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Lane TJ, Liou TH, Kung YC, Tseng P, Wu CW. Functional blindsight and its diagnosis. Front Neurol 2024; 15:1207115. [PMID: 38385044 PMCID: PMC10879618 DOI: 10.3389/fneur.2024.1207115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Accepted: 01/22/2024] [Indexed: 02/23/2024] Open
Abstract
Even when brain scans fail to detect a striate lesion, functional evidence for blindsight can be adduced. In the aftermath of an automobile accident, JK became blind. Results of ophthalmic exams indicated that the blindness must be cortical. Nevertheless, multiple MRI scans failed to detect structural damage to the striate cortex. Prior to the accident JK had been an athlete; after the accident he retained some athletic abilities, arousing suspicions that he might be engaged in fraud. His residual athletic abilities-e.g., hitting a handball or baseball, or catching a Frisbee-coupled with his experienced blindness, suggested blindsight. But due to the apparent absence of striate lesions, we designed a series of tasks for temporal and spatial dimensions in an attempt to detect functional evidence of his disability. Indeed, test results revealed compelling neural evidence that comport with his subjective reports. This spatiotemporal task-related method that includes contrasts with healthy controls, and detailed understanding of the patient's conscious experience, can be generalized for clinical, scientific and forensic investigations of blindsight.
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Affiliation(s)
- Timothy Joseph Lane
- Graduate Institute of Mind, Brain, and Consciousness, Taipei Medical University, Taipei City, Taiwan
- Brain and Consciousness Research Centre, Taipei Medical University, Taipei City, Taiwan
- Institute of European and American Studies, Academia Sinica, Taipei City, Taiwan
| | - Tsan-Hon Liou
- Graduate Institute of Mind, Brain, and Consciousness, Taipei Medical University, Taipei City, Taiwan
- Department of Physical Medicine and Rehabilitation, School of Medicine, College of Medicine, Taipei Medical University, Taipei City, Taiwan
- Department of Physical Medicine and Rehabilitation, TMU Shuang Ho Hospital, New Taipei City, Taiwan
| | - Yi-Chia Kung
- Department of Radiology, National Defense Medical Center, Tri-Service General Hospital, Taipei City, Taiwan
- Taiwan Institute of Neuroscience, National Yang Ming Chiao Tung University, Hsinchu, Taiwan
| | - Philip Tseng
- Graduate Institute of Mind, Brain, and Consciousness, Taipei Medical University, Taipei City, Taiwan
- Brain and Consciousness Research Centre, Taipei Medical University, Taipei City, Taiwan
- Department of Psychology, National Taiwan University, Taipei City, Taiwan
- Research Center for Mind, Brain and Learning, National Chengchi University, Taipei City, Taiwan
| | - Changwei W. Wu
- Graduate Institute of Mind, Brain, and Consciousness, Taipei Medical University, Taipei City, Taiwan
- Brain and Consciousness Research Centre, Taipei Medical University, Taipei City, Taiwan
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Derrien D, Garric C, Sergent C, Chokron S. The nature of blindsight: implications for current theories of consciousness. Neurosci Conscious 2022; 2022:niab043. [PMID: 35237447 PMCID: PMC8884361 DOI: 10.1093/nc/niab043] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 11/08/2021] [Accepted: 01/13/2022] [Indexed: 11/16/2022] Open
Abstract
Blindsight regroups the different manifestations of preserved discriminatory visual capacities following the damage to the primary visual cortex. Blindsight types differentially impact objective and subjective perception, patients can report having no visual awareness whilst their behaviour suggests visual processing still occurs at some cortical level. This phenomenon hence presents a unique opportunity to study consciousness and perceptual consciousness, and for this reason, it has had an historical importance for the development of this field of research. From these studies, two main opposing models of the underlying mechanisms have been established: (a) blindsight is perception without consciousness or (b) blindsight is in fact degraded vision, two views that mirror more general theoretical options about whether unconscious cognition truly exists or whether it is only a degraded form of conscious processing. In this article, we want to re-examine this debate in the light of recent advances in the characterization of blindsight and associated phenomena. We first provide an in-depth definition of blindsight and its subtypes, mainly blindsight type I, blindsight type II and the more recently described blindsense. We emphasize the necessity of sensitive and robust methodology to uncover the dissociations between perception and awareness that can be observed in brain-damaged patients with visual field defects at different cognitive levels. We discuss these different profiles of dissociation in the light of both contending models. We propose that the different types of dissociations reveal a pattern of relationship between perception, awareness and metacognition that is actually richer than what is proposed by either of the existing models. Finally, we consider this in the framework of current theories of consciousness and touch on the implications the findings of blindsight have on these.
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Affiliation(s)
- Diane Derrien
- Integrative Neuroscience and Cognition Center, UMR 8002, CNRS & Université de Paris, Paris 75006, France
- Institut de Neuropsychologie, Neurovision, NeuroCognition, Fondation Ophtalmologique Rothschild, Paris 75019, France
| | - Clémentine Garric
- Inserm, CHU Lille, U1172—LilNCog (JPARC)—Lille Neuroscience & Cognition, University of Lille, Lille 59000, France
| | - Claire Sergent
- Integrative Neuroscience and Cognition Center, UMR 8002, CNRS & Université de Paris, Paris 75006, France
| | - Sylvie Chokron
- Integrative Neuroscience and Cognition Center, UMR 8002, CNRS & Université de Paris, Paris 75006, France
- Institut de Neuropsychologie, Neurovision, NeuroCognition, Fondation Ophtalmologique Rothschild, Paris 75019, France
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