The loss of color vision secondary to central nervous system disease (
achromatopsia) is thought to preclude visual imagery of colors. We rep
ort a patient with achromatopsia, secondary to bilateral temporo-occip
ital infarcts inclusive of the lingual and fusiform gyri, with preserv
ed color imagery. Our findings, in conjunction with previous cases in
the literature, are consistent with a single neural network for color
processing in which a disconnection of internal activation from stored
color representations produces impaired color imagery with preserved
color perception, whereas a disconnection of visual input to these rep
resentations produces achromatopsia with preserved color imagery. Copy
right (C) 1996 Elsevier Science Ltd.