Akinetopsia (motion blindness) is a rare visual cortical disorder characterized by impaired perception of visual motion, with moving objects perceived as disjointed jumps or freeze-frames. The condition is linked to dysfunction of motion-processing regions in the visual cortex, especially area V5/MT.
Conditions with similar clinical presentations that must be differentiated from Akinetopsia:
name: Akinetopsia
creation_date: '2026-02-02T17:31:18Z'
updated_date: '2026-02-16T20:19:38Z'
category: Complex
description: >-
Akinetopsia (motion blindness) is a rare visual cortical disorder characterized
by impaired perception of visual motion, with moving objects perceived as
disjointed jumps or freeze-frames. The condition is linked to dysfunction of
motion-processing regions in the visual cortex, especially area V5/MT.
disease_term:
preferred_term: akinetopsia
term:
id: MONDO:0000660
label: akinetopsia
parents:
- agnosia
- mental disorder
synonyms:
- Motion blindness
- Visual motion blindness
notes: >-
Akinetopsia is described as a cortical syndrome in which patients lose the
ability to perceive visual motion.
prevalence:
- population: Reported cases
notes: >-
Since first description in 1911, only a handful of cases have been studied,
indicating an extremely rare disorder.
evidence:
- reference: PMID:40605075
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Since akinetopsia was first described in 1911, only a handful of cases have been studied."
explanation: This review emphasizes the rarity of akinetopsia and the limited number of documented cases.
- reference: PMID:37938052
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Selective motion blindness, also known as akinetopsia, is infrequently reported in the literature."
explanation: This systematic review notes that akinetopsia is infrequently reported, supporting rarity.
pathophysiology:
- name: V5/MT motion-processing cortex dysfunction
description: >-
The disorder reflects disruption of cortical area V5/MT, a key node for
visual motion perception, leading to failure of normal motion integration.
cell_types:
- preferred_term: neuron
term:
id: CL:0000540
label: neuron
locations:
- preferred_term: visual cortex
term:
id: UBERON:0000411
label: visual cortex
- preferred_term: secondary visual cortex
term:
id: UBERON:0022232
label: secondary visual cortex
evidence:
- reference: PMID:39996018
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Despite its profound impact, the condition remains poorly understood beyond the established centrality of cortical area V5/MT in visual motion perception."
explanation: This systematic review highlights V5/MT as central to motion perception, supporting V5/MT dysfunction as a core mechanism.
- reference: PMID:27193360
supports: PARTIAL
evidence_source: HUMAN_CLINICAL
snippet: "akinetopsia (cortical syndrome in which patient losses the ability to perceive visual motion)"
explanation: This review defines akinetopsia as a cortical syndrome with loss of visual motion perception.
- reference: PMID:37938052
supports: PARTIAL
evidence_source: HUMAN_CLINICAL
snippet: "Our results revealed distinct characteristics for the various etiologies of this phenomenon in addition to a shared pathophysiologic pathway among them."
explanation: This systematic review supports a shared pathophysiologic pathway across akinetopsia etiologies.
- name: Left V5/MT susceptibility to acute interference
description: >-
In right-handed individuals, left V5/MT appears particularly susceptible
to acute interference during experimental disruption, implicating
hemispheric vulnerability in motion perception.
locations:
- preferred_term: secondary visual cortex
term:
id: UBERON:0022232
label: secondary visual cortex
evidence:
- reference: PMID:39996018
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Pathophysiologically, in right-handed individuals, the left area V5/MT was found to be particularly susceptible to acute interference, as evidenced by the experimental studies."
explanation: This indicates left V5/MT vulnerability to acute interference in experimental cases.
- name: Right-hemispheric V5/MT predominance in clinical cases
description: >-
Clinical cases more often involve right-hemispheric V5/MT afflictions,
suggesting dominance of the right V5/MT in motion perception.
locations:
- preferred_term: secondary visual cortex
term:
id: UBERON:0022232
label: secondary visual cortex
evidence:
- reference: PMID:39996018
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "we found a greater prevalence of right-hemispheric afflictions in clinical cases, suggesting that the right area V5/MT plays a more dominant role in motion perception."
explanation: This supports right-hemisphere predominance for motion perception in clinical akinetopsia.
