RESUMEN
Neuropsychological deficits after occipital infarction are most often described in case studies and only a small sample of studies has attempted to exactly correlate the anatomical localization of lesions with associated neuropsychological symptoms. The present study investigated a large number of patients (N = 128) in order to provide an overview of neurological and neuropsychological deficits after occipital, occipito-temporal and occipito-parietal infarction. A particular approach of the study was to define exact anatomical correlates of neuropsychological dysfunction by using voxel-based lesion-symptom mapping (VLSM) in 61 patients. In addition to a visual field defect and phosphenes, patients often reported anomia, difficulties in reading and memory deficits. Visual disorders, such as achromatopsia, akinetopsia or prosopagnosia, were rarely reported by the patients. Memory and visual disorders were diagnosed efficiently using simple clinical screening tests, such as the Rey-Osterrieth Complex Figure Test for immediate recall, the Demtect and the Lang Stereo Test. Visual field defects, reading disorders and the perception of phosphenes were associated primarily with lesions of the calcarine sulcus. Anomia and memory deficits were related to lesions of the occipital inferior gyrus, the lingual gyrus and hippocampus, as well as to lesions of principal white matter tracts.
Asunto(s)
Infarto Cerebral/fisiopatología , Trastornos de la Memoria/fisiopatología , Lóbulo Occipital/patología , Lóbulo Parietal/patología , Lóbulo Temporal/patología , Trastornos de la Visión/fisiopatología , Adulto , Anciano , Anciano de 80 o más Años , Infarto Cerebral/complicaciones , Infarto Cerebral/patología , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Trastornos de la Memoria/etiología , Trastornos de la Memoria/patología , Persona de Mediana Edad , Pruebas Neuropsicológicas , Lóbulo Occipital/fisiopatología , Lóbulo Parietal/fisiopatología , Lóbulo Temporal/fisiopatología , Trastornos de la Visión/etiología , Trastornos de la Visión/patología , Campos Visuales/fisiología , Adulto JovenRESUMEN
Perceptual learning is defined as a long-lasting improvement of perception as a result of experience. Here we examined the role of task on fast perceptual learning for shape localisation either in simple detection or based on form discrimination in different visual submodalities, using identical stimulus position and stimulus types for both tasks. Thresholds for each submodality were identified by four-alternative-forced-choice tasks. Fast perceptual learning occurred for shape detection-based on luminance, motion and color differences but not for texture differences. In contradistinction, fast perceptual learning was not evident in shape localisation based on discrimination. Thresholds of all submodalities were stable across days. Fast perceptual learning seems to differ not only between different visual submodalities, but also across different tasks within the same visual submodality.