• Alejandro Fernández Coello, Sophie Duvaux, Alessandro De Benedictis, Ryosuke Matsuda, and Hugues Duffau.
• Department of Neurosurgery, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
• J. Neurosurg.. 2013 Jan 1;118(1):202-5.

AbstractNeural foundations underlying visual agnosia are poorly understood. The authors present the case of a patient who underwent awake surgery for a right basal temporooccipital low-grade glioma in which direct electrostimulation was used both at the cortical and subcortical level. Brain mapping over the inferior longitudinal fascicle generated contralateral visual hemiagnosia. These original findings are in agreement with recent tractography data that have confirmed the existence of an occipitotemporal pathway connecting occipital visual input to higher-level processing in temporal lobe structures. This is the first report of a true transient visual hemiagnosia elicited through electrostimulation, supporting the crucial role of inferior longitudinal fascicle in visual recognition.

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