[Ambulatory autonomy and visual motion perception in a case of almost total cortical blindness]

Rev Neurol (Paris). 1992;148(5):343-9.
[Article in French]

Abstract

A 37-year-old man experienced cortical blindness following a bilateral stroke in the territory of the posterior cerebral arteries. Four years later, the measurement of visual field defects (Goldmann perimeter) showed persistence of bilateral blindness with a 2-degree preservation of macular vision and a perifoveal sparing between 10 to 30 degrees of eccentricity in the left inferior quadrant. Despite this visual impairment, the subject was able to perform visually-guided locomotion. Moreover he consciously perceived visual motion in the blind parts of his visual field. CT and MRI showed a lesion involving most of the striated cortex. The visual cortex located in the internal occipito-parital regions was relatively spared. The contribution of this structure to extra-striated vision of motion is discussed.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Blindness / etiology
  • Blindness / physiopathology*
  • Cerebral Cortex*
  • Cerebral Infarction / complications
  • Cerebral Infarction / diagnosis
  • Gait*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Occipital Lobe
  • Tomography, X-Ray Computed
  • Visual Fields
  • Visual Perception*