右侧颞上沟后部和角回病变导致对陌生面孔的腹侧同时失认和面孔失认。

Ventral simultanagnosia and prosopagnosia for unfamiliar faces due to a right posterior superior temporal sulcus and angular gyrus lesion.

作者信息

Sakurai Yasuhisa, Hamada Kensuke, Tsugawa Naoya, Sugimoto Izumi

机构信息

a Department of Neurology , Mitsui Memorial Hospital , Tokyo , Japan.

出版信息

Neurocase. 2016;22(1):122-9. doi: 10.1080/13554794.2015.1066827. Epub 2015 Jul 24.

Abstract

We report a patient with ventral simultanagnosia, prosopagnosia for "unfamiliar faces" (dorsal prosopagnosia), spatial agraphia, and constructional disorder, particularly on the left spatial side, due to a lesion in the right posterior superior and middle temporal gyri and angular gyrus. The patient showed impairment of fundamental visual and visuospatial recognition, such as in object size, configuration, and horizontal point location, which probably underlay the mechanism of simultanagnosia and prosopagnosia. This case also suggests that the coexistence of simultanagnosia and prosopagnosia results from a right hemispheric insult, and damage to the temporoparietal area interrupts the incorporation of spatial information into object recognition. This disconnection of information flow, together with impaired object recognition per se, may impair the parallel processing of multiple objects, leading to object-by-object or part-by-part recognition.

摘要

我们报告了一名患者,其因右侧颞上回后部、颞中回及角回的病变,出现了腹侧同时失认症、对“不熟悉面孔”的面孔失认症(背侧面孔失认症)、空间性失写症及构图障碍,尤其在左侧空间方面。该患者在诸如物体大小、形状及水平点位置等基本视觉和视觉空间识别方面存在损害,这可能是同时失认症和面孔失认症机制的基础。此病例还表明,同时失认症和面孔失认症的共存是由右侧半球损伤所致,颞顶叶区域的损伤中断了空间信息融入物体识别的过程。这种信息流的中断,连同本身受损的物体识别,可能会损害多个物体的并行处理,导致逐个物体或逐个部分的识别。

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