1986
DOI: 10.1016/s0010-9452(86)80048-x
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Are Unilateral Right Posterior Cerebral Lesions Sufficient to Cause Prosopagnosia? Clinical and Radiological Findings in Six Additional Patients

Abstract: Controversy has arisen regarding the neuropathological basis of prosopagnosia. Some investigators suggest that bilateral lesions are needed to cause the deficit, whereas others felt that a unilateral right posterior lesion is sufficient. Six patients with prosopagnosia with clinical and radiological evidence of unilateral right posterior lesions are presented. Our observations together with evidence from similar cases described in the literature suggest that an appropriately placed right hemispheric lesion may… Show more

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Cited by 210 publications
(87 citation statements)
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“…In a study requiring the explicit processing of facial identity and emotion, activations were noted in the right fusiform gyrus in the identity condition and in the cingulate in the emotion condition but much more caudal to the focus identified in the present study (Sergent et al, 1994). Our finding of unilateral activation in the right fusiform gyrus, however, is consistent with evidence that impaired facial recognition may also be seen after unilateral right temporal lobe lesions (De Renzi, 1996;Landis et al, 1986).…”
Section: Discussionsupporting
confidence: 84%
“…In a study requiring the explicit processing of facial identity and emotion, activations were noted in the right fusiform gyrus in the identity condition and in the cingulate in the emotion condition but much more caudal to the focus identified in the present study (Sergent et al, 1994). Our finding of unilateral activation in the right fusiform gyrus, however, is consistent with evidence that impaired facial recognition may also be seen after unilateral right temporal lobe lesions (De Renzi, 1996;Landis et al, 1986).…”
Section: Discussionsupporting
confidence: 84%
“…Neuropsychological studies of patients with prosopagnosia (Hecaen and Angelergues 1962;McNeil and Warrington 1993), a selective impairment of the ability to recognize familiar faces with relatively intact ability to recognize other objects, suggested a dissociation between neural systems that mediate face and object recognition. The lesions that cause prosopagnosia are found in ventral occipitotemporal cortex and are usually bilateral (Benton 1980;Damasio et al 1982;Sergent and Signoret 1992), although right unilateral lesions have been the cause of this syndrome in a few well-documented cases (De Renzi 1986;Landis et al 1986).…”
Section: Extrastriate Visual Cortex and Face Perception: The Core Systemmentioning
confidence: 99%
“…Initial studies indicated that lesions within parietooccipital cortical regions were responsible (Benton & Van Allen, 1972), but more recent studies have demonstrated that prosopagnosia is prevalent following lesions in the inferior occiptotemporal region (Damasio, Damasio, & Van Hoesen, 1982;Meadows, 1974). Although frequently observed with bilateral damage (e.g., Damasio et al, 1982;Nardelli, Buananno, Coccia, Fiaschi, Terzian, & Rizzuto, 1982), there is evidence that prosopagnosia may occur following unilateral damage to the right, but not the left, cerebral hemisphere (De Renzi, 1986;Landis, Cummings, Christen, Bogen, & Imhof, 1986;Michel, Poncet, & Signoret, 1989).…”
Section: Introductionmentioning
confidence: 99%