Color perception profiles in central achromatopsia

Colour perception deficits after posterior stroke: Not so rare after all?

Cerebral achromatopsia is an acquired colour perception impairment caused by brain injury, and is generally considered to be rare. Both hemispheres are thought to contribute to colour perception, but most published cases have had bilateral or right hemisphere lesions. In contrast to congenital colour blindness that affects the discrimination between specific hues, cerebral achromatopsia is often described as affecting perception across all colours. Most studies of cerebral achromatopsia have been single cases or case series of patients with colour perception deficits. Here, we explore colour perception deficits in an unbiased sample of patients with stroke affecting the posterior cerebral artery (N = 63) from the Back of the Brain project. Patients were selected based on lesion location only, and not on the presence of a given symptom. All patients were tested with the Farnsworth D-15 Dichotomous Colour Blindness Test and performance compared to matched controls (N = 45) using single case statistics. In patients with abnormal performance, the patterns of colour difficulties were qualitatively analysed. 22% of the patients showed significant problems with colour discrimination (44% of patients with bilateral lesions, 28% with left hemisphere lesions and 5% with right hemisphere lesions). Lesion analyses identified two regions in ventral occipital temporal areas in the left hemisphere as particularly strongly related to impaired performance in colour perception, but also indicated that bilateral lesions are more strongly associated with impaired performance that unilateral lesions. While some patients only had mild deficits, colour perception impairments were in many cases severe. Many patients had selective deficits only affecting the perception of some hues. The results suggest that colour perception difficulties following PCA stroke are common, and that they vary in severity and expression. In addition, the results point towards bilateral processing of colour perception with a left hemispheric domination, contradicting previous reports.

Localization and patterns of Cerebral dyschromatopsia: A study of subjects with prospagnosia

OBJECTIVE

Cerebral dyschromatopsia is sometimes associated with acquired prosopagnosia. Given the variability in structural lesions that cause acquired prosopagnosia, this study aimed to investigate the structural correlates of prosopagnosia-associated dyschromatopsia, and to determine if such colour processing deficits could also accompany developmental prosopagnosia. In addition, we studied whether cerebral dyschromatopsia is typified by a consistent pattern of hue impairments.

METHODS

We investigated hue discrimination in a cohort of 12 subjects with acquired prosopagnosia and 9 with developmental prosopagnosia, along with 42 matched controls, using the Farnsworth-Munsell 100-hue test.

RESULTS

We found impaired hue discrimination in six subjects with acquired prosopagnosia, five with bilateral and one with a unilateral occipitotemporal lesion. Structural MRI analysis showed maximum overlap of lesions in the right and left lingual and fusiform gyri. Fourier analysis of their error scores showed tritanopic-like deficits and blue-green impairments, similar to tendencies displayed by the healthy controls. Three subjects also showed a novel fourth Fourier component, indicating additional peak deficits in purple and green-yellow regions. No subject with developmental prosopagnosia had impaired hue discrimination.

CONCLUSIONS

In our subjects with prosopagnosia, dyschromatopsia occurred in those with acquired lesions of the fusiform gyri, usually bilateral but sometimes unilateral. The dyschromatopsic deficit shows mainly an accentuation of normal tritatanopic-like tendencies. These are sometimes accompanied by additional deficits, although these could represent artifacts of the testing procedure.

Deficits in face perception in the amnestic form of mild cognitive impairment

The fusiform gyrus is involved pathologically at an early stage of the amnestic form of mild cognitive impairment (aMCI), and is also known to be involved in the perceptual stage of face processing. We assessed face perception in patients with aMCI to determine if this cognitive skill was impaired. We compared 12 individuals (4 men) with aMCI and 12 age- and education-matched healthy controls on the ability to discriminate changes in the spatial configuration or color of the eyes or the mouth in faces. Patients with aMCI performed less quickly and accurately for all changes on trials with limited viewing duration. With unlimited duration, they could achieve normal perceptual accuracy for configural changes to the mouth, but remained impaired for changes to eye color or configuration. Patients with aMCI show deficits in face perception that are more pronounced for the highly salient ocular region, a pattern similar to that seen in acquired prosopagnosia. This form of perceptual impairment may be an early marker of additional cognitive deficits beyond memory in aMCI.

