We sought to determine whether regions of extrastriate visual cortex c
ould be activated in subjects viewing eye and mouth movements that occ
urred within a stationary face. Eleven subjects participated in three
to five functional magnetic resonance imaging sessions in which they v
iewed moving eyes, moving mouths, or movements of check patterns that
occurred in the same spatial location as the eyes or mouth. In each ta
sk, the stimuli were superimposed on a radial background pattern that
continually moved inward to control for the effect of movement per se.
Activation evoked by the radial background was assessed in a separate
control task. Moving eyes and mouths activated a bilateral region cen
tered in the posterior superior temporal sulcus (STS). The moving chec
k patterns did not appreciably activate the STS or surrounding regions
. The activation by moving eyes and mouths was distinct from that elic
ited by the moving radial background, which primarily activated the po
sterior-temporal-occipital fossa and the lateral occipital sulcus-a re
gion corresponding to area MTN5. Area MTN5 was also strongly activated
by moving eyes and to a lesser extent by other moving stimuli. These
results suggest that a superior temporal region centered in the STS is
preferentially involved in the perception of gaze direction and mouth
movements. This region of the STS may be functionally related to near
by superior temporal regions thought to be involved in lip-reading and
in the perception of hand and body movement.