Contralateral Visual Cortex Research Articles

Cortical activation in hemianopia after stroke

Changes in neuronal activity of the visual cortex have been described in patients with hemianopia. The anatomical areas that are involved in neuroplastic changes have not been studied in a larger group of stroke patients with a homogenous structural pathology of the visual cortex. Brain activation was measured in 13 patients with a single ischemic lesion of the striate cortex and partially recovered hemianopia and in 13 age-matched control subjects using blood oxygen level dependent (BOLD) functional magnetic resonance imaging (fMRI). Differences in activation between rest and visual hemifield stimulation were assessed with statistical parametric mapping using group and multi-group studies. In normal subjects, the most significant activation was found in the contralateral primary visual cortex (area 17) and bilaterally in the extrastriate cortex (areas 18 and 19). In patients, these areas were also activated when the intact hemifield was stimulated. During stimulation of the hemianopic side, bilateral activation was seen within the extrastriate cortex, stronger in the ipsilateral (contralesional) hemisphere. Stimulation of the hemianopic visual field is associated with ipsilateral activation of the extrastriate visual cortex. This pattern of activation suggests extensive neuronal plasticity within the visual cortex after postgeniculate ischemic lesions and may have implications for therapeutic interventions.

Increased visual cortex glucose metabolism contralateral to angioma in children with Sturge—Weber syndrome

Functional reorganization after focal brain injury can lead to altered cerebral metabolism of glucose. Sturge-Weber syndrome (SWS) with unilateral involvement is a clinical model for evaluating the effects of early focal brain injury on brain metabolism and function. In this study, 2-deoxy-2[(18)F]fluoro-D-glucose (FDG) positron emission tomography (PET) was used to measure glucose metabolism in cortex and basal ganglia, both ipsilateral and contralateral to the angioma, in 17 children (eight males, nine females; age range 1y 8mo-10y 4mo; mean 5y 7mo [SD 2y 11mo]) with unilateral SWS and epilepsy. The PET findings were compared with those of a control group of 11 age-matched children (four males, seven females; age range 3y-10y 8mo; mean 6y [SD 2y 10mo]) with partial epilepsy but normal magnetic resonance imaging and PET scans. In the SWS group, visual and parietal cortex showed decreased glucose metabolism on the side of the angioma (p=0.001) but increased metabolism on the contralateral side (p=0.002). In particular, glucose metabolism was very high in contralateral visual cortex of childrenwith SWS, showing severe occipital hypometabolism on the side of the angioma. Eight children with visual field defect showed increased metabolism in the contralateral visual cortex (p=0.012). These findings indicate that early, severe unilateral cortical damage in SWS may induce increased glucose metabolism in the contralateral visual cortex, probably reflecting reorganization.

Photic-induced sensitization: Eye-specific neural plasticity and effect of behavioral state

We reported previously that exposure to repetitive visual stimulation in ordinary adult rats results in acquisition of an enduring increase in magnitude and change in character of visual cortical responses. This sensitization is consistent with experience-dependent neuroplastic changes, but could also reflect alterations in response with behavioral state during testing. The aim of this study was to distinguish the contributions of behavioral state and neural plasticity in this photic-induced sensitization. We used repetitive light-emitting diode flashes delivered monocularly and recorded electrocorticographically in the albino rat in which retino-geniculo-cortical projections are predominantly crossed. This enabled comparison of visual responses of sensitized visual circuitry associated with one eye to responses from effectively unsensitized circuitry associated with the second eye at similar time points in an animal, thus providing an internal control for behavioral state. Following sensitization, monocular stimulation of one eye produced the characteristic high amplitude driven spike-wave response in corresponding contralateral visual cortex, but not ipsilateral cortex. Expression of the sensitized driven response was optimal in the quiet awake state and suppressed during active exploration, drowsiness, or anesthesia. When the animal was in the quiet awake state, producing sensitized responses to stimulation of the first eye, no such response was observed on alternate trials upon stimulation of the second eye. Only after extended exposure of the second eye did the high amplitude driven spike-wave response in contralateral visual cortex develop. The data further suggest some degree of sensitization of ipsilateral pathways may accompany monocular stimulation and that effects of monocular sensitization could include suppression in pathways related to the unstimulated eye. Thus, while behavioral state influences expression of the sensitized driven visual response, the eye-specific nature of the effect provides strong evidence that response enhancement reflects neuroplasticity in visual pathways and not a more general change in behavioral state during testing.

