A 41-year-old woman showed bilateral monocular polyopia and an incompl
ete, right-sided homonymous hemianopia following bilateral cerebral st
rokes confirmed by neuroimaging. She was tested with briefly-presented
visual stimuli to determine whether her polyopic images varied with v
isual field position of stimuli which evoked them. Stimuli close to he
r scotoma elicited polyopic images at shorter latency and higher proba
bility than did stimuli more distant from it. RS could maintain stable
fixation on small stimuli, suggesting that eye movements were not res
ponsible for her polyopia. We discuss the possibility that cerebral po
lyopia is due to recoding of visual receptive fields in primary visual
cortex and that bilateral occipital lesions are a causative factor in
the genesis of the disorder. (C) 1998 Elsevier Science Ltd. All right
s reserved.