Gainotti Guido
Neuropsychology Service of the Policlinico Gemelli, Catholic University of Rome, Largo A. Gemeli 8, 00168 Roma, Italy.
Neuropsychologia. 2007 Apr 9;45(8):1591-607. doi: 10.1016/j.neuropsychologia.2006.12.013. Epub 2007 Jan 7.
Selective disorders in recognition of familiar people have been described in patients with right and left anterior temporal lesions, but the exact nature of these cognitive impairments remains controversial. A clarification of this issue could have theoretical implications, because, according to Snowden et al. [Snowden, J. S., Thompson, J. C., & Neary, D. (2004). Knowledge of famous faces and names in semantic dementia. Brain, 127, 860-872], the pattern of impairment shown by patients with right and left anterior temporal atrophy is inconsistent with unitary, abstract, amodal models of semantic memory. This pattern could, on the contrary suggest a multimodal network, in which the right and left temporal lobes would mainly process and store visual and, respectively, verbal information. I tried to clarify this issue by systematically reviewing: (a) all published individual cases of patients showing a prevalent damage of the anterior parts of the right or left temporal lobes and a selective disorder of famous people recognition; (b) all group studies of patients with right or left temporal lobe epilepsy, which had investigated aspects of famous people recognition impairment. Results of these reviews consistently showed that different patterns of impaired recognition of familiar people can be observed in patients with right and left anterior temporal pathology. These patterns consist of a loss of familiarity feelings and of person specific information retrieval from face stimuli, when the right temporal lobe is damaged and of a prevalent impairment in finding their names when the anterior parts of the left temporal lobe are selectively damaged.
患有右侧和左侧前颞叶病变的患者中曾有过识别熟人的选择性障碍的描述,但这些认知障碍的确切性质仍存在争议。对这一问题的澄清可能具有理论意义,因为根据斯诺登等人[斯诺登,J.S.,汤普森,J.C.,& 尼尔,D.(2004年)。语义性痴呆中对名人面孔和名字的认识。《大脑》,127卷,860 - 872页]的研究,右侧和左侧前颞叶萎缩患者所表现出的损伤模式与单一、抽象、非模态的语义记忆模型不一致。相反,这种模式可能暗示了一个多模态网络,其中右侧和左侧颞叶将主要分别处理和存储视觉信息和语言信息。我试图通过系统回顾来澄清这个问题:(a)所有已发表的个体病例,这些患者表现出右侧或左侧颞叶前部的普遍损伤以及名人识别的选择性障碍;(b)所有对右侧或左侧颞叶癫痫患者的群体研究,这些研究调查了名人识别障碍的相关方面。这些综述的结果一致表明,在患有右侧和左侧前颞叶病变的患者中可以观察到不同模式的熟人识别受损情况。当右侧颞叶受损时,这些模式包括熟悉感的丧失以及从面部刺激中检索特定人物信息的能力丧失;而当左侧颞叶前部被选择性损伤时,则主要表现为在寻找他们名字方面的障碍。