Magnetic resonance imaging of the visual system in vivo: Transsynaptic illumination of V1 and V2 visual cortex

Brain nuclei directly receiving retinal projections are readily labeled in magnetic resonance images following intraocular injection of manganese (Mn). To assess whether Mn in retinal ganglion cell axons can be transsynaptically delivered to visual cortex, mice that had previously received intraocular Mn injection were anesthetized with isoflurane, and T1-weighted data sets were acquired of the eyes and brain using a 7-T magnetic resonance imaging machine. Image intensity within contralateral brain structures was evaluated by assessing 1) signal-to-noise ratios, 2) mean image intensity, and 3) mean image intensity normalized to facial muscle intensity. Image intensity was increased throughout the visual pathway including within contralateral visual cortex areas V1 and V2L. Mean normalized image intensity was greater by 53% in the ipsilateral optic nerve and by 31% and 28% in the contralateral lateral geniculate nucleus and superior colliculus, respectively (N=5, P<0.02, paired t test). In contralateral visual cortex areas V1 and V2L, image intensity was increased by 7.5% and 6.8%, respectively (P<0.02 for both, paired t test). Power analysis of the different evaluation methods yielded evidence of superior sensitivity using the normalization method. Reconstruction of the visual system based upon threshold analysis allowed simultaneous visualization of all portions of the major retinal projections to the brain. These results support use of high magnetic field MRI imaging and data normalization for in vivo quantitative analysis of the mouse brain visual system including visual cortex.

Retinal Waves Trigger Spindle Bursts in the Neonatal Rat Visual Cortex

During visual system development, the light-insensitive retina spontaneously generates waves of activity, which are transmitted to the lateral geniculate nucleus. The crucial question is whether retinal waves are further transmitted to the cortex and influence the early cortical patterns of activity. Using simultaneous recordings from the rat retina and visual cortex during the first postnatal week in vivo, we found that spontaneous retinal bursts are correlated with spindle bursts (intermittent network bursts associated with spindle-shape field oscillations) in the contralateral visual cortex (V1). V1 spindle bursts could be evoked by electrical stimulation of the optic nerve. Intraocular injection of forskolin, which augments retinal waves, increased the occurrence of V1 spindle bursts. Blocking propagation of retinal activity, or removal of the retina reduced the frequency, but did not completely eliminate the cortical spindle bursts. These results indicate that spontaneous retinal waves are transmitted to the visual cortex and trigger endogenous spindle bursts. We propose that the interaction between retinal waves and spindle bursts contributes to the development of visual pathways to the cortex.

Neural Coupling Binds Visual Tokens to Moving Stimuli

Spatially separated visual objects that appear in alternating sequence can be perceived as a single moving object. This phenomenon of apparent motion enables us to perceive sequentially presented images as a motion picture. How does the visual system bind together single visual tokens to one moving object? Here we report a series of experiments investigating apparent motion with electroencephalographic recordings showing that gamma-band oscillatory coupling in the visual cortex is crucial for this phenomenon. We used an ambiguous stimulus that could be perceived as moving either vertically or horizontally. Because visual information from the right and left visual hemifields is routed to the contralateral early visual cortex, in the case of perceived horizontal movement, information from both hemispheres has to be integrated. In accord with this assumption, our data show stronger oscillatory coupling between right and left visual cortices during perception of horizontal motion compared with vertical motion.

The implications of foveal splitting for saccade planning in reading

The human fovea and visual pathways are precisely split: information in one hemifield is initially projected to the contralateral visual cortex. This fundamental anatomical constraint on word recognition in reading has been largely ignored in eye movement research. We explore the consequences of this constraint through analyses of a large corpus of eye movement data, and demonstrate that aspects of saccade planning (target selection, initial landing position) are sensitive to both hemispheres, estimated uncertainty about the identity of the currently fixated word. We interpret these findings in terms of a hemispheric division of labour. We suggest that anatomical, visual and lexical factors all contribute to the decision of where to send the eyes next in reading.

