Background: Visual hallucinations (VH) are common in Parkinson's disease (PD) and are associated with increased morbidity and mortality. Current explanations for VH in PD suggest combined impairments in top-down attentional and bottom-up perceptual processes, which allow the passive ''release'' of stored images. Alternative models in other disorders have suggested that top-down factors may actively encourage hallucinations. In order to explore the interaction between top-down and bottom-up visual processing in PDVH, we developed novel experimental priming tasks in which top-down verbal cues were used to prime the bottom-up recognition of partial or ambiguous pictures. Method: Two groups of PD participants with (PD þ VH, n ¼ 16), and without VH (PD -VH, n ¼ 20) were compared to a group of healthy older adults (NC, n ¼ 20) on 3 novel measures of visual priming. Results: All tasks showed significant priming effects. The PD þ VH group was more impaired at accurately identifying silhouette and fragmented images compared to the PD -VH group. There were no differences in priming between the 2 PD groups. Conclusions: The study showed that VH in PD are not associated with relatively greater top-down activation, and that the interaction between top-down and bottom-up processes is intact.