- name: Severity depends on surviving motion network components and stimulus speed
description: >-
The severity of motion blindness depends on remaining components of the
visual motion network and the speed of moving objects.
cell_types:
- preferred_term: neuron
term:
id: CL:0000540
label: neuron
locations:
- preferred_term: visual cortex
term:
id: UBERON:0000411
label: visual cortex
- preferred_term: secondary visual cortex
term:
id: UBERON:0022232
label: secondary visual cortex
evidence:
- reference: PMID:39996018
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "the severity of the condition also depends on surviving components of the visual motion network as a whole, and-in line with the dynamic parallellism theory-the speed of moving objects."
explanation: This supports network redundancy and stimulus speed as modifiers of symptom severity.
- name: Structural neurological damage to motion network
description: >-
Structural neurological conditions such as stroke or neurodegenerative
disease most often underlie akinetopsia by damaging cortical motion
processing regions.
cell_types:
- preferred_term: neuron
term:
id: CL:0000540
label: neuron
locations:
- preferred_term: visual cortex
term:
id: UBERON:0000411
label: visual cortex
- preferred_term: secondary visual cortex
term:
id: UBERON:0022232
label: secondary visual cortex
evidence:
- reference: PMID:39996018
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Aetiologically, most cases were associated with structural neurological conditions such as stroke and neurodegenerative disease, and fewer with intoxications or paroxysmal neurological disorders such as epilepsy."
explanation: This supports structural neurological disease as the dominant mechanism leading to motion network damage.
- name: Paroxysmal or intoxication-related cortical dysfunction
description: >-
A subset of cases arise from transient cortical dysfunction due to
intoxications or paroxysmal neurological disorders such as epilepsy.
cell_types:
- preferred_term: neuron
term:
id: CL:0000540
label: neuron
locations:
- preferred_term: visual cortex
term:
id: UBERON:0000411
label: visual cortex
- preferred_term: secondary visual cortex
term:
id: UBERON:0022232
label: secondary visual cortex
evidence:
- reference: PMID:39996018
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Aetiologically, most cases were associated with structural neurological conditions such as stroke and neurodegenerative disease, and fewer with intoxications or paroxysmal neurological disorders such as epilepsy."
explanation: This indicates that intoxications and paroxysmal disorders can underlie akinetopsia in some cases.
- reference: PMID:25667833
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "We describe a patient who showed akinetopsia recurrently as epileptic seizures."
explanation: This case report documents epileptic seizures presenting as recurrent akinetopsia.
- name: Epileptic hyperexcitability of MT/V5 cortex
description: >-
Paroxysmal hyperexcitability in right temporal and parietal cortices,
including MT/V5, can trigger akinetopsia episodes.
locations:
- preferred_term: secondary visual cortex
term:
id: UBERON:0022232
label: secondary visual cortex
evidence:
- reference: PMID:25667833
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "We diagnosed his visual symptom as akinetopsia, which was aroused by hyperexcitability of the right temporal and parietal cortices, including area MT/V5."
explanation: This case report attributes akinetopsia to hyperexcitability in right temporal/parietal cortices including MT/V5.
- name: Induced disruption from TMS or medications
description: >-
Akinetopsia can be induced by transcranial magnetic stimulation or certain
medications, implying reversible disruption of motion-processing circuits.
cell_types:
- preferred_term: neuron
term:
id: CL:0000540
label: neuron
locations:
- preferred_term: visual cortex
term:
id: UBERON:0000411
label: visual cortex
- preferred_term: secondary visual cortex
term:
id: UBERON:0022232
label: secondary visual cortex
evidence:
- reference: PMID:40605075
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Recent cases have demonstrated that it is not necessarily attributed only to vascular causes and neurodegenerative diseases but can also be induced through transcranial magnetic stimulation, and certain medications."
explanation: This review documents TMS- and medication-induced akinetopsia, supporting reversible circuit disruption mechanisms.