Disorders of color and object recognition: syndromes of the ventral occipitotemporal pathway

Although lesions of the striate cortex are associated with hemifield defects, lesions of the inferior and medial occipitotemporal cortex often are associated with disorders of more high-level and complex visual processing. These disorders of the ventral processing stream can be considered as impairing the perception of color and recognition of objects, in contrast to the problems with motion and spatial localization seen with lesions of the dorsal occipitoparietal stream. Dysfunction in the ventral stream leads to the prototypic syndromes of achromatopsia, general visual agnosia, prosopagnosia, alexia without agraphia, and some forms of topographagnosia. Most of these are not single entities but families of disorders in which dysfunction in different cognitive and perceptual processes can lead to the same symptom. Continuum Lifelong Learning Neurol 2010;16(4):111-127.

First and second-order motion perception after focal human brain lesions

Perception of visual motion includes a first-order mechanism sensitive to luminance changes and a second-order motion mechanism sensitive to contrast changes. We studied neural substrates for these motion types in 142 subjects with visual cortex lesions, 68 normal controls and 28 brain lesion controls. On first-order motion, the visual cortex lesion group performed significantly worse than normal controls overall and in each hemifield, but second-order motion did not differ. Only one individual showed a selective second-order motion deficit. Motion deficits were seen with lesions outside the small occipito-temporal region thought to contain a human homolog of motion processing area MT (V5), suggesting that many areas of human brain process visual motion.

Colour constancy and conscious perception of changes of illuminant

A sudden change in illuminant (e.g., the outcome of turning on a tungsten light in a room illuminated with dim, natural daylight) causes a "global" change in perceived colour which subjects often recognise as a change of illuminant. In spite of this distinct, global change in the perceptual appearance of the scene caused by significant changes in the wavelength composition of the light reflected from different objects under the new illuminant, the perceived colour of the objects remains largely unchanged and this cornerstone property of human vision is often described as instantaneous colour constancy (ICC). ICC mechanisms are often difficult to study. The generation of appropriate stimuli to isolate ICC mechanisms remains a difficult task since the extraction of colour signals is also confounded in the processing of spatial chromatic context that leads to ICC. The extraction of differences in chromaticity that describe spatial changes in the wavelength composition of the light on the retina is a necessary operation that must precede colour constancy computations. A change of illuminant or changes in the spectral reflectance of the elements that make up the scene under a constant illuminant cause spatial changes in chromatic context and are likely to drive colour constancy mechanisms, but not exclusively. The same stimulus changes also cause differences in local luminance contrast and overall light flux changes, stimulus attributes that can activate different areas of the visual cortex. In order to address this problem we carried out a series of dichoptic experiments designed to investigate how the colour signals from the two eyes are combined in dichoptically viewed Mondrians and the extent to which the processing of chromatic context in monocularly driven neurons contributes to ICC. The psychophysical findings show that normal levels of ICC can be achieved in dichoptic experiments, even when the subject remains unaware of any changes of illuminant. Functional MRI (fMRI) experiments using new stimuli that produce stimulation of colour constancy mechanisms only in one condition with little or no difference in the activity generated in colour processing mechanisms in both test and reference conditions were also carried out. The results show that the processing of ICC signals generates strong activation in V1 and the fusiform colour area (V4, V4A). Significant activation was also observed in areas V2 and V3.

Specializations for chromatic and temporal signals in human visual cortex

Neurological case studies and qualitative measurements suggest that regions within human extrastriate cortex are specialized for different perceptual functions, including color. However, there are few quantitative measurements of human extrastriate color specializations. We studied the chromatic and temporal responses in several different clusters of human visual field maps using functional magnetic resonance imaging. Contrast response functions were measured for luminance [(L + M)-cone], red-green [(L - M)-cone] and blue-yellow (S-cone) modulations at various temporal frequencies. In primary visual cortex (V1), temporal responsivities to luminance and red-green modulations are approximately constant up to 10 Hz, but responsivities to blue-yellow modulations decrease significantly. In ventral occipital cortex (VO), all colors elicit strong responses, and, for each color, low temporal frequency modulations are more effective than high temporal frequency modulations. Hence, VO represents the full range of color information but does not respond well to rapid modulations. Conversely, in human motion-selective cortex (MT+) and V3A, blue-yellow modulations elicit very weak responses, whereas luminance and red-green high temporal frequency modulations are equally or more effective than low temporal frequency modulations. Hence, these dorsal occipital regions respond well to rapid modulations, but not all color information is represented. Similar to human motion perception, MT+ and V3A respond powerfully to all temporal frequencies but only to some colors. Similar to human color perception, VO responds powerfully to all colors but only to relatively low temporal frequencies.

