Children with spina bifida perceive visual illusions but not multistable figures.

We compared 32 children with spina bifida and 32 age-matched controls on two classes of illusory perception, one involving visual illusions and the other, multistable figures. Children with spina bifida were as adept as age peers in the perception of visual illusions concerned with size, length, and area, but were impaired in the perception of multistable figures that involved figure-ground reversals, illusory contours, perspective reversing, and paradoxical figures. That children with spina bifida reliably perceive illusions that rely on inappropriate constancy scaling of size, length, and area suggests that their brain dysmorphologies do not prevent the acquisition of basic perceptual operations that enhance the local coherence of object perception. That they do not perceive multistable figures suggests that their visual perception impairments may involve not object processing so much as poor top-down control from higher association areas to representations in the visual cortex.