- name: Bilateral V5/MT lesions
description: >-
Bilateral injury to V5/MT within the secondary visual cortex disrupts
motion-processing circuitry.
locations:
- preferred_term: secondary visual cortex
term:
id: UBERON:0022232
label: secondary visual cortex
evidence:
- reference: PMID:39996018
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Bilateral lesions to V5/MT most often coincided with global akinetopsia and chronicity."
explanation: This links bilateral V5/MT lesions to downstream global and chronic akinetopsia.
- name: Global akinetopsia with chronic course
description: >-
Global motion blindness with chronicity most often occurs when V5/MT is
affected bilaterally.
locations:
- preferred_term: secondary visual cortex
term:
id: UBERON:0022232
label: secondary visual cortex
evidence:
- reference: PMID:39996018
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Bilateral lesions to V5/MT most often coincided with global akinetopsia and chronicity."
explanation: This supports global and chronic akinetopsia as a frequent outcome of bilateral V5/MT lesions.
phenotypes:
- category: Visual
name: Visual motion blindness with freeze-frame perception
description: >-
Moving objects are perceived as disjointed jumps or freeze frames rather than
smooth continuous motion.
phenotype_term:
preferred_term: Visual agnosia
term:
id: HP:0030222
label: Visual agnosia
evidence:
- reference: PMID:39996018
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Akinetopsia, or visual motion blindness, is a perceptual distortion characteristic of Alice in Wonderland syndrome in which people see moving objects as disjointed 'jumps' or 'freeze frames.'"
explanation: This description of motion blindness with freeze-frame perception supports the core phenotype.
- category: Visual
name: Hemiakinetopsia
description: >-
Motion blindness restricted to one hemifield of vision in a subset of
clinical cases.
phenotype_term:
preferred_term: Visual field defect
term:
id: HP:0001123
label: Visual field defect
evidence:
- reference: PMID:39996018
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Of the clinical cases, 12% showed hemiakinetopsia, 50% continuous or progressive symptoms, and 52% a chronic course."
explanation: This review quantifies hemiakinetopsia among clinical cases.
environmental:
- name: Structural neurological lesions
description: >-
Structural brain conditions such as stroke and neurodegenerative disease are
common etiologic contexts for akinetopsia.
evidence:
- reference: PMID:39996018
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Aetiologically, most cases were associated with structural neurological conditions such as stroke and neurodegenerative disease, and fewer with intoxications or paroxysmal neurological disorders such as epilepsy."
explanation: The review reports structural neurological conditions as the dominant etiologic context.
- name: Intoxications or paroxysmal neurological disorders
description: >-
Some cases are associated with intoxications or paroxysmal disorders such as
epilepsy.
evidence:
- reference: PMID:39996018
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Aetiologically, most cases were associated with structural neurological conditions such as stroke and neurodegenerative disease, and fewer with intoxications or paroxysmal neurological disorders such as epilepsy."
explanation: This supports intoxications and paroxysmal disorders as less common etiologies.
- name: Transcranial magnetic stimulation exposure
description: >-
Akinetopsia has been reported after transcranial magnetic stimulation,
indicating that direct disruption of cortical motion networks can induce
symptoms.
evidence:
- reference: PMID:40605075
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Recent cases have demonstrated that it is not necessarily attributed only to vascular causes and neurodegenerative diseases but can also be induced through transcranial magnetic stimulation, and certain medications."
explanation: This review notes TMS-associated induction of akinetopsia.