Behavioral Deficits and Cortical Damage Loci in Cerebral Achromatopsia

Lesions to ventral occipital cortex can produce severe deficits in color vision, a syndrome known as cerebral achromatopsia. Because most studies examine relatively few cases, however, uncertainty remains about precisely which cortical loci, when damaged, produce the syndrome. In addition, the extents of the associated perceptual deficits remain unclear. To address these issues, we performed a meta-analysis of 92 case reports from the literature. The severity of color vision deficits of the cases varied greatly, although nearly all showed some deficit in color discrimination. Almost all cases tested also showed some loss of spatial vision. Lesion overlap analyses revealed a relatively small region of high overlap in ventral occipital cortex. The region of high overlap was located near areas identified by neuroimaging studies as important for color perception. For comparison, we performed a similar analysis of prosopagnosia, a disorder of face perception, and found several regions of high lesion overlap adjacent to the region associated with achromatopsia. Because the behavioral deficits in achromatopsia are often incomplete and never restricted to color vision, the region of high lesion overlap may be one critical stage within a stream of many visual areas that participate nonexclusively in color perception.

Perceptual functions in prosopagnosia

Some patients with prosopagnosia may have an apperceptive basis to their recognition defect. Perceptual abnormalities have been reported in single cases or small series, but the causal link of such deficits to prosopagnosia is unclear. Our goal was to identify candidate perceptual processes that might contribute to prosopagnosia, by subjecting several prosopagnosic patients to a battery of functions that may be necessary for accurate facial perception. We tested seven prosopagnosic patients. Three had unilateral right occipitotemporal lesions, two had bilateral posterior occipitotemporal lesions, and one had right anterior-to-occipital temporal damage along with a small left temporal lesion. These lesions all included the fusiform face area, in contrast to one patient with bilateral anterior temporal lesions. Most patients had impaired performance on face-matching tests and difficulty with subcategory judgments for non-face objects. The most consistent deficits in patients with lesions involving the fusiform face area were impaired perception of spatial relations in dot patterns and reduced contrast sensitivity in the 4 to 8 cycles deg(-1) range. Patients with bilateral lesions were impaired in saturation discrimination. Luminance discrimination was normal in all but two patients, and spatial resolution was uniformly spared. Curvature and line-orientation discrimination were impaired in only one patient, who also had the most difficulty with more basic-level object recognition. We conclude that deficits in luminance, spatial resolution, curvature, line orientation, and contrast at low spatial frequencies are unlikely to contribute to apperceptive prosopagnosia. More relevant may be contrast sensitivity at higher spatial frequencies and the analysis of object spatial structure. Deficits in these functions may impair perception of subtle variations in object shape, and may be one mechanism by which the recognition defect in prosopagnosia can extend to other classes of object subcategorization.

Perception of global facial geometry in the inversion effect and prosopagnosia

We investigated how efficiently combinations of positional shifts in facial features were perceived and whether the effects of combinations on the overall geometry of the face were reflected in discriminative performance. We moved the eyes closer together or further apart, and moved the mouth up or down. Trials with combinations of changes to both the mouth and the eyes were contrasted with trials with single changes to either the mouth or the eyes. As a contrast, we also examined combinations of changes in eye colour (brightness) and the same spatial manipulations. In addition, we specifically contrasted spatial combinations that more severely distorted the original triangular relation of the mouth and eyes (e.g. eyes closer and mouth down) to those that better preserved the original aspect ratio (e.g. eyes farther and mouth down). This we termed the "geometric context effect". We found that combinations of two spatial changes were detected more quickly and accurately by normal subjects viewing upright faces but not when faces were inverted. In contrast, combinations of spatial shifts and eye colour changes showed no advantage over faces with only one type of change. Combinations of spatial changes that distorted overall facial geometry more were detected more efficiently than less distorting combinations, showing that the spatial shifts were perceived in the context of the global facial structure. Again, this was found for upright but not inverted faces. We also tested a prosopagnosic patient, who showed the advantage for two spatial changes over one but lacked this geometric context effect, implying that she did not integrate local spatial information into overall facial structure.

