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a b s t r a c tOptic ataxia, following dorsal stream lesions, is characterised by impaired visuomotor guidance. Recent studies have found concurrent perceptual deficits, but it is unclear whether these are functionally related to the visuomotor symptoms. We studied the ability of a well-documented patient (IG) with bilateral optic ataxia to react to sudden target jumps by correcting ongoing reaches or by explicitly reporting the jump direction. IG showed deficient reach corrections, especially for target jumps to the visual periphery, and was similarly slow to discriminate the same jumps perceptually. Across six test conditions, in which the retinal locations of target jumps were varied, her perceptual slowing mirrored her reaching deficit precisely. These findings confirm perceptual impairments after dorsal stream lesions, and imply a shared functional basis with the classical visuomotor symptoms of optic ataxia. Additionally, we show that the online correction deficit is determined dually by the retinal location to which the reach must be diverted, and the location to which it is initially directed. We suggest that this deficit, and its perceptual counterpart, can be traced to a slowed contralesional orienting of attention in optic ataxia.

The ability to correct reaching movements for changes in target position has been described as the hand's 'automatic pilot'. These corrections are preconscious and occur by default in double-step reaching tasks, even if the goal is to react to the target jump in some other way, for instance by stopping the movement (STOP instruction). Nonetheless, corrections are strongly modulated by conscious intention: participants make more corrections when asked to follow the target (GO instruction) and can suppress them when explicitly asked not to follow the target (NOGO instruction). We studied the influence of a cognitively demanding (auditory 1-back) task upon correction behaviour under GO, STOP and NOGO instructions. Correction rates under the STOP instruction were unaffected by cognitive load, consistent with the assumption that they reflect the default behaviour of the automatic pilot. Correction rates under the GO instruction were also unaffected, suggesting that minimal cognitive resources are required to enhance online correction. By contrast, cognitive load impeded the ability to suppress online corrections under the NOGO instruction. These data reveal a constitutional bias in the automatic pilot system: intentional suppression of the default correction behaviour is cognitively demanding, but enhancement towards greater responsiveness is seemingly effortless.

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