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Vision (Basel, Switzerland) Dec 2022Right temporal variant of frontotemporal dementia (rtv-FTD) represents an uncommon and recently described frontotemporal dementia (FTD) entity presenting with symptoms...
Right temporal variant of frontotemporal dementia (rtv-FTD) represents an uncommon and recently described frontotemporal dementia (FTD) entity presenting with symptoms in many ways comparable to those of the frontal or behavioral variant of FTD (bv-FTD). The aims of this study were to explore the timing of cognitive and behavioral symptoms of rtv-FTD, and to compare the distinct cognitive deficits including prosopagnosia and behavioral symptoms of rtv-FTD patients with those observed in bv-FTD patients. We reviewed the records of 105 patients clinically diagnosed with FTD. A total of 7 patients (5 men/2 women) with FTD and marked right temporal atrophy in magnetic resonance imaging (MRI) were detected. Clinical features were compared with those observed in a group of 22 age-matched patients (16 men/6 women) with FTD and predominant frontal lobe atrophy. The main presenting symptoms of rtv-FTD were prosopagnosia, apathy, and episodic memory impairment. In contrast, social awkwardness and compulsive behaviors were dominant in later stages of the disease together with disinhibition and loss of insight with a marked personality change. Although the cognitive and behavioral profiles of patients with right temporal or frontal lobes atrophy present substantial similarities, each subtype has a number of distinct characteristics. It appears that prosopagnosia, obsessive behaviors, and psychotic symptoms are more prominent in rtv-FTD patients.
PubMed: 36548937
DOI: 10.3390/vision6040075 -
Handbook of Clinical Neurology 2021While there is a long history of rehabilitation for motor deficits following cerebral lesions, less is known about our ability to improve visual deficits. Vision...
While there is a long history of rehabilitation for motor deficits following cerebral lesions, less is known about our ability to improve visual deficits. Vision therapy, prisms, occluders, and filters have been advocated for patients with mild traumatic brain injury, on the premise that some of their symptoms may reflect abnormal visual or ocular motor function, but the evidence for their efficacy is modest. For hemianopia, attempts to restore vision have had unimpressive results, though it appears possible to generate blindsight through training. Strategic approaches that train more efficient use of visual search in hemianopia have shown consistent benefit in visual function, while prism aids may help some patients. There are many varieties of alexia. Strategic adaptation of saccades can improve hemianopic alexia, but there has been less work and mixed results for pure alexia, neglect dyslexia, attentional dyslexia, and the central dyslexias. A number of approaches have been tried in prosopagnosia, with recent studies of small groups suggesting that face perception of prosopagnosic subjects can be enhanced through perceptual learning.
Topics: Adaptation, Physiological; Dyslexia; Hemianopsia; Humans; Perceptual Disorders; Vision Disorders; Visual Perception
PubMed: 33832686
DOI: 10.1016/B978-0-12-821377-3.00015-5 -
Nursing Children and Young People Jul 2023Prosopagnosia or 'face blindness' is the inability to recognise people's faces. There are two types: congenital or developmental prosopagnosia, which is the most common,...
Prosopagnosia or 'face blindness' is the inability to recognise people's faces. There are two types: congenital or developmental prosopagnosia, which is the most common, and acquired prosopagnosia, which may occur secondary to brain tumours, stroke or other brain disorders. The authors of this article explored if mask wearing as a result of the restrictions imposed by the coronavirus disease 2019 (COVID-19) pandemic may affect social and developmental outcomes in children, including the development of prosopagnosia. Limited research on this topic is available and, although some relevant publications were found, no definitive evidence of mask-induced prosopagnosia in children was identified. However, nurses should be aware of this issue and discuss coping strategies to support children with the condition. Longitudinal studies on outcomes in children from different age groups who grew up during the COVID-19 pandemic will provide further insight.
Topics: Child; Humans; Prosopagnosia; Pandemics; Recognition, Psychology; Child Health; COVID-19; Blindness
PubMed: 36688257
DOI: 10.7748/ncyp.2023.e1480 -
Neuropsychologia Jun 2024Facial identity recognition (FIR) is arguably the ultimate form of recognition for the adult human brain. Even if the term prosopagnosia is reserved for exceptionally... (Review)
Review
Facial identity recognition (FIR) is arguably the ultimate form of recognition for the adult human brain. Even if the term prosopagnosia is reserved for exceptionally rare brain-damaged cases with a category-specific abrupt loss of FIR at adulthood, subjective and objective impairments or difficulties of FIR are common in the neuropsychological population. Here we provide a critical overview of the evaluation of FIR both for clinicians and researchers in neuropsychology. FIR impairments occur following many causes that should be identified objectively by both general and specific, behavioral and neural examinations. We refute the commonly used dissociation between perceptual and memory deficits/tests for FIR, since even a task involving the discrimination of unfamiliar face images presented side-by-side relies on cortical memories of faces in the right-lateralized ventral occipito-temporal cortex. Another frequently encountered confusion is between specific deficits of the FIR function and a more general impairment of semantic memory (of people), the latter being most often encountered following anterior temporal lobe damage. Many computerized tests aimed at evaluating FIR have appeared over the last two decades, as reviewed here. However, despite undeniable strengths, they often suffer from ecological limitations, difficulties of instruction, as well as a lack of consideration for processing speed and qualitative information. Taking into account these issues, a recently developed behavioral test with natural images manipulating face familiarity, stimulus inversion, and correct response times as a key variable appears promising. The measurement of electroencephalographic (EEG) activity in the frequency domain from fast periodic visual stimulation also appears as a particularly promising tool to complete and enhance the neuropsychological assessment of FIR.