Functional imaging of the visual pathways

Functional neuroimaging has provided a new view of activity in human visual cortex. There have been a series of interesting developments in understanding the relationship between the functional signals, particularly functional MRI, and basic measurements of action potentials and local field potentials. The new human neuro-imaging measurements have clarified some of the similarities and differences between the general organization of visual areas in human and macaque visual cortex, and there have been some interesting new results concerning cortical visual plasticity and dysfunction. The new fMRI focus on measurements of the human brain will drive new relationships between neurology and visual neuroscience that should help us learn much more about the neural basis of perception.

Achromatopsia, color vision, and cortex

Brain damage can entirely abolish color vision in cases of complete achromatopsia. Other processes that depend on wavelength differences, however, can be retained. Form and motion defined by pure color differences can be perceived readily even when the colors themselves cannot be told apart. The loss of color vision in cerebral achromatopsia has been equated with the loss of a "color center" presumed indispensable for the phenomenal experience of hue. The "color center" has been assigned a role in the cortical construction of color, specifically in implementing the computations that underlie color constancy. Many features of the condition are consistent with this account. Other neurologic patients, however, retain conscious experience of hue, yet fail to disentangle the illuminant and the reflectance properties of surfaces. For them, color experience is determined by the wavelength composition of light reflected from a surface. If their wavelength-dependent vision is mediated by activity in early visual areas, then it is difficult to understand why these areas are unable to perform a similar role when they remain intact in achromatopsic observers. The prevalence of cells in the ventral visual areas of the monkey brain that code color and the further fractionation of color-related areas in human observers revealed by functional imaging suggest multiple color areas. Their different contributions are only just beginning to become apparent.

Developmental prosopagnosia: a study of three patients

We studied perception in three patients with prosopagnosia of childhood onset. All had trouble with other 'within-category' judgments. All were deficient on face matching tests and severely impaired on tests of perception of the spatial relations of facial features and abstract designs, indicating a deficit in the encoding of coordinate relationships, similar to adult-onset prosopagnosia with lesions of the fusiform face area. Two had difficulty perceiving feature colour, which correlated with reduced luminance sensitivity. In contrast to adult-onset patients, saturation discrimination was spared in two and spatial resolution impaired in two. Curvature discrimination was relatively spared. Contrast sensitivity showed variable reductions at different spatial frequencies. We conclude that developmental prosopagnosia is similar to the adult-onset form in encoding deficits for the spatial arrangement of facial elements. Deficits in luminance perception and spatial resolution are more associated with defective encoding for basic object-level recognition, as shown on tests of object and spatial perception.

The time course of selective visual attention: theory and experiments

Historically, the psychophysical evidence for "selective attention" originated mainly from visual search experiments. A first important distinction in the processing of information in visual search tasks is its separation in two stages. The first, early "preattentive" stage operates in parallel across the entire visual field extracting single "primitive features" without integrating them. The second "attentive" stage corresponds to the specialized integration of information from a limited part of the field at any one time, i.e. serially. So far, models based on the above mentioned two-stage processes have been able to distinguish features from conjunction search conditions based on the observed slopes of the linear relation between reaction time (i.e., search time) and the number of items in the stimulus array. We propose a neuroscience based model for visual attention that works across the visual field in parallel, but due to its intrinsic dynamics can show the two experimentally observed modes of visual attention, namely: the serial focal attention and the parallel spread of attention over space. The model demonstrates that neither explicit serial focal search nor saliency maps need to be assumed. In the present model the focus of attention is not included in the system but only emerges after convergence of the dynamical behaviour of the neural networks. Furthermore, existing models have not been able to explain the variation of slopes observed in different kinds of conjunction search modes. We hypothesize that the different slopes can be explained by assuming that selective attention is guided by an independent mechanism which corresponds to the independent search for each feature. The model consistently integrates the different neuroscience levels by considering the microscopic neurodynamical mechanism that underlies visual attention, the different brain areas of the dorsal or "where" and ventral or "what" paths of the visual cortex, and behavioural data.