Impaired Neural Conduction in Crossed Visual Pathways in Patients with Ocular Hypertension

To evaluate the neural conduction along crossed and uncrossed visual pathways in patients with ocular hypertension (OHT). Fifteen patients (mean age 59.1+/-6.8 years) with OHT (IOP>22 mmHg, Humphrey 24-2 with mean deviation [MD]>-2 dB) were enrolled. They were compared to 15 age-matched controls. In OHT patients and control subjects, visual evoked potentials (VEPs) were recorded using full-field checkerboard patterns (the check subtended 15' of visual arc; contrast 80%) reversed at 2 Hz. VEP responses were simultaneously recorded in the homolateral visual cortex (HC) and in the contralateral visual cortex (CC), with respect to the stimulated eye. In OHT patients, VEP P100 implicit times observed in HC and CC were both significantly delayed (analysis of variance, p<0.01) when compared to those of controls, and, in particular, longer in CC than in HC. The interhemispheric differences (ID: P100 implicit time in HC - P100 implicit time in CC) were significantly higher in OHT patients than controls (-3.16+/-1.80 msec and 1.16+/-1.04 msec, respectively, p=0.001). In OHT patients we observed an MD hemifield difference (difference between nasal and temporal MD values) higher than in controls (-0.82+/-0.80 dB and 0.04+/-1.03 dB, respectively, p<0.01) and significantly correlated with the ID (r: 0.836, p<0.001). The observed asymmetry in the bioelectrical cortical responses and in the visual hemifield parameters suggests that crossed visual pathways could be impaired earlier than uncrossed visual pathways in OHT patients.

Delayed Striate Cortical Activation during Spatial Attention

Recordings of event-related potentials (ERPs) and event-related magnetic fields (ERMFs) were combined with functional magnetic resonance imaging (fMRI) to study visual cortical activity in humans during spatial attention. While subjects attended selectively to stimulus arrays in one visual field, fMRI revealed stimulus-related activations in the contralateral primary visual cortex and in multiple extrastriate areas. ERP and ERMF recordings showed that attention did not affect the initial evoked response at 60–90 ms poststimulus that was localized to primary cortex, but a similarly localized late response at 140–250 ms was enhanced to attended stimuli. These findings provide evidence that the primary visual cortex participates in the selective processing of attended stimuli by means of delayed feedback from higher visual-cortical areas.

Crossmodal Spatial Influences of Touch on Extrastriate Visual Areas Take Current Gaze Direction into Account

Recent results indicate that crossmodal interactions can affect activity in cortical regions traditionally regarded as “unimodal.” Previously we found that combining touch on one hand with visual stimulation in the anatomically corresponding hemifield could boost responses in contralateral visual cortex. Here we manipulated which visual hemifield corresponded to the location of the stimulated hand, by changing gaze direction such that right-hand touch could now arise in either the left or right visual field. Crossmodal effects on visual cortex switched from one hemisphere to the other, depending on gaze direction, regardless of whether the hand was seen. This indicates that crossmodal influences of touch upon visual cortex depend on spatial alignment for the multimodal stimuli, with gaze posture taken into account.

左後頭葉損傷例の眼球・頭部協調運動 先天性同名半盲例と後天性同名半盲例の比較

Homonymous hemianopia is caused by lesion of in the contralateral optic radiation or visual cortex in cerebral hemisphere or as the result of vision obstacle occurring in the area of striata damage. It is known that the influence of the cerebral hemisphere on eye movement related to pursuit, OKN. We compared ENG and eye-head coordination in two cases of congenital and acquired hemianopia due to left occipital lesion.In ENG of two cases, saccade was overshot on movements toward the blind side, pursuit was saccadic on movements toward the normal side and the OKN was defectiveness contralateral to the damage. However, any recordings in the congenital case were much worse.In eye-head coordination tests of these two cases it was demonstrated that the gaze movements toward the blind sides the disorders were greater before fixation. The visual fixation of the acquired case was more damaged than that of the congenital case.

Neuroreceptor Bindings and Synaptic Activity in Visual System of Monocularly Enucleated Rat

