
Statistical Parametric Maps of echo planar imaging blood oxygen level dependent (EPI-BOLD) fMRI activity (visualized at p< 0.01) associated with palinoptic afterimages demonstrating a neural network consisting of: (a) cingulate; (b) medial frontal; (c) right parietal; (d) putamen and; (e) caudate.
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Visual Disturbance and Attention
Palinopsia (Greek palin, again and opsis, vision), is a visual phenomenon
marked by perseveration (“after-images”) that has been associated
with a variety of clinical syndromes since initial case reports and early
clinical investigations. Though isolated fMRI findings implicate parieto-occipital
projections, mechanistic data regarding visual disturbances remain scant
due to methodological challenges inherent to studying visual hallucinatory
states. Without specific imaging studies, the mechanism of syndrome formation
in palinopsia remains speculative. Preliminary work in our lab has demonstrated
that Palinopsia is associated with frontal, parietal, and striatal activations,
comprising a neural network implicated in general visual attention and comprising
components previously associated with visual hallucinations, specifically.
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