationships between brain functions and behavior, neuropsychologists conduct clinical studies of patients with damage to the brain and spinal cord. Since it is clearly unethical to purposely damage a human brain in order to observe the effects of the damage, neuropsychologists study people who have suffered from brain tumors or lesions, strokes, or other trauma to the head. By studying the effects of brain damage on behavior, neuropsychologists can determine the different areas of the brain that are responsible for certain behaviors. Neuropsychologists and other researchers have long been interested in the functions of the occipital cortex because its exclusive purpose involves vision, which is said to be the most dominant of the senses. Although vision is the main function of the occipital lobe, other areas of the cortex play a role in vision as well because there is no specific anatomical division between the occipital, temporal, and parietal cortex (Kolb & Whishaw 243). The occipital cortex and its surrounding areas are multi- faceted and very complex, but with rapid increases in technology, new information has been found regarding the functions of the occipital cortex and visual systems in general. The occipital lobe (also referred to as the striate cortex, Area 17, or V1) is located at the very back of the cerebral hemispheres and contains the primary visual cortex. The primary visual cortex receives sensory information from different pathways including axons extending from the lateral geniculate nucleus (LGN) of the thalamus. This illustrates that the occipital lobe is a complex information processing area where input received from the eyes travels through specific visual pathways and finally ends up in the primary visual cortex where neural stimulation is translated into vision. It probably isn't too surprising that damage to the occipital cortex results in extremely unusual perceptual behavior. Although the primary function of the occipital lobe is vision, separate anatomical regions within the occipital lobe are involved in the perception of form, movement, and color (Kolb & Whishaw 263). Therefore, if a person sustains a lesion to a specific part of the occipital lobe, they may lose certain aspects of vision, while other parts may remain intact. It is these changes in perception that interest neuropsychologists as they study effects of damage to the occipital cortex. Neuropsychologists and other vision researchers use many different techniques to measure the amount of vision that has been lost due to damage in certain parts of the visual system. For example, a procedure known as perimetry is used to assess a patient's visual field. During this procedure, the patient has one eye covered and the open eye staring at a fixed point while a dim light is moved around slowly in front of the patient's open eye and the patient reports when the spot disappears (Sekuler & Blake 114). With this test, the spot would disappear at some point for all individuals (not only those who have sustained damage to the occipital lobe) because everyone has some blindspots on their eyes, but in a person who has a lesion in the occipital lobe, the effects would be different. Small lesions in the occipital lobe produce blindspots, known as scotomas, but the strange thing is that the patients are totally unaware of the defect. Since the eyes are usually in constant motion, other portions of the visual system can compensate for the damaged areas and create normal perception of the stimulus. In order to prove to the patient that their scotoma is real, the visual system must be "tricked" by placing an object directly within the blindspot and asking what the object is. If the patient cannot describe the object, it is then moved out of the scotoma and suddenly "appears" in the normal region of the visual field (Kolb & Whishaw 252). Another unusual phenomenon that can occur after damage to the occipital lobe is visual agnosia. A patient with visual agnosia is "unable to recognize objects or their pictorial representations, or to draw or copy them" (Kolb & Whishaw 256). Neuropsychologists studied a 35-year-old visual agnosic woman who suffered damage to the lateral occipital region from carbon monoxide poisoning. The woman was able to recognize objects, but she couldn't recognize drawings of the objects. In addition, although she could draw the objects from memory, she couldn't look at an object and draw it, nor could she copy line drawings. From these different assessments, neuropsychologists concluded that the woman had serious defects in form perception (Kolb & Whishaw 257). There are many other tests that neuropsychologists use to measure the perceptual damage that has occurred as a result of an occipital lesion; unfortunately, not much can be done to help correct perceptual defects after the damage has been done. However, continual research is useful in discovering the different aspects of the brain that are responsible for certain behaviors. Hopefully, someday new discoveries will be made to help those who have encountered life-altering changes due to severe brain damage. References: Carlson, N. Physiology of Behavior. Boston: Allyn and Bacon, 1998. Kolb, B. & Whishaw, I. Fundamentals of Human Neuropsychology. New York: W. H. Freeman and Company, 1980. Martin, Neil G. Human Neuropsychology. London: Prentice Hall, 1999. Sekuler, B. & Blake, R. Perception. New York: McGraw- Hill, Inc., 1994. Jeanne Quirk Psych 321 December 3, 1999 Lesions in the visual cortex from a neurologists view Of all the senses, vision is the most widely used sense by humans. Some 80% of our sensory input is visual, it is because of this that much is known about vision. More cortex in the human brain is devoted to vision than any other function. The visual cortex primary functions are form, location, movement, and color. The visual pathways are also resposible for transmitting information from the eye to different parts of the brain. There is much disagreement amoung neurologists about the exact boundaries in the brain of the occipital cortex. The three clear areas involved in vision are the calcarine sulcus, calcarine fissure, and the lingual gyrus A neurologist is a doctor interested in the diagnosis and treatment of disorders of the central nervous system. Medical practice is the primary interest of a neurologist although a few do research to advance our understanding of the biological basis