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NEUROLOGY 1988;38:89
© 1988 American Academy of Neurology

Cerebral metabolism and patterned visual Stimulation

A positron emission tomographic study of the human visual cortex

M. J. Kushner, MD, A. Rosenquist, PhD, A. Alavi, MD, M. Rosen, BA, R. Dann, BS, F. Fazekas, MD, T. Bosley, MD, J. Greenberg, PhD and M. Reivich, MD

Cerebrovascular Research Center, Departments of Neurology (Dr. Kushner, Mr. Rosen, Mr. Dann, and Drs. Fazekas, Bosley, Greenberg, and Reivich), Anatomy (Dr. Rosenquist), and Radiology (Dr. Alavi), University of Pennsylvania, Philadelphia, PA.

We studied the impact of visual stimulation upon cerebral metabolism in normal young men using FDG-PET. Results obtained from subjects receiving patterned visual stimulation while performing an ocular fixation task were compared with results from ocular fixation alone. Visual stimulation in the macular region of either hemifield produced significant increases in metabolism of the contralateral posterior striate cortex. Visual stimulation induced highly significant asymmetries in metabolism of the prefrontal and inferior parietal cortices. Metabolic activation in extrastriate areas tended to be right-sided. These findings support the classic notion of retinotopic organization within the primary visual sensory cortex. They also indicate that the patterns of cerebral metabolism are not equivalent between the two cerebral hemispheres. This latter finding suggests that in humans the right cerebral hemisphere may be specialized for visual processing.

Address correspondence and reprint requests to Dr. Kushner, Cerebrovascular Research Center, Department of Neurology, 429 Johnson Pavilion, 36th and Hamilton Walk, University of Pennsylvania, Philadelphia, PA 19104.

Supported by Program Grant NS-14867-08 from the US Public Health Service. Dr. Kushner is the recipient of Clinical Investigation Development Award NS00999-02.

Received January 14, 1987. Accepted for publication in final form April 2, 1987.




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