García García R, Cacho Gutiérrez L J
Departamento de Psicología Básica, Facultad de Psicologia, Universidad de Salamanca. Salamanca, España.
Rev Neurol. 2004;38(7):682-6.
The prosopagnosia has generally been defined as an incapacity to recognize familiar faces, or faces previously known, due to certain lesions to certain areas of the cerebral cortex. Yet it seems that there is no universal consensus neither on its definition nor in relation to the specific lesions that might cause it. There seems to be no consensus either around the criteria that might enable us to identify different types of prosopagnosia.
We make an attempt to revise the definition of prosopagnosia and to see if it is appropriate to consider it as a single entity or, on the contrary, we are able to differentiate specific types of prosopagnosia according to its origin, brain lesion associated with it or the patients characteristics. On the other hand, we questioned ourselves whether different exams usually utilized for the identification of prosopagnosia in fact measure the same concept.
We propose that we could distinguish different types of prosopagnosia with different clinical characteristics. Then we went on to differentiate between developed prosopagnosias and acquired prosopagnosias by bilateral brain lesion as opposed with those associated with a fundamentally aperceptive deficit, as opposed to those linked with a fundamentally associative deficit. Lastly, we propose that different types of exams of recognition and identification can measure distinct aspects linked to prosopagnosia.
面孔失认症通常被定义为由于大脑皮层某些区域的特定损伤,而无法识别熟悉的面孔或之前认识的面孔。然而,对于其定义以及可能导致该病症的特定损伤,似乎并没有达成普遍共识。对于能够使我们识别不同类型面孔失认症的标准,也似乎没有达成共识。
我们试图修订面孔失认症的定义,探讨将其视为单一实体是否合适,或者相反,我们是否能够根据其起源、与之相关的脑损伤或患者特征来区分特定类型的面孔失认症。另一方面,我们质疑通常用于识别面孔失认症的不同检查实际上是否测量的是同一概念。
我们提出可以区分具有不同临床特征的不同类型的面孔失认症。然后,我们继续区分发育性面孔失认症和因双侧脑损伤获得性面孔失认症,与那些与基本感知缺陷相关的情况相对,以及与基本联想缺陷相关的情况相对。最后,我们提出不同类型的识别和鉴定检查可以测量与面孔失认症相关的不同方面。