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Subcortical pathways involving the pulvinar and amygdala have been proposed, but putative cortical contributions remain unclear. We examined 182 patients, including 31 with bilateral V1 lesions. Among these, 15 had cortical visual loss and seven showed affective blindsight. Using behavioral testing, lesion symptom mapping, and tractography, we found that preserved pulvinar connectivity with both the posterior superior temporal sulcus (pSTS) and the amygdala is necessary for affective blindsight. These findings provide causal evidence for a multi-route architecture, identifying the pulvinar\u2013pSTS pathway, alongside the pulvinar\u2013amygdala pathway, as a critical substrate for non-conscious affective processing.<\/jats:p>","DOI":"10.1093\/cercor\/bhag032","type":"journal-article","created":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T07:59:59Z","timestamp":1774684799000},"source":"Crossref","is-referenced-by-count":2,"title":["Pulvinar\u2013posterior superior temporal sulcus connectivity contributes to non-conscious emotion processing in affective blindsight"],"prefix":"10.1093","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2008-1808","authenticated-orcid":false,"given":"Appaswamy Thirumal","family":"Prabhakar","sequence":"first","affiliation":[{"name":"Cognitive Neuroscience and Clinical Phenomenology Laboratory, Department of Neurological Sciences, University of Melbourne and Christian Medical College \u00a0 Vellore, Kilminnal, 632517, Ranipet 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632004, Vellore, Tamil Nadu ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anitha","family":"Jasper","sequence":"additional","affiliation":[{"name":"Department of Radiology, Christian Medical College Vellore , Ida Scudder Road, 632004, Vellore, Tamil Nadu ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pavithra","family":"Mannam","sequence":"additional","affiliation":[{"name":"Department of Radiology, Christian Medical College Vellore , Ida Scudder Road, 632004, Vellore, Tamil Nadu ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"M McKendrick","sequence":"additional","affiliation":[{"name":"Department of Optometry and Vision Science, School of Allied Health, University of Western Australia , 2\/39 Fairway, Crawley, WA 6009, Perth, Western Australia ,","place":["Australia"]},{"name":"Lions Eye Institute , 2 Verdun St, Nedlands, WA 6009, Perth, Western 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