Topics: Humans; Facial Recognition; Neuropsychological Tests; Prosopagnosia; Recognition, Psychology; Electroencephalography
PubMed: 38522782
DOI: 10.1016/j.neuropsychologia.2024.108865 -
Neuropsychological Rehabilitation Dec 2020Developmental prosopagnosia (DP) is a cognitive condition characterised by a relatively selective deficit in face recognition. Some adults and children with DP...
Developmental prosopagnosia (DP) is a cognitive condition characterised by a relatively selective deficit in face recognition. Some adults and children with DP experience severe psychosocial consequences related to the condition, yet are reluctant to disclose it to others. The remediation of DP is therefore an urgent issue, but has been met with little success. Given that developmental conditions may only benefit from compensatory rather than remedial training, this study aimed to examine (a) the positive and negative effects of DP disclosure, and (b) compensatory techniques that may circumvent recognition failure. Qualitative questionnaires and interviews were carried out with 79 participants: 50 adults with DP, 26 of their non-affected significant others, and three parents of DP children. Findings indicated positive effects of disclosure, yet most adults choose not to do so in the workplace. Effective compensatory strategies include the use of extra-facial information, identity prompts from others, and preparation for planned encounters. However, changes in appearance, infrequent contact, or encounters in unexpected contexts often cause strategy failure. As strategies are effortful and disrupted by heavily controlled appearance (e.g., the wearing of uniform), disclosure of DP may be necessary for the safety, wellbeing and optimal education of children with the condition.
Topics: Adaptation, Psychological; Adult; Child; Cognitive Remediation; Female; Humans; Male; Prosopagnosia; Qualitative Research; Self Disclosure; Social Perception; Truth Disclosure
PubMed: 31161896
DOI: 10.1080/09602011.2019.1623824 -
Frontiers in Psychology 2022Adaptation and aftereffect are well-known procedures for exploring our neural representation of visual stimuli. It has been reported that they occur in face identity,... (Review)
Review
Adaptation and aftereffect are well-known procedures for exploring our neural representation of visual stimuli. It has been reported that they occur in face identity, facial expressions, and low-level visual features. This method has two primary advantages. One is to reveal the common or shared process of faces, that is, the overlapped or discrete representation of face identities or facial expressions. The other is to investigate the coding system or theory of face processing that underlies the ability to recognize faces. This study aims to organize recent research to guide the reader into the field of face adaptation and its aftereffect and to suggest possible future expansions in the use of this paradigm. To achieve this, we reviewed the behavioral short-term aftereffect studies on face identity (i.e., who it is) and facial expressions (i.e., what expressions such as happiness and anger are expressed), and summarized their findings about the neural representation of faces. First, we summarize the basic characteristics of face aftereffects compared to simple visual features to clarify that facial aftereffects occur at a different stage and are not inherited or combinations of low-level visual features. Next, we introduce the norm-based coding hypothesis, which is one of the theories used to represent face identity and facial expressions, and adaptation is a commonly used procedure to examine this. Subsequently, we reviewed studies that applied this paradigm to immature or impaired face recognition (i.e., children and individuals with autism spectrum disorder or prosopagnosia) and examined the relationships between their poor recognition performance and representations. Moreover, we reviewed studies dealing with the representation of non-presented faces and social signals conveyed faces and discussed that the face adaptation paradigm is also appropriate for these types of examinations. Finally, we summarize the research conducted to date and propose a new direction for the face adaptation paradigm.
PubMed: 36600709
DOI: 10.3389/fpsyg.2022.988497 -
Journal of Neurosurgical Sciences Dec 2021The inferior longitudinal fasciculus (ILF) is a large association white matter tract that interconnects, in a bidirectional manner, the occipital cortex to anterior... (Review)
Review
The inferior longitudinal fasciculus (ILF) is a large association white matter tract that interconnects, in a bidirectional manner, the occipital cortex to anterior temporal structures. In view of both its pattern of cortical projections and its recently evidenced multilayered anatomical organization, the ILF has been supposed to be vital for maintaining a wide range of cognitive and affective processes operating on the visual modality. As tumors commonly damage the temporal cortex, an updated knowledge of the functional anatomy of this ventral tract is needed to better map and monitor on-line its potential functions and thus to improve surgical outcomes. In this review, we first describe the gross anatomy of the ILF, its array of cortical terminations and its different layers. We then provide a comprehensive review of the functions that have been assigned to the tract. We successively address its role in object and face recognition, visual emotion recognition, language and semantic, including reading, and memory. It is especially shown that the ILF is critically involved in visually-guided behaviors, as its breakdown, both in sudden neurosurgical and progressive neurodegenerative diseases, is commonly associated with visual-specific neuropsychological syndromes (e.g. prosopagnosia and pure alexia, and so on). In the last section, we discuss the extent to which the ILF can reorganize in response to glioma infiltration and to surgery, and provide some reflections on how its intraoperative mapping may be refined.