The relationship between visual perception and visual mental imagery: a reappraisal of the neuropsychological evidence

Visual perception and visual mental imagery, the faculty whereby we can revisualise a visual item from memory, have often been regarded as cognitive functions subserved by common mechanisms. Thus, the leading cognitive model of visual mental imagery holds that visual perception and visual imagery share a number of mental operations, and rely upon common neural structures, including early visual cortices. In particular, a single visual buffer would be used "bottom-up" to display visual percepts and "top-down" to display internally generated images. The proposed neural substrate for this buffer consists of some cortical visual areas organised retinotopically, that is, the striate and extrastriate occipital areas. Empirical support for this model came from the report of brain-damaged patients showing an imagery deficit which parallels a perceptual impairment in the same cognitive domain. However, recent reports of patients showing double dissociations between perception and imagery abilities challenged the perception-imagery equivalence hypothesis from the functional point of view. From the anatomical point of view, the available evidence suggests that occipital damage is neither necessary nor sufficient to produce imagery deficits. On the other hand, extensive left temporal damage often accompanies imagery deficits for object form or colour. Thus, visual mental imagery abilities might require the integrity of brain areas related to vision, but at an higher level of integration than previously proposed.

Psychoanatomical substrates of Bálint's syndrome

OBJECTIVES

From a series of glimpses, we perceive a seamless and richly detailed visual world. Cerebral damage, however, can destroy this illusion. In the case of Bálint's syndrome, the visual world is perceived erratically, as a series of single objects. The goal of this review is to explore a range of psychological and anatomical explanations for this striking visual disorder and to propose new directions for interpreting the findings in Bálint's syndrome and related cerebral disorders of visual processing.

METHODS

Bálint's syndrome is reviewed in the light of current concepts and methodologies of vision research.

RESULTS

The syndrome affects visual perception (causing simultanagnosia/visual disorientation) and visual control of eye and hand movement (causing ocular apraxia and optic ataxia). Although it has been generally construed as a biparietal syndrome causing an inability to see more than one object at a time, other lesions and mechanisms are also possible. Key syndrome components are dissociable and comprise a range of disturbances that overlap the hemineglect syndrome. Inouye's observations in similar cases, beginning in 1900, antedated Bálint's initial report. Because Bálint's syndrome is not common and is difficult to assess with standard clinical tools, the literature is dominated by case reports and confounded by case selection bias, non-uniform application of operational definitions, inadequate study of basic vision, poor lesion localisation, and failure to distinguish between deficits in the acute and chronic phases of recovery.

CONCLUSIONS

Studies of Bálint's syndrome have provided unique evidence on neural substrates for attention, perception, and visuomotor control. Future studies should address possible underlying psychoanatomical mechanisms at "bottom up" and "top down" levels, and should specifically consider visual working memory and attention (including object based attention) as well as systems for identification of object structure and depth from binocular stereopsis, kinetic depth, motion parallax, eye movement signals, and other cues.

Perception and memory in neuroscience: a conceptual analysis

Neuroscientists, in the last half of the 20th century, provided major insights into the cellular and molecular mechanisms associated with seeing and remembering. We first identify some of the most important of these discoveries. This is done along lines familiar to neuroscientists who have read many of the recent books and reviews that provide an overview of neuroscientific discoveries. In general, these emphasize the scientific contributions this discipline has made to our understanding of the mechanisms that give rise to the psychological attributes of humans and other animals. In the next sections, we examine the claims made in these overviews; in particular, those by the standard-bearers of neuroscience, in an attempt to clarify what can and what cannot be justified in these claims. This requires a conceptual analysis of a kind that is unfamiliar to most neuroscientists. Our analysis begins with consideration of the conceptual confusions that ensue when neuroscientists attribute seeing, remembering and other psychological attributes to the brain rather than to the creature whose brain it is. Subsequently, we outline what we take to be the appropriate conceptual scheme for neuroscientists to adopt.