Purpose: To study the changes in the distribution of postsynaptic benzodiazepine (BDZ) and presynaptic adenosine A 1 (AA 1) receptors in the superior colliculus (SC) and visual cortex (VC) of rats following monocular enucleation. Methods: The right eyes of 6-week-old Long-Evans rats were enucleated and ex vivo autoradiography was performed on the SC and VC obtained at different times up to 8 weeks after the enucleation. [ 14C]deoxyglucose was used to detect glucose metabolism, and [ 11C]flumazenil and [1-methyl- 11C]8-dicyclopropylmethyl-1-methyl-3-propylxanthine ([ 11C]MPDX) were used to map BDZ and AA 1 receptors, respectively. The receptor-specific binding for 11C was determined, and 11C and 14C activities were evaluated separately in the same tissue by a double tracing method. Results: The uptake of [ 14C]deoxyglucose in the SC was depressed immediately after enucleation and gradually recovered. The binding of [ 11C]flumazenil to BDZ receptors in the contralateral SC was increased at week 2, and then returned to the pre-enucleation levels. The uptake of [ 11C]MPDX by the AA 1 receptors in the contralateral SC decreased by about 67% on day 5 after enucleation and remained low thereafter. In the contralateral VC, the uptake of [ 14C]deoxyglucose decreased immediately after the enucleation followed by a gradual recovery, whereas the uptake of [ 11C]flumazenil and [ 11C]MPDX was not altered. Conclusions: The axon degeneration related decrease of the AA 1 receptor density resulted in a transient up-regulation of postsynaptic BDZ receptor density in monocularly enucleated adult rats. These results suggest that these radioligands can be used to study the distribution of the postsynaptic BDZ and presynaptic AA 1 receptors in the visual system and can probably be applied to the human visual system for positron emission tomography.

Ocular dominance in anterior visual cortex in a child demonstrated by the use of fMRI

Negative signal changes in the visual cortex have been observed during visual stimulation when performing functional magnetic resonance imaging (fMRI) in children. This report investigated whether the ocular dominance, which has been demonstrated in the contralateral anterior visual cortex in adults, could be observed in a child by the use of fMRI. A 5-year-old child was studied using fMRI at 1.5 T during alternating monocular visual stimulation under sedation with morphine and pentobarbital. The functional images were motion corrected, and statistical parametric maps were made by contrasting the left or right eye stimulation conditions vs the right or left eye stimulation conditions, respectively, at each voxel. Areas with negative signal changes were found on the left anterior visual cortex during monocular visual stimulation of the right eye and vice versa. There was no area with negative or positive signal change on the ipsilateral visual cortex to the stimulated eye and no area with positive signal change on the contralateral visual cortex. Contralateral ocular dominance of anterior visual cortex similar to that of adults was demonstrated in this child with a negative correlation with the visual stimulus. This finding suggests that peripheral visual fields are represented in the anterior visual cortex of 5-year-old children.

Postnatal development of biotinylated dextran amine-labeled corpus callosum axons projecting from the visual and auditory cortices to the visual cortex of the rat.

The distribution and morphology of developing corpus callosum (CC) axons in rat visual cortex was studied by unilateral application of the in vivo anterograde tracer biotinylated dextran amine (BDA) to the visual or auditory cortex of newborns through adults. Changes in the distribution and morphology of CC axons during development were observed. Following BDA placement only in visual cortex, nearly all CC projections were to visual cortex (homotopic CC projections). At postnatal day (PND) 5-8, labeled CC axons were found throughout the contralateral visual cortex, including area 17; these CC axons could be followed from the white matter to layer I. By PND 13, few CC axons were found in medial area 17, indicating the existence of transitory CC axons in area 17 at younger ages. Morphological changes were investigated at the area 17/18a border and showed that CC axon collaterals were not formed until PND 8, and terminal arbors were not visible until PND 13; by PND 17, the adult CC-axon terminal pattern was present. At all ages, only a few heterotopic CC projections from visual to auditory cortex were found in the gray matter, although many labeled CC axons extended laterally into the white matter underlying the auditory cortex. Following BDA placement only in auditory cortex, CC projections to both auditory (homotopic CC projections) and visual (heterotopic CC projections) cortex were observed. At all ages, the homotopic CC projections were present throughout the auditory cortex, but were not distributed homogeneously; densely labeled CC axons showed a distinct columnar organization. The heterotopic CC projections were present in all visual cortical areas, including medial area 17, in significant numbers until PND 24, but were mostly eliminated by PND 28, at which time a labeling pattern similar to the adult was found. Thus, most of the heterotopic CC projections were transitory. The present study confirms the existence of transitory CC axons projecting through all layers of the visual cortex, as revealed by DiI, and extends the DiI results by showing that these transitory CC axons arise from both homotopic and heterotopic origins. Furthermore, different sources of transitory CC axons have different timetables for elimination.

