Transcranial Magnetic Stimulation Differentiates Egocentric vs. Allocentric Network Hubs for Memory-Guided Reach

Previous patient and imaging studies suggest that dorsal and ventral visual stream mechanisms contribute selectively to egocentric (eye-centred) and allocentric (landmark-centred) goal-directed behaviours, respectively. However, causal evidence for this ego-allocentric dissociation in healthy brains is lacking. Based on a recent neuroimaging study, we hypothesized that perturbations to dorsal stream network hubs would disrupt both egocentric and allocentric reaches, whereas perturbations to ventral hubs would affect only allocentric reaches. Sixteen participants viewed a briefly presented target in the presence of a landmark that later shifted after a memory interval. Participants were instructed to 1) ignore the landmark and reach toward / opposite the original target location (egocentric task) or 2) reach toward the targets location fixed relative to the shifted landmark (allocentric task). Transcranial magnetic stimulation (TMS) was applied during the memory period, spanning the landmark shift, at two occipital sites, based on the network hub coordinates from our previous study and individual brain anatomy. As predicted, superior occipital TMS impaired reaction time, accuracy, and precision in both tasks, whereas inferior occipital TMS only impaired allocentric performance. Further, spatial asymmetries in the resulting error patterns were influenced by TMS site and task: superior occipital TMS influenced asymmetries more strongly in the egocentric task, whereas inferior occipital TMS only influenced spatial asymmetries in the allocentric task. Finally, a functional network analysis revealed a widespread influence of TMS on network-behavior relations and another dissociation: greater influence of superior occipital TMS on the egocentric task and of inferior occipital TMS on the allocentric task. These results establish specific causal relationships between occipital hubs, widespread cortical networks, and reach behavior, confirming a default dorsal egocentric transformation for visually aimed reaches, and a role for the ventral stream for landmark-centred actions.