of behavior. The tools used by a neurologist to study lesions of the occipital cortex vary according to the disfunction of vision. A tool used to define the exact areas of loss in the visual field is perimetry. When using perimetry the patient is asked to focus on a black dot on a large white hemisphere while a light is moved around the area to define what the patient can and cannot see. Another tool include the placement of objects in the part of the visual field that is damaged to see if the patient knows they are there without actually seeing them. This is used to decipher whether more specific areas of the visual cortex are functioning while the lower ones are not, showing the area of the lesion to further advance treatment of the patient. Patients with damage to the visual cortex may also be asked to draw pictures of objects in front of them and then to draw them from memory this tool is used to define disfunction in form perception. There are many disorders associated with lesions to the visual cortex. The locus and severity of the lesion differentiate between disorders, i.e. a bilateral lesion will produce a greater loss of the visual field. A lesion in one area of the visual cortex will produce a loss of one or more of the above named functions. The visual cortex is composed of six different regions each with its own function, they are known as V1, V2, V3, V3A, V4, and V5. There are also pathways in the visual cortex that result in the loss of visual field when lesions occur. These pathways are known as the optic nerve, optic chiasma, optic tract, and lateral geniculate nucleus. V1 or the Striate cortex has a complex heterogeneous organization. The organization of this area was discovered using staining for an enzyme, cytochrome oxidase which stained blobs in the cortex for different functions, color perception, and form and motion perception respectively. Lesions to this area result in the loss of cognition of visual stimuli. Patients act as though they are blind but tests show the visual stimuli can get to higher pathways i.e., the LGN and V2 without the patient actually seeing the object but 'feeling' where or what it is. This phenomenon is called cortical blindness, no actual cognition of the visual stimuli but the ability to report the location to the stimuli. This proves that the striate cortex is needed to function for the perception to get to higher levels, color, movement, and form. V2 is also heterogeneous in function but organized differently than V1. The striate cortex is organized in areas of blobs whereas V2 is organized in many layers. The idea is the same for both areas they just have different ways of processing information. One type of layer is for color perception and the other layer is for form and movement. This may be an evolutionary advantage, a damage to one of these areas does not result in the complete loss of visual input and perception. V3, V4, and V5 have more specialized functions than V1 and V2, therefore lesions to these areas produce more specific loss of vision. A lesion in V3 will result in some loss of form, the shape of an object in motion or the ability to locate an object. Some cases only lose the ablitiy to see an object in motion, some only lose the ability to locate an object. This shows that the visual cortex analyzes movement of form differently from location of a form. Loss of color sight and recognition results from a lesion to V4. These patients see everything in shades of grey and can eventually lose all memory of color and the ability to imagine color. Proving that these functions are dependent on some of the occipital cortex. A lesion in V5 of the visual cortex results in the loss of the ability to perceive objects in motion. The patient can focus on still objects but when the object is in motion it just disappears. Lesions in the cortex are not the only lesions that can result in the loss of vision. Disorders of visual pathways can also result in the loss of vision in a certain portion of the visual field. A lesion on the optic nerve results in the loss of vision in the eye associated with that nerve or monocular vision. Hemianopia or the partial loss of vision in the opposite halves of visual fields both eyes results from a lesion to the optic chiasm. The area of loss in the visual field depends on the locus of the lesion on the optic chiasm. A lesion in the optic tract causes a disorder known as homonymous hemianopia, or the loss of vision in half the visual field for each eye. The central area of the visual field is preserved in these disorders, the reason for this is unknown. One current theory is that the central region received twice as much blood from two different arteries, and the other theory is that the fovea of the retina projects to both areas even if one occipital lobe is damaged the other recieves information from the fovea. Small blindspots in the visual field that often go unnoticed are called scotomas. These blindspots are a result of a lesion to the occipital cortex. They often go unnoticed by patients because the eye constantly corrects for the missing visual information by moving around the area of loss to perceive the whole image. Visual agnosia is a visual disorder that results from bilateral damage to the lateral occipital region, usually caused by carbon monoxide poisoning. This disorder is characterized by the inability to recognize or draw objects themselves or their pictoral representations. Some cases result in the inability to draw objects from memory but can guide hand movements toward objects that could not be percieved. A similar disorder, optic ataxia, results in the opposite. The patient cannot guide hand movements for different objects. These two disorders, taken together show that perception of object form is completely different from visually guided hand movements. Both of these disorders results from lesions to the bilateral occipital lobes. Two more disorders resulting from occipital-temporal lesions are prosopagnosia, the inability to recognize faces and alexia, the inability of read. Prosopagnosia results from a lesion to the right occipital-temporal lobe. The severity of this disorder can extend to the inability of the patient to recognize their own face in the mirror. Many patients can process information from faces such as lipreading or imitate facial expressions. Alexia results from a lesion to the left occipital-temporal region. These two