Central disorders of vision in humans

Over the past 20 years, researchers have discovered over 30 separate visual areas in the cortex of the macaque monkey that exhibit specific responses to visual and environmental stimuli. Many of these areas are homologous to regions of the human visual cortex, and numerous syndromes involving these areas are described in the neurologic and ophthalmic literature. The focus of this review is the anatomy and physiology of these higher cortical visual areas, with special emphasis on their relevance to syndromes in humans. The early visual system processes information primarily by way of two separate systems: parvocellular and magnocellular. Thus, even at this early stage, visual information is functionally segregated. We will trace this segregation to downstream areas involved in increasingly complex visual processing and discuss the results of lesions in these areas in humans. An understanding of these areas is important, as many of these patients will first seek the attention of the ophthalmologist, often with vague, poorly defined complaints that may be difficult to specifically define.

The architecture of the colour centre in the human visual brain: new results and a review

We have used the technique of functional magnetic resonance imaging (fMRI) and a variety of colour paradigms to activate the human brain regions selective for colour. We show here that the region defined previously [Lueck et al. (1989) Nature, 340, 386-389; Zeki et al. (1991) J. Neurosci., 11, 641-649; McKeefry & Zeki (1997) Brain, 120, 2229-2242] as the human colour centre consists of two subdivisions, a posterior one, which we call V4 and an anterior one, which we refer to as V4alpha, the two together being part of the V4-complex. The posterior area is retinotopically organized while the anterior is not. We discuss our new findings in the context of previous studies of the cortical colour processing system in humans and monkeys. Our new insight into the organization of the colour centre in the human brain may also account for the variability in both severity and degree of recovery from lesions producing cerebral colour blindness (achromatopsia).

The clinical and functional measurement of cortical (in)activity in the visual brain, with special reference to the two subdivisions (V4 and V4 alpha) of the human colour centre

We argue below that, at least in studying the visual brain, the old and simple methods of detailed clinical assessment and perimetric measurement still yield important insights into the organization of the visual brain as a whole, as well as the organization of the individual areas within it. To demonstrate our point, we rely especially on the motion and colour systems, emphasizing in particular how clinical observations predicted an important feature of the organization of the colour centre in the human brain. With the use of data from functional magnetic resonance imaging analysed by statistical parametric mapping and independent component analysis, we show that the colour centre is composed of two subdivisions, V4 and V4 alpha the two together constituting the V4 complex of the human brain. These two subdivisions are intimately linked anatomically and act cooperatively. The new evidence about the architecture of the colour centre might help to explain why the syndrome, cerebral achromatopsia, produced by lesions in it is so variable.

Parvocellular and magnocellular visual processing in spinocerebellar degeneration and Parkinson's disease: an event-related potential study

OBJECTIVE

We recorded event-related potentials (ERPs) using appropriate visual stimuli to establish a non-invasive method that separately investigates the parvocellular (P) and magnocellular (M) visual functions, and to evaluate the visual function in spinocerebellar degeneration (SCD) and Parkinson's disease (PD).

METHODS

Eight SCD and 10 PD patients were compared with 11 age-matched control subjects. In the P-task, subjects were required to discriminate equiluminant red (frequent) and green (rare) random dots. In the M-task, moving random dots on a rotating cylinder (frequent) and those moving irregularly (rare) were discriminated.

RESULTS

Control subjects showed an endogenous positive component at 400 ms (P400(p)) with an early exogenous negative potential (N160(p)) in the P-task. In the M-task, N160(m) and P400(m) were recorded. A deuteranope lacked P400(p) with normal P400(m). In SCD, P400(p) latency and N160(p)-P400(p) interval were increased with normal N160(p) latency. N160(m) latency was also increased while N160(m)-P400(m) interval was normal. In PD, there were no significant changes in the P-task but P400(m) latency was increased with normal N160(m) latency.

CONCLUSIONS

SCD patients may have not only abnormal higher processing in the P-pathway but abnormal fundamental processing in the M-pathway. PD may have impaired higher processing of the M-pathway with the preserved P-function.

