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Pyramidal tract involvement (opisthotonus, headretro?exion, spasticity, and trismus) and cognitive impairment may or may notbe present. Electricalstimulation of the occipital cortex produces simple VHs inthe contralateral visual hemifield, while electrical stimu-lation of the temporo-occipital or parieto-occipital cortexproduces complex VHs (for example, involving people,animals, or scenes) in both visual hemifi elds (Penfi eld andPerot, 1963)

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