disorders together show that face identification and picking out speech information do not use the same area of the brain, or that the two areas are asymetrical. The visual cortex as a whole serves a variety a purposes for humans. We use more visual stimuli than any other sensory input. The breakdown of the occipital lobe specifies a variety of functions, form, movement, and color. Our ability to see our environment is one of the reasons humans are so interesting. No other animal has the accuracy of vision or the amount of brain space given to vision. We are still learning what some of the specific functions of the occipital cortex are. These findings will one day help us treat blindness in the future. Kolb, B. and Whishaw, I. Fundamentals of Human Neuropsychology. New York: W.H. Freeman and Company, 1980 Dimond, Stuart J, Neuropsychology, Boston, 1980. Carlson, Neil R., Physiology of Behavior, Boston 1998 Eliana Machuca Psychology 12-3-99 Occipital Cortex Lesion From the prospective of The Patient About a year ago I had an accident in which I fell backwards onto a sharp piece of metal. The metal pierced the back of my head. It went all the way to my brain. I guess I'm lucky to be alive. It struck a region of my brain called the occipital lobe or visual cortex. The Occipital cortex has many different subdivisions that perform different operations but work together to allow for vision. The region that I damaged is labeled V4. I'm am very lucky that I didn't damage any other area as well. My accident could have been much worse. Now, because of the damage I have done to the V4 area of my occipital lobe. I am only able to see in shades of gray. I can't think about color or imagine what it looks like. I also don't remember what colors used to look like before I had my accident. (Kolb 274). Sometimes it makes me very sad. One of my very favorite things to do with my children was to take them out at dusk and watch the sunset. I still take them, but for me it is definitely not the same experience. I remember how it made me feel, the awe and wonder of such a miraculous sight. But I don't remember why it was so miraculous any more. Some times I don't even want to eat, because food looks so gross and dead. I usually close my eyes when I'm eating. At least my husband doesn't have to worry about me having roaming eyes, most people just look pasty and gray, not attractive at all (Kolb 256). Thing could have been worse. Sometimes I tell myself that to make me feel better. Many other parts of that region of my brain could have been damaged. While I was in the hospital there were other patients that also had occipital lobe damage. Each of them with there owns story and their own disorder. One woman developed visual agnosia. She could still see every thing and she could see in color, but when she saw an object she couldn't recognize its character or meaning. If she saw a chalk board eraser she wouldn't be able to tell you what it was, show you how to use it, or even remember seeing it before. But if she could smell or feel the chalk board eraser she would be able to tell you what it was. It was the same way with taste and sound. If she could taste or hear the object then she would be able to recognize what it was. She was still able to read and write and she could recognize pictures of her friends and family. (Gilinsky 291) There was another guy in the hospital that had another kind of visual agnosia. His was called prospagnosia. This happened because he damaged the area below the region of the brain call the calcarine fissure where the occipital and temporal lobes meet. (Kolb 260) He couldn't recognize faces of his friends and family or distinguish between new faces he would come across. (Joynt 53) He even had trouble recognizing his own face in the mirror. That would be so scary and confusing for me. I know it was for him because he made us all do our hair a different way unless we had a mustache or a characteristic birthmark. If we didn't have any of these things he would be at a complete loss (Kolb 260). The doctors said I was lucky that the piece of metal didn't pierce any deeper that it did, because it came close to hitting the V5 area of my occipital lobe. If that happened I wouldn't be able to see objects while they were moving. I would be able to see them when they were still but as soon as they moved they would vanish or seem to be frozen (Kolb 247). This is what happened to who became my best friend at the hospital. It was very distressful for her and even scarier than not being able to recognize people's faces. If there were people walking around in the room with her in it people would suddenly appear to be "here or there". She couldn't see them while they moved around. At times it felt to her like every one was sneeking up on her. We all tried to stay very still while we were around her. It was also very hard for her to do things as simple as pouring a glass of juice. She said "the fluid appeared to be frozen and she could not stop pouring because she could not see the fluid level rise." I think the worse thing that could have happened would have been damaging the V1 area of my occipital lobe. If that happened I would technically still be able to see but I wouldn't be able see what I was seeing. What happens is that the even though visual imput can still get to higher brain levels It gets disturbed in the V1 area. The V1 area of the brain sends information to many other areas of the occipital lobe. It is like the first stop in the occipital lobe for vision (Kolb 247). Apparently a person with damage to this area would still be able to act on visual information and even be able to point to an area where a spot of light was turned on. But if you asked that person what they say they would say "nothing". (Kolb 255) At least I can still see something. After a year with this disorder I am starting to get used to it. It's not like I can say that I miss seeing in color, because I can't even ember what I'm missing. Anyway, like I said, it could be worse. References Gilinsty, S.A. Mind and Brain Principles of Neuropsychology New York: Praeger. 1884 pgs.290-293 Joynt, J.R Occipital Lobe Syndromes Handbook of clinical Neurology, Vol.1 Elsevier Science Publishers B.V. 1985 Kolb, B. and Whishaw, I. Fundamentals of Human Neuropsychology. New York: W.H. Freeman and Company, 1980Return to the Project Table of Contents
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