To better understand the damage to the motion pathway that occurs in s
enile dementia of the Alzheimer type (SDAT), we developed a system to
assess separately the conscious perception and unconscious detection o
f motion in patients with SDAT. Motion perception thresholds were sign
ificantly elevated in SDAT (n = 9) compared with controls (n = 12), bu
t motion detection thresholds were normal. This dissociation between t
he perception and detection of motion in early SDAT parallels histolog
ic evidence of a disconnection between primary and association visual
cortices. This disconnection may underlie the severe visual perception
deficits seen in SDAT.