Functional Magnetic Resonance Imaging of Eye Dominance at 4 Tesla

We studied eye dominance in visual cortex and lateral geniculate nucleus (LGN) using functional magnetic resonance imaging (fMRI) at a very high magnetic field (4 tesla). Eight normal volunteers were studied with fMRI at 4 tesla during alternating monocular visual stimulation. The acquisition was repeated twice in 4 subjects to confirm reproducibility. In addition, magnetic resonance signal intensities during three conditions (right eye stimulation, left eye stimulation, and control condition) were compared to determine whether the observed area was truly or relatively monocular in 2 subjects. In both the individual and group analyses, the anterior striate cortex was consistently activated by the contralateral eye more than the ipsilateral eye. Additionally, we found evidence that there were areas in the bilateral LGN which were more active during the stimulation of the contralateral eye than during the stimulation of the ipsilateral eye. The activated areas were reproducible, and the mean ratio of the overlapping area was 0.71 for the repeated scans. The additional experiment revealed that the area in the anterior visual cortex could be divided into two parts, one truly monocular and the other relatively monocular. Our finding confirmed previous fMRI results at 1.5 tesla showing that eye dominance was observed in the contralateral anterior visual cortex. However, the eye dominance in the visual cortex was found not only in the most anterior area corresponding to the monocular temporal crescent but also in the more posterior area, presumably showing the greater sensitivity of the temporal visual field (nasal retina) as compared with the nasal visual field (temporal retina) in the peripheral visual field (peripheral retina). In addition, it is suggested that the nasotemporal asymmetry of the retina and the visual fields is represented in the LGN as well as in the visual cortex.

Cortical reorganization of the visual system in post-stroke hemianopia studied with fMRI

102 Introduction: Restitution of unilateral visual field defects following occipital cortex lesions occurs rarely. Partial recovery, however, can be observed in patients with incomplete lesion of the visual cortex. Our objective was to study the neuroplastic changes in the visual system that underlie such recovery. Methods and Results: Six patients with a left PCA-territory cortical stroke and 6 healthy control subjects were studied during rest and during visual stimulation using a 1.5 T fMRI with a 40 mT gradient. Visual stimuli were projected with a laptop computer onto a 154 x 115 cm screen, placed 90 cm in front of the gantry. Subjects were asked to fixate a red point in the center of the screen during both conditions. During stimulation, a black-and-white checkerboard pattern reversal was presented in each hemifield. For each side, 120 volumes of 48 contiguous axial fMRI images were obtained during rest and during hemifield stimulation in alternating order (60 volumes for each condition). Significant differences of rCBF between stimulation and rest were assessed as group analyses using statistical parametric mapping (SPM 99; p&lt;0.01, corrected for multiple comparison). In controls, strong increases of rCBF (Z=7.6) occurred in the contralateral primary visual cortex V1 (area 17) and in V3a (area 18) and V5 (area 19). No differences were found between the right and left side in controls. During stimulation of the unaffected (left) visual field in hemianopic patients, activation occurred in contralateral V1, but the strongest increases of rCBF (Z&gt;10) were seen in contralateral V3a (area 18) and V5 (area 19). During stimulation of the hemianopic (right) visual field, no activation was found in the primary visual cortex of either hemisphere. The most significant activation (Z=9.2) was seen in the ipsilateral V3a and V5 areas, and contralateral (left) V3a. Conclusions: Partial recovery from hemianopia is associated with strong ipsilateral activation of the visual system. Processing of visual stimuli in the hemianopic side spares the primary visual cortex and may involve recruitment of neurons in ipsilateral (contralesional) areas V3a and V5.

Visual evoked cortical magnetic fields to pattern reversal stimulation

We studied visual evoked magnetic fields to pattern reversal stimulation in six healthy subjects. Similar to the N75-P100-N145 components in visual evoked potentials, triphasic deflections, N75m-P100m-N145m, were clearly observed around the midoccipital position. A very small component, P50m, was occasionally observed preceding the N75m. Equivalent current dipoles (ECDs) of the main deflection, P100m, to quadrant-field stimulation were estimated near or around the calcarine fissure contralateral to the stimulation. The vertical ECD location of the P100m to the upper quadrant-field stimulation was estimated significantly lower (0.81±0.45 cm) than those to lower stimulation. These results were compatible with the retinotopic organization of the visual cortex (cruciform model) and suggested that the P100m originated in the striate cortex. The small P50m, although only a small number of ECDs could be estimated reliably, was located in the contralateral visual cortex. ECDs of the N75m were estimated mainly near or around the contralateral calcarine fissure. ECDs of the N145m were estimated also retinotopically, but with a greater vertical distance (2.90±1.09 cm) between upper and lower quadrant-field stimulation. MR-overlaid ECDs of the N145m suggested that these originated in the extrastriate cortex. No ECD was estimated when a probe was placed at the midfrontal position.