Toward a theory of visual consciousness

The visual brain consists of several parallel, functionally specialized processing systems, each having several stages (nodes) which terminate their tasks at different times; consequently, simultaneously presented attributes are perceived at the same time if processed at the same node and at different times if processed by different nodes. Clinical evidence shows that these processing systems can act fairly autonomously. Damage restricted to one system compromises specifically the perception of the attribute that that system is specialized for; damage to a given node of a processing system that leaves earlier nodes intact results in a degraded perceptual capacity for the relevant attribute, which is directly related to the physiological capacities of the cells left intact by the damage. By contrast, a system that is spared when all others are damaged can function more or less normally. Moreover, internally created visual percepts-illusions, afterimages, imagery, and hallucinations-activate specifically the nodes specialized for the attribute perceived. Finally, anatomical evidence shows that there is no final integrator station in the brain, one which receives input from all visual areas; instead, each node has multiple outputs and no node is recipient only. Taken together, the above evidence leads us to propose that each node of a processing-perceptual system creates its own microconsciousness. We propose that, if any binding occurs to give us our integrated image of the visual world, it must be a binding between microconsciousnesses generated at different nodes. Since any two microconsciousnesses generated at any two nodes can be bound together, perceptual integration is not hierarchical, but parallel and postconscious. By contrast, the neural machinery conferring properties on those cells whose activity has a conscious correlate is hierarchical, and we refer to it as generative binding, to distinguish it from the binding that might occur between the microconsciousnesses.

Selective color constancy deficits after circumscribed unilateral brain lesions

The color of an object, when part of a complex scene, is determined not only by its spectral reflectance but also by the colors of all other objects in the scene (von Helmholtz, 1886; Ives, 1912; Land, 1959). By taking global color information into account, the visual system is able to maintain constancy of the color appearance of the object, despite large variations in the light incident on the retina arising from changes in the spectral content of the illuminating light (Hurlbert, 1998; Maloney, 1999). The neural basis of this color constancy is, however, poorly understood. Although there seems to be a prominent role for retinal, cone-specific adaptation mechanisms (von Kries, 1902; Pöppel, 1986; Foster and Nascimento, 1994), the contribution of cortical mechanisms to color constancy is still unclear (Land et al., 1983; D'Zmura and Lennie, 1986). We examined the color perception of 27 patients with defined unilateral lesions mainly located in the parieto-temporo-occipital and fronto-parieto-temporal cortex. With a battery of clinical and specially designed color vision tests we tried to detect and differentiate between possible deficits in central color processing. Our results show that color constancy can be selectively impaired after circumscribed unilateral lesions in parieto-temporal cortex of the left or right hemisphere. Five of 27 patients exhibited significant deficits in a color constancy task, but all of the 5 performed well in color discrimination or higher-level visual tasks, such as the association of colors with familiar objects. These results indicate that the computations underlying color constancy are mediated by specialized cortical circuitry, which is independent of the neural substrate for color discrimination and for assigning colors to objects.

Dependence of color on context in a case of cortical color vision deficiency

Color constancy depends on sensitivity to change in both illumination spectral properties and object position. We investigated this latter form of color constancy by asking a cerebral achromatopsic to name the colors of papers that were presented atop black, gray or white backgrounds under identical illumination. Comparison of color names across background conditions reveals poor constancy, characterized by a contrasting of foreground and background values that is not corrected by proper anchoring.

Preserved imagery for colours in a patient with cerebral achromatopsia

We report the case of a patient who, after sequential bilateral strokes in the occipital regions sparing the primary visual cortex, developed a severe deficit of colour perception. At variance with other reports of acquired achromatopsic patients, she showed a perfectly vivid visual imagery for colours. These findings, together with similar data in domains other than colour processing, challenge the theories which posit that the same cognitive processes are involved in both the perception and the retrieval from memory of a given stimulus.

Selective temporal interactions between processing streams with differential sensitivity for colour and luminance contrast

Temporal interactions between spatially separated visual stimuli were investigated in human observers. Subjects had to judge whether briefly presented targets consisted of a single or a double flash. Simultaneous presentation of unattended single or double flash distractors impaired performance if target and distractor followed different time courses, confirming previous findings. This interference occurred only when targets had high luminance contrast or were isoluminant and when distractors had high or low luminance contrast, but not when targets had low luminance contrast or when distractors were isoluminant. Low luminance contrast distractors strongly influenced high luminance contrast targets but not vice versa. These results suggest that (i) information about the precise temporal structure of stimuli is conveyed preferentially by the luminance-sensitive magnocellular system; and (ii) that this information influences judgements on the temporal patterning of signals transmitted by the colour-sensitive parvocellular system.