Topics: Brain Mapping; Diffusion Tensor Imaging; Humans; Nerve Net; Neural Pathways; Occipital Lobe; White Matter
PubMed: 33940783
DOI: 10.23736/S0390-5616.21.05391-1 -
Cortex; a Journal Devoted To the Study... Dec 2021There is considerable interest in whether face and word processing are reliant upon shared or dissociable processes. Developmental prosopagnosia is associated with...
There is considerable interest in whether face and word processing are reliant upon shared or dissociable processes. Developmental prosopagnosia is associated with lifelong face processing deficits, with these cases providing strong support for a dissociation between face and word recognition in three recent papers (Burns et al., 2017; Rubino et al., 2016; Starrfelt et al., 2018). However, the sample sizes in each of these studies may have been too small to detect significant effects. We therefore combined their data to increase power and reassessed their results. While only a non-significant trend for reading impairments was found in prosopagnosia using a one-sample t-test, poorer face memory performance was correlated with slower reading speeds across prosopagnosia and control participants. Surprisingly, poorer face perception skills in prosopagnosia were associated with smaller word length effects. This suggests that while mild reading impairments exist in developmental prosopagnosia, there may be a trade-off between their residual face perception abilities and reading skill. A reanalysis of Hills and colleagues' (2015) acquired prosopagnosia data also revealed a positive relationship between words and faces: severe impairments in face recognition were related to poorer word processing. In summary, the developmental and acquired prosopagnosia literature supports models of visual perception that posit face and word processing are reliant upon broadly shared processes.
Topics: Dyslexia; Facial Recognition; Humans; Pattern Recognition, Visual; Prosopagnosia; Reading; Visual Perception
PubMed: 34689033
DOI: 10.1016/j.cortex.2021.03.039 -
Cerebral Cortex (New York, N.Y. : 1991) Oct 2022Prosopagnosia or loss of face perception and recognition is still poorly understood and rare single cases of acquired prosopagnosia can provide a unique window on the...
Prosopagnosia or loss of face perception and recognition is still poorly understood and rare single cases of acquired prosopagnosia can provide a unique window on the behavioural and brain basis of normal face perception. The present study of a new case of acquired prosopagnosia with bilateral occipito-temporal lesions but a structurally intact FFA and OFA investigated whether the lesion overlapped with the face network and whether the structurally intact FFA showed a face selective response. We also investigated the behavioral correlates of the neural findings and assessed configural processing in the context of facial and non-facial identity recognition, expression recognition and memory, also focusing on the face-selectivity of each specific deficit. The findings reveal a face-selective response in the FFA, despite lesions in the face perception network. At the behavioural level, the results showed impaired configural processing for facial identity, but not for other stimulus categories and not for facial expression recognition. These findings challenge a critical role of the FFA for face identity processing and support a domain-specific account of configural processing.
Topics: Humans; Prosopagnosia; Facial Recognition; Magnetic Resonance Imaging; Brain Mapping; Recognition, Psychology; Pattern Recognition, Visual
PubMed: 35094060
DOI: 10.1093/cercor/bhab509 -
Brain Sciences Sep 2023Faces play a crucial role in social interactions. Developmental prosopagnosia (DP) refers to the lifelong difficulty in recognizing faces despite the absence of obvious... (Review)
Review
Faces play a crucial role in social interactions. Developmental prosopagnosia (DP) refers to the lifelong difficulty in recognizing faces despite the absence of obvious signs of brain lesions. In recent decades, the neural substrate of this condition has been extensively investigated. While early neuroimaging studies did not reveal significant functional and structural abnormalities in the brains of individuals with developmental prosopagnosia (DPs), recent evidence identifies abnormalities at multiple levels within DPs' face-processing networks. The current work aims to provide an overview of the convergent and contrasting findings by examining twenty-five years of neuroimaging literature on the anatomo-functional correlates of DP. We included 55 original papers, including 63 studies that compared the brain structure (MRI) and activity (fMRI, EEG, MEG) of healthy control participants and DPs. Despite variations in methods, procedures, outcomes, sample selection, and study design, this scoping review suggests that morphological, functional, and electrophysiological features characterize DPs' brains, primarily within the ventral visual stream. Particularly, the functional and anatomical connectivity between the Fusiform Face Area and the other face-sensitive regions seems strongly impaired. The cognitive and clinical implications as well as the limitations of these findings are discussed in light of the available knowledge and challenges in the context of DP.
PubMed: 37891769
DOI: 10.3390/brainsci13101399