Unilateral Resection of Both Cortical Visual Pathways Alters Action but not Perception

The human cortical visual system consists of two major pathways, a ventral pathway that subserves perception and a dorsal pathway that subserves visuomotor control. These pathways follow dissociable developmental trajectories, and, accordingly, might be differentially susceptible to neurodevelopmental disorders or injuries. Previous studies have found that children with cortical resections of the ventral visual pathway retain largely normal visuoperceptual abilities. Whether visually guided actions, supported by computations carried out by the dorsal pathway, follow a similar pattern remains unknown. To address this question, we examined visuoperceptual and visuomotor behaviors in a pediatric patient, TC, who underwent a cortical resection that included portions of the left ventral and dorsal pathways. We collected data when TC used her right and left hands to perceptually estimate the width blocks that varied in width and length, and, separately, to grasp the same blocks. TCs perceptual estimation performance was comparable to that of controls, independent of the hand used. In contrast, relative to controls, she showed reduced visuomotor sensitivity to object shape and this was more evident when she grasped the objects with her contralesional right hand. These results provide evidence for a striking difference in the reorganization profiles of the two visual pathways. This difference supports the notion that the two pathways exhibit differential susceptibility to neurodevelopmental disorders.