Visual Imagery is the ability to generate mental images in the absence of perception, that is, “seeing with the mind's eye.” We describe a patient, IM, who suffered from an acute ischemic stroke in the right anterior choroidal artery who appeared to demonstrate relatively isolated impairment in visual imagery. Her cognitive function, including her performance on tests of semantic function, was at ceiling, apart from a deficit in visual memory. IM failed in tasks involving degraded stimuli, object decision involving reality judgments on normal animals, and drawings from memory. By contrast, she was able to match objects seen from an unfamiliar viewpoint and to perform tasks of semantic and visual association. We hypothesize that IM has a visual working memory deficit that impairs her ability to generate full visual representations of objects given their names, individual feature, or partial representations. The deficit appears to be the result of damage to connections between the right thalamus and the right temporal lobe. Our findings may help to clarify the role of the thalamus in the cortical selective engagement processes that underlie working memory. (JINS, 2008, 14, 902–911.)

This study aimed to identify different processes in working memory, using event-related potentials (ERPs) and response times. Abstract polygons were presented for memorization and subsequent recall in a delayed matching-to-sample paradigm. Two polygons were presented bilaterally for memorization and a cue indicated whether one (and if so, which one of the two) or both polygons had to be memorized. A subsequent test figure was presented unilaterally to the left or right visual field and had to be compared with the memorized figure(s). ERP results suggested that memorization takes place in a visual buffer in contralateral posterior brain areas, whereas identification of the test stimulus as a target appears to be mainly a left hemispheric process. Increased response times were found for nontarget test stimuli as compared to targets, and for target test stimuli that were presented contralaterally with respect to the location of the memorized stimulus. In addition, response times were slower when two figures were memorized than when only one was memorized.