Small lateral suprasylvian cortex lesions produce visual neglect and decreased visual activity in the superior colliculus.

Previous experiments in cats have shown that complete contralateral visual neglect is produced by removing all known visual cortex on one side of the brain, which can then be reversed by damaging the opposite superior colliculus. Presumably, descending facilitatory influences from the visual cortex to the ipsilateral superior colliculus are counterbalanced by intercollicular inhibition (Sprague: Science 153:1544-1546, '66). However, not all of visual cortex or all of the superior colliculus needs to be involved in this circuit. It is the deep rather than the superficial laminae of the superior colliculus that are primarily involved in visual attentive and orientation behaviors, and these laminae are largely independent of primary visual cortex. However, they do depend on corticotectal influences from a comparatively small extraprimary visual area of the posterior region of the lateral suprasylvian cortex (PSSC-Ogasawara et al: J. Neurophysiol. 52:1226-1245, '84). The present experiments demonstrate that lesions only a few millimeters in diameter in this corticotectal zone of the PSSC can produce profound visual neglect. While damage to this area has little, if any, effect on superficial laminae visual activity, it produces a dramatic decrease in the visual activity of the deep laminae. These cats with PSSC lesions fail to orient to a visual stimulus that is introduced suddenly into the contralateral visual field, yet they respond on nearly 100% of the trials to this same stimulus when it is presented in the ipsilateral visual field. The lesion-induced visual neglect produced by PSSC lesions is long-lasting but can be abruptly ameliorated by a midbrain lesion that primarily involves, or undercuts, the deep laminae of the contralateral superior colliculus. Thus, 1) visual neglect can be produced by depriving the deep laminae of the superior colliculus of visual inputs from the cortex, even when the principal visual cortical regions (17, 18, and 19) and their target structures are intact, and 2) visually guided behavior can be restored by eliminating afferents originating in, or passing through, the deep laminae of the contralateral superior colliculus.