- name: Medication-induced motion blindness
description: >-
Certain medications can induce akinetopsia, implying reversible
pharmacologic disruption of motion processing.
evidence:
- reference: PMID:40605075
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Recent cases have demonstrated that it is not necessarily attributed only to vascular causes and neurodegenerative diseases but can also be induced through transcranial magnetic stimulation, and certain medications."
explanation: This review cites medication-induced akinetopsia in recent cases.
treatments:
- name: Treat underlying condition
description: >-
Treatment is most effective when directed at the underlying cause, while
cases due to organic lesions may be therapy-resistant.
treatment_term:
preferred_term: medical action
term:
id: MAXO:0000001
label: medical action
evidence:
- reference: PMID:39996018
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Treatments were mostly successful when they were aimed at the underlying condition, while cases due to organic lesions tended to be therapy-resistant."
explanation: This review indicates treatment success when targeting the underlying condition and resistance in organic lesions.
- name: Carbamazepine for seizure-related akinetopsia
description: >-
Antiepileptic therapy can suppress akinetopsia when episodes are driven by
epileptic hyperexcitability.
treatment_term:
preferred_term: pharmacotherapy
term:
id: MAXO:0000058
label: pharmacotherapy
therapeutic_agent:
- preferred_term: carbamazepine
term:
id: CHEBI:3387
label: carbamazepine
evidence:
- reference: PMID:25667833
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "We administered carbamazepine 200 mg/day, which suppressed his akinetopsic symptom completely."
explanation: This case report shows carbamazepine suppressed seizure-related akinetopsia.
has_subtypes:
- name: Cinematographic vision
description: >-
Akinetopsia subtype characterized by perceiving motion as a series of
discrete frames (cinematographic vision).
evidence:
- reference: PMID:31036340
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Two types of akinetopsia have been reported: one is cinematographic vision, and the other is invisibility of moving objects."
explanation: This report describes cinematographic vision as one of two reported akinetopsia subtypes.
- name: Invisibility of moving objects
description: >-
Akinetopsia subtype characterized by failure to perceive moving objects.
evidence:
- reference: PMID:31036340
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Two types of akinetopsia have been reported: one is cinematographic vision, and the other is invisibility of moving objects."
explanation: This report describes invisibility of moving objects as the second akinetopsia subtype.
differential_diagnoses:
- name: Parkinson's disease
description: >-
Parkinson's disease can present with visual illusions including
akinetopsia, and should be considered when evaluating motion blindness.
disease_term:
preferred_term: Parkinson disease
term:
id: MONDO:0005180
label: Parkinson disease
evidence:
- reference: PMID:34617361
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Other observed illusions included textural illusions, macropsia, micropsia, teleopsia, pelopsia, kinetopsia, akinetopsia, Zeitraffer/Zeitlupen phenomena, tilt illusion, upside-down illusion, and palinopsia."
explanation: This PD survey reports akinetopsia among visual illusion types, supporting PD as a differential context.
- name: Posterior cortical atrophy
description: >-
Posterior cortical atrophy (visual-variant Alzheimer's disease) can present
with higher visual processing deficits including akinetopsia.
disease_term:
preferred_term: posterior cortical atrophy
term:
id: MONDO:0018899
label: posterior cortical atrophy
evidence:
- reference: PMID:38357623
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "She also presented with multiple previously unrecognised symptoms indicative of higher visual processing dysfunction, such as alexia without agraphia, ocular motor apraxia, optic ataxia, prosopagnosia, akinetopsia and topographagnosia, so further assessment to investigate for PCA was carried out."
explanation: This case report links akinetopsia to posterior cortical atrophy as part of the clinical presentation.
- name: Occipital or occipito-parietal infarction (stroke)
description: >-
Occipital or occipito-parietal infarction can present with visual disorders
including akinetopsia and should be considered in the differential.
disease_term:
preferred_term: stroke disorder
term:
id: MONDO:0005098
label: stroke disorder
evidence:
- reference: PMID:23206528
supports: SUPPORT
evidence_source: HUMAN_CLINICAL
snippet: "Visual disorders, such as achromatopsia, akinetopsia or prosopagnosia, were rarely reported by the patients."
explanation: This infarction cohort reports akinetopsia among visual disorders after occipital/occipito-parietal infarction.