Fast thermal waves spreading over the cerebral cortex.

Fast thermal waves spreading over the cerebral cortex were found in the white rat by infrared neuroimaging (thermoencephaloscopy) in the range of 3-5 microm. Thermal waves appeared under visual stimulation (the probability of their appearance = 0.92), and under background conditions (probability of appearance = 0.42). Typically, they moved during the period from 15 s before to 25 s after each light flash that was presented rhythmically (1.5-3 per min). The waves spread over the cerebral cortex along the limited number of typical trajectories, which are specific for the hemisphere of their origin (ipsilateral or contralateral with the side of stimulation). The waves were never recorded in a dead animal or in a thermal standard. The amplitude of the thermal waves was in the range of 0.005-0.1 degrees C, with the extent of the pathway of 2-56 mm, length of 10-15 mm, duration of 1.2-11.4 s, and velocity of 1-33 mm/s. In about half of the cases the waves appeared in the contralateral visual cortex (areas 17 and 18a), spread to the midline and crossed to the ipsilateral hemisphere (areas 17, 18a and 7). Local waves moving along a circular trajectory and rotating around the central part of the contralateral area 17 were also revealed, as well as wave rotation around the dorsal (mainly parietal) cortical fields. Possible biophysical and neurophysiological mechanisms and the functional significance of the revealed effects are discussed.

Development of a crossed corticotectal pathway following cerebral hemispherectomy in cats: a quantitative study of the projecting neurons

A hypothetical mechanisms for the partial sparing of visual function in the contralateral visual field following cerebral hemispherectomy early in life is the formation of a new corticotectal pathway arising from the remaining primary visual cortex (areas 17 and 18) that projects to the contralateral superior colliculus. To test this hypothesis, the left superior colliculus of intact adult and neonatal (5–15 days old) cats and of adult cats with a left cerebral hemispherectomy sustained neonatally (7–9 days old) or in adulthood, was injected with WGA-HRP and the brains were processed for combined TMB/DAB histochemistry. The primary visual cortex was examined, labelled neurons were counted and the cross sectional area of their somata was measured. The left primary visual cortex of intact adult animals exhibited a mean of 959.68 labelled cells ±406.5 (S.E.), with a mean soma size of 366.7 μm 2 ± 131.2. For the neonatal intact cats, there was a mean of 75.31 ± 21.08 cells within the left primary visual cortex which exhibited a mean soma size of 249.56 μm 2 ± 68.18. The peak cell size distribution for both intact groups was similar at 300 μm 2. Virtually no labelled neurons were detected in the right primary visual cortex of intact animals (neonatal or adult). For neonatal-hemispherectomized cats, the remaining right primary visual cortex exhibited a mean cell count of 351.09 ± 126.3 cells, with a mean soma size of 436.1 μm 2 ± 131.5, and a peak cell size distribution of 400 μm 2. Finally, for adult-hemispherectomized animals, the contralateral primary visual cortex exhibited 68.27 ± 20.13 neurons having a mean soma size of 486.6 μm 2 ± 143.2 with a peak cell size distribution of 500 μm 2. These results indicate that reorganization of the corticotectal pathway occurs in both adult- and neonatal-hemispherectomized cats but is more pronounced in neonatal-lesioned animals. In addition, the cells of origin of this reorganized pathway tended to be larger, perhaps in response to a greater axonal arborization.

Topographic mapping of the pattern onset evoked magnetic response to stimulation of different portions of the visual field

Visual evoked magnetic responses to pattern onset/offset stimuli were recorded in 5 normal subjects. The outgoing and ingoing magnetic currents were seen maximally over the contralateral visual cortex to the half field stimulated in the majority of subjects. The distribution of magnetic currents with half field stimulation would be consistent with a dipole on the midline with the positive and pointing laterally. Quadrantic stimuli produced dipoles which would be consistent with a vector sum of dipoles situated, in the case of upper quarter field stimulation, in the lingual gyri on the floor of the calcarine fissure. Lower quadrantic stimulation produced a vector consistent with dipoles on the cuneal gyrus and on the ceiling of the calcarine fissure producing a resultant vector. The use of paired octant stimuli to improve localisation was demonstrated on both right left and upper and lower half fields.