Preserved color imagery in an achromatopsic

The loss of color vision secondary to central nervous system disease (achromatopsia) is thought to preclude visual imagery of colors. We report a patient with achromatopsia, secondary to bilateral temporo-occipital infarcts inclusive of the lingual and fusiform gyri, with preserved color imagery. Our findings, in conjunction with previous cases in the literature, are consistent with a single neural network for color processing in which a disconnection of internal activation from stored color representations produces impaired color imagery with preserved color perception, whereas a disconnection of visual input to these representations produces achromatopsia with preserved color imagery.

The effects of luminance and chromatic background flicker on the human visual evoked potential

Previous studies report that background luminance flicker, which is asynchronous with signal averaging, reduces the amplitude and increases the latency of the pattern-onset visual evoked potential (VEP). This effect has been attributed to saturation of the magnocellular (m-) pathway by the flicker stimulus. In the current study, we evaluate this hypothesis and further characterize this effect. We found that flicker had similar effects on the pattern-onset and pattern-reversal VEP, suggesting that the reversal and onset responses have similar generators. Chromatic flicker decreased latency of the chromatic VEP whereas luminance flicker increased peak latency to luminance targets. This result indicates that luminance flicker saturates a rapidly conducting m-pathway whereas chromatic flicker saturates a more slowly conducting parvocellular (p-) pathway. Finally, evoked potentials to chromatic and luminance stimuli were recorded from 34 electrodes over the scalp in the presence of static and asynchronously modulated backgrounds. An equivalent dipole model was used to assess occipital, parietal, and temporal lobe components of the surface response topography. Results showed that chromatic flicker reduced activity to a greater extent in the ventral visual pathway whereas luminance flicker reduced activity to a greater extent in the dorsal visual pathway to parietal lobe. We conclude that the VEP to isoluminant color and luminance stimuli contains both m- and p-pathway components. Asynchronous flicker can be used to selectively reduce the contribution of these pathways to the surface recorded VEP. Our results provide evidence of parallel pathways in the human visual system, with a dorsal luminance channel projecting predominantly to the posterior parietal lobe and a ventral color channel projecting predominantly to inferior temporal lobe.

Colour identification and colour constancy are impaired in a patient with incomplete achromatopsia associated with prestriate cortical lesions

We have examined visual functions, including colour vision, in a patient with bilateral cortical lesions involving mainly the fusiform and lingual gyri, areas known to be involved in the central processing of chromatic stimuli. The patient has near normal (6/9) acuity, and his responses to tests of binocular function and spatial vision are normal, as are his discrimination of changes in target speed and surface lightness. He does, however, exhibit minor losses in the upper visual field, mild prosopagnosia and topographical agnosia, all conditions commonly associated with cerebral achromatopsia. Colour matches and spectral response data establish that his cone photoreceptors have normal spectral characteristics and his spectral sensitivity measured against a white background reveals normal postreceptoral chromatic function. The patient's colour discrimination for differences in wavelength, hue or saturation is, however, impaired and his colour naming is significantly disturbed, particularly for blues and greens. We have determined the areas of the chromaticity chart that correspond to his naming categories for surface colours, and show that changes in illuminant cause him to alter the names of surface colours in a manner consistent with the changes in their chromaticities. Other subjects with normal or congenital red-green deficient colour vision make many fewer name changes under changes in illuminant. We conclude that the patient's colour constancy is impaired as a consequence of abnormal central processing of colour vision.

Cerebral achromatopsia as a presentation of Trousseau's syndrome

A 67-year-old man developed a sudden onset of achromatopsia. Magnetic resonance imaging showed occipital lobe infarction. Repeated episodes of neurological deficit referable to the posterior circulation initially suggested an embolic source, but subsequently proved to be due to a coagulopathy related to a carcinoma of the bladder. This has implications for the management of patients presenting with achromatopsia, and progressive or recurrent neurological episodes, and in particular the use of anticoagulation in this situation.