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Lesion Specific Differences of Binocular Depth Inversion in Patients with Temporal Lobe Epilepsy

 F. M. Leweke, C. Helmstaedter, H. M. Emrich and C. E. Elger
  
 

Abstract:
Binocular depth inversion (BDI) represents a well-known illusionary perception. It results from a process of generating hypotheses on the three-dimensional shape of objects by interpreting the bottom-up signals using conceptual and perceptual knowledge (top-down) as well as general rules of perception (Gregory, 1998). Therefore, BDI is due to a domination of top-down object knowledge over bottom-up signals. It has been suggested by Gray and Rawlins (1986) that the hippocampus plays an important role in the above processes of depth perception and inversion. We therefore investigated BDI in 40 patients either suffering from left or right temporal lobe epilepsy, each with defined unilocular lesions and seizure-onset, and in 20 comparable healthy volunteers as previously described (Leweke, 1999). BDI scores for ordinary objects and face perception were significantly lower in left and significantly elevated right temporal lesioned patients compared to controls. Differences between mesial and other temporal lobe lesions were statistically not significant. We conclude that temporal lobe circuits play an important role in BDI, which may represent an additional, non-invasive tool in localizing seizure onset in temporal lobe epilepsy. Furthermore, we hypothesize a role for temporal lobe functioning in schizophrenic disorders when BDI is markedly disturbed.

 
 


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