The aim of this study was to investigate whether the recognition of "self body parts" is independent from the recognition of other people's body parts. If this is the case, the ability to recognize "self body parts" should be selectively impaired after lesion involving specific brain areas. To verify this hypothesis, patients with lesion of the right (right brain-damaged [RBD]) or left (left brain-damaged [LBD]) hemisphere and healthy subjects were submitted to a visual matching-to-sample task in two experiments. In the first experiment, stimuli depicted their own body parts or other people's body parts. In the second experiment, stimuli depicted parts of three categories: objects, bodies, and faces. In both experiments, participants were required to decide which of two vertically aligned images (the upper or the lower one) matched the central target stimulus. The results showed that the task indirectly tapped into bodily self-processing mechanisms, in that both LBD patients and normal subjects performed the task better when they visually matched their own, as compared to others', body parts. In contrast, RBD patients did not show such an advantage for self body parts. Moreover, they were more impaired than LBD patients and normal subjects when visually matching their own body parts, whereas this difference was not evident in performing the task with other people's body parts. RBD patients' performance for the other stimulus categories (face, body, object), although worse than LBD patients' and normal subjects' performance, was comparable across categories. These findings suggest that the right hemisphere may be involved in the recognition of self body parts, through a fronto-parietal network.

Psychological, emotional, and behavioral domains could be altered in COVID-19 patients and measurement of variables within these domains seems to be mandatory. Neuropsychological assessment could detect possible cognitive impairment caused by COVID-19 and the choice of appropriate tools is an important question. Aim of this exploratory study was to verify the effectiveness of an assessment model for patients with COVID-19. Twelve patients were enrolled and tested with Mini-Mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Anxiety and Depression Short Scale (AD-R), and the Neuropsychiatry Inventory (NPI), at the time of their entrance (T0) and discharge (T1) from a rehabilitative unit. Moreover, a follow-up evaluation after 3 months (T2) has been conducted on eight patients. Results showed that at baseline (T0), 58.3% of the patients reported a score below cut-off at MMSE and 50% at MoCA. Although a significant amelioration was found only in NPI scores, a qualitative improvement has been detected at all tests, except for MoCA scores, in the T0-T1 trend analysis. A one-way repeated measures analysis of variance showed a significant variation in AD-R depression score, considering the three-assessment time (T0, T1, and T2). The evaluation and tracking over time of the impact of COVID-19 on cognitive, psychological, and behavioral domains has relevant implications for rehabilitation and long-term assistance needs planning. The choice of assessment tools should consider patients vulnerability and match the best compromise among briefness, sensitivity, and specificity.

No abstract

Surface dyslexia is a pattern of reading impairment which has been seldom described in Italian native speakers. We report the case of a female Italian patient, RM, suffering from primary progressive aphasia (PPA) of the fluent type, who presented stress assignment errors in reading aloud. In Italian these errors are considered to be strongly suggestive of surface dyslexia. We studied RM's reading performance in light of existing cognitive models on reading. Since the first assessment, she presented multi-level impairment involving pre-semantic, lexical-semantic and post-semantic stages. Her stress assignment errors have been interpreted as a generalisation of the most frequent tendency in Italian language: namely to assign stress to the penultimate syllable. In agreement with previous studies, our case suggests that surface dyslexia in PPA is not a monolithic entity but, on the contrary, that it may arise from impairment at various stages of the reading process.

Together these measures may help government agencies to assess caregiver needs beyond those assessed by each individual measure.