Shape-centered representations of bounded regions of space mediate the perception of objects

We report the study of a woman who perceives 2D bounded regions of space ("shapes") defined by sharp edges of medium to high contrast as if they were rotated by 90, 180 degrees around their centre, mirrored across their own axes, or both. In contrast, her perception of 3D, strongly blurred or very low contrast shapes, and of stimuli emerging from a collection of shapes, is intact. This suggests that a stage in the process of constructing the conscious visual representation of a scene consists of representing mutually exclusive bounded regions extracted from the initial retinotopic space in "shape-centered" frames of reference. The selectivity of the disorder to shapes originally biased toward the parvocellular subcortical pathway, and the absence of any other type of error, additionally invite new hypotheses about the operations involved in computing these "intermediate shape-centered representations" and in mapping them onto higher frames for perception and action.