I think that the most unexpected and interesting thing I learned this semester in Perception was in the “Motion” lecture. The clinical presentation of patient LM suffering from Akinetopsia was the most strange thing I have ever heard of. I have known that a motion areas exists in the brain since I took Introduction to Neuroscience freshman year, but I had never heard or even thought of a condition in which motion perception was afflicted. Motion seems to be just a quality inherent in nature, but this disorder erases this idea of motion. Just like color, motion is something that the brain creates.
Akinetopsia is caused by damage to area V5 or MT, which is the motion area of the brain as we also learned in class. Damage to this area can either be caused by stroke (as is the case for patient LM), lesions, or the affect of some antidepressant drugs. People afflicted with this disorder cannot perceive a fluid world. Instead, they see what would be similar to the effect unaffected people experience in the presence of a strobe light. They would see a series of still pictures that would trail each other like a comet trail. Besides the symptoms that patients with Akinetopsia describe, they appear completely normal. They can read, write, calculate things, etc. However, in the you tube video of patient LM:
she has trouble pouring liquid into a glass. The liquid would appear to be like a “glacier. She had a hard time following a conversation because she could not see face changes and lips moving. I think living like this would be similar to the images of a city in fast forward, like in movies when they show day change into night really fast. Cars pass by with comet trails, and people come and go quickly. The following video attempts to depict this:
Patient LM describes feeling uncomfortable in a room full of people because it appeared as if they just came and went suddenly. In the video above, because it is played in fast forward, cars and people and trains seem to appear out of no where and be gone the next second. Because of this patient LM could not cross the street alone because the speed of cars could not be determined.
Although the loss of motion due to damage to motion areas of the brain can be lived with, it would be extremely debilitating. When I am at a party with a strobe light, I start to get sick or get headaches. I cannot imaging living with this disorder. Motion perception is so instilled in every activity that I participate in that I find it hard to image what patient LM experienced even after knowing it is similar to a strobe light.
Some prodding into this disorder allowed me to come across hemi-akinetopsia, in which only one side of the brain is damaged. A stroke or lesion at area V5 of only one hemisphere will only affect motion perception in half of the visual field. One can experience hemi-akinetopsia by using transcranial magnetic stimulation in one of the MT areas of the brain. The magnetic field inhibits the perception of motion by interfering with the brain. The following clip will bring you to a website with an interactive simulation of akinetopsia. The link to the simulation is at the bottom of the page.
http://vectors.usc.edu/issues/04_issue/malperception/akinetopsia.html
Perceiving motion is just another type of perception that most people take for granted. Most people probably do not consider motion to be a form of perception; however, patient LM and others afflicted with Akinetopsia prove that motion is a characteristic of the visual world that the brain creates.
April 27, 2008 @ 11:45 pm
Works:
http://www.youtube.com/watch?v=B47Js1MtT4w
http://vectors.usc.edu/issues/04_issue/malperception/akinetopsia.html
http://www.youtube.com/watch?v=jZmPe_KUh5c
http://nawrot.psych.ndsu.nodak.edu/Publications/Nawrot.pdf/RizzoNawrotZihl.1995.pdf

Raphael