The striate cortex and hemianopia

Abstract

We begin with the functions of the striate cortex (area V1 of the visual cortex) and end with a review of the effects of damage to striate cortex or its inputs; namely, homonymous hemifield defects. Clinical and anatomical studies accrued over the past 25 years have modified our understanding of the role of V1 in vision. We discuss the evidence that V1 is not the sole recipient of visual signals; is not the earliest recipient of visual signals; and is not essential for conscious vision. In the second section, we give a brief history of how the visual field was found to be represented in striate cortex, then cover the work that has demonstrated the overrepresentation of the central region of vision in humans. The common patterns of visual field disturbance caused by damage to the retrochiasmal visual system are discussed, with some less common examples shown as brief case studies.

Keywords: Blindsight; Cortical magnification factor; Hemianopia; Riddoch syndrome; Striate cortex; Stroke; Visual motion.