Olfactory language and semantic processing in anosmia: a neuropsychological case control study.

A longstanding debate within philosophy and neuroscience involves the extent to which sensory information is a necessary condition for conceptual knowledge. Much of our understanding of this relationship has been informed by examining the impact of congenital blindness and deafness on language and cognitive development. Relatively little is known about the "lesser" senses of smell and taste. Here we report a neuropsychological case-control study contrasting a young adult male (P01) diagnosed with anosmia (i.e. no olfaction) during early childhood relative to an age- and sex-matched control group. A structural MRI of P01's brain revealed profoundly atrophic/aplastic olfactory bulbs, and standardized smell testing confirmed his prior pediatric diagnosis of anosmia. Participants completed three language experiments examining comprehension, production, and subjective experiential ratings of odor salient words (e.g. sewer) and scenarios (e.g. fish market). P01's ratings of odor salience of single words were lower than all control participants, whereas his ratings on five other perceptual and affective dimensions were similar to controls. P01 produced unusual associations when cued to generate words that smelled similar to odor-neutral target words (e.g. ink → plant). In narrative picture description for odor salient scenes (e.g. bakery), P01 was indistinguishable from controls. These results suggest that odor deprivation does not overtly impair functional language use. However, subtle lexical-semantic effects of anosmia may be revealed using sensitive linguistic measures.