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Neurological Examination, clinical cases and neuropsychological ...

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23/07/54<br />

V5/MT Visual area V5, V also known as visual area MT (middle<br />

temporal), is a region of extrastriate visual cortex that is thought to play a major<br />

role in the perception of motion, the integration of local motion signals into<br />

global percepts <strong>and</strong> the guidance of some eye movements<br />

MT is connected to a wide array of cortical <strong>and</strong> subcortical brain areas. Its inputs<br />

include the visual cortical areas V1, V2, <strong>and</strong> dorsal V3 (dorsomedial area), the<br />

koniocellular regions of the LGN, <strong>and</strong> the inferior pulvinar. The pattern of<br />

projections to MT changes somewhat between the representations of the foveal<br />

<strong>and</strong> peripheral visual fields, with the latter receiving inputs from areas located in<br />

the midline ecortex <strong>and</strong> retrosplenial ospe region<br />

A st<strong>and</strong>ard view is that V1 provides the "most important" input to MT.<br />

Nonetheless, several studies have demonstrated that neurons in MT are capable<br />

of responding to visual information, often in a direction‐selective manner, even<br />

after V1 has been destroyed or inactivated. Moreover, research by Semir Zeki<br />

<strong>and</strong> collaborators has suggested that certain types of visual information may<br />

reach MT before it even reaches V1.<br />

MT sends its major outputs to areas located in the cortex immediately<br />

surrounding it, including areas FST, MST <strong>and</strong> V4t (middle temporal crescent).<br />

Other projections of MT target the eye movement‐related areas of the frontal<br />

<strong>and</strong> parietal lobes (frontal eye field <strong>and</strong> lateral intraparietal area).<br />

Function of V5/MT<br />

The first studies of the electrophysiological properties of neurons in MT showed that a<br />

large portion of the cells were tuned to the speed <strong>and</strong> direction of moving visual stimuli<br />

These results suggested that MT played a significant role in the processing of<br />

visual motion.<br />

Lesion studies have also supported the role of MT in motion perception <strong>and</strong> eye<br />

movements <strong>and</strong> <strong>neuropsychological</strong> studies of a patient who could not see motion, seeing<br />

the world in a series of static "frames" instead, suggested that MT in the primate is<br />

homologous to V5 in the human.<br />

However, since neurons in V1 are also tuned to the direction <strong>and</strong> speed of motion, these<br />

early results left open the question of precisely what MT could do that V1 could not. Much<br />

work has been carried out on this region as it appears to integrate local visual motion<br />

signals into the global motion of complex objects ] For example, lesion to the V5 lead to<br />

deficits in perceiving motion <strong>and</strong> processing of complex stimuli. It contains many neurons<br />

selective for the motion of complex visual features (line ends, corners). Microstimulation of<br />

a neuron located in the V5 affects the perception of motion. For example, if one finds a<br />

neuron with preference for upward motion, <strong>and</strong> then we use an electrode to stimulate it,<br />

the monkey becomes more likely to report 'upward' motion.<br />

There is still much controversy over the exact form of the computations carried out in area<br />

MT <strong>and</strong> some research suggests that feature motion is in fact already available at lower<br />

levels of the visual system such as V1<br />

MT was shown to be organized in direction columns.<br />

NEUROPSYCHIATRY 190<br />

Organization of V1 <strong>and</strong> V2.<br />

A. Subregions in V1 (area 17)<br />

<strong>and</strong> V2 (area 18). This section<br />

from the occipital lobe of a<br />

squirrel<br />

monkey at the border of areas<br />

17 <strong>and</strong> 18 was reacted with<br />

cytochrome oxidase. The<br />

cytochrome<br />

oxidase stains the blobs in V1<br />

<strong>and</strong> the thick <strong>and</strong> thin stripes<br />

in V2. (Courtesy of M.<br />

Livingstone.)<br />

B. Connections between V1<br />

<strong>and</strong> V2. The blobs in V1<br />

connect primarily to the thin<br />

stripes in V2, while<br />

the interblobs in V1 connect to<br />

interstripes in V2. Layer 4B<br />

projects to the thick stripes in<br />

V2 <strong>and</strong> to<br />

the middle temporal area<br />

(MT). Both thin <strong>and</strong><br />

interstripes project to V4.<br />

Thick stripes in V2 also<br />

project to MT.<br />

Callosal Disconnection<br />

Syndromes<br />

NEUROPSYCHIATRY 192<br />

32

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