Sorbonne Université, Institut du Cerveau - Paris Brain Institute - ICM, INSERM, CNRS, APHP, Hôpital de la Pitié Salpêtrière, Paris, France.
Handb Clin Neurol. 2022;187:179-189. doi: 10.1016/B978-0-12-823493-8.00022-5.
The ventral temporal cortex hosts key regions for the high-level visual processing of object shape and color. These areas represent nodes of large-scale neural circuits dedicated to object recognition. In the language-dominant hemisphere, some of these regions communicate with the language systems; by assigning verbal labels to percepts, these circuits speedup stimulus categorization, and permit fast and accurate interindividual communication. By impairing the functioning of these circuits, neurological damage may provoke disabling disorders of the processing of visual objects and of their colors. Brain damage of vascular, degenerative, toxic, or traumatic origin can induce deficits at different levels of visual processing, from the building of shape- or wavelength-invariant percepts, to their connections with semantic knowledge and with the appropriate lexical entry. After an overview of the neuroimaging of domain-preferring regions for object shape and color in the ventral temporal cortex, this chapter reviews evidence from historical and recent cases of acquired visual agnosia and color processing deficits. A recurrent motif emerging from patients' patterns of performance and lesion locations is the existence of caudo-rostral gradients in the ventral occipito-temporal cortex, spanning from more perceptual to more cognitive stages of processing.
腹侧颞叶皮层是高级视觉处理物体形状和颜色的关键区域。这些区域代表着专门用于物体识别的大规模神经回路的节点。在语言优势半球中,其中一些区域与语言系统进行交流;通过给感知赋予口头标签,这些回路加速了刺激分类,并允许快速和准确的个体间交流。通过损害这些回路的功能,神经损伤可能会引发视觉物体及其颜色处理的致残障碍。血管性、退行性、毒性或外伤性脑损伤可在不同水平上导致视觉处理缺陷,从形状或波长不变的感知构建,到与语义知识和适当的词汇条目连接。在概述腹侧颞叶皮层中物体形状和颜色的优势区域的神经影像学之后,本章回顾了历史和近期获得性视觉失认症和颜色处理缺陷病例的证据。从患者的表现模式和病变部位中出现的一个反复出现的主题是腹侧枕颞叶皮层中从更知觉到更认知的加工阶段存在着从尾到头的梯度。