Direct stimulation of visual cortex can produce illusory flashes of light,
called phosphenes. Here we describe the spatial and motion properties of ph
osphenes produced by transcranial magnetic stimulation in normal subjects a
nd in two subjects with peripheral or cortical blindness. The totally retin
ally blind subject experienced normal phosphenes, apart from their concentr
ation in the centre of the visual field, whereas the hemianopic subject, la
cking area VI, did not experience phosphenes when his surviving extrastriat
e visual areas were stimulated. In the absence of VI, magnetically induced
activity was unable to generate a conscious visual percept in the field def
ect. NeuroReport 11:3269-3273 (C) 2000 Lippincott Williams & Wilkins.