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Herald SB, Almeida J, Duchaine B. Face distortions in prosopometamorphopsia provide new insights into the organization of face perception. Neuropsychologia 2023; 182:108517. [PMID: 36813107 DOI: 10.1016/j.neuropsychologia.2023.108517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2022] [Revised: 10/08/2022] [Accepted: 02/13/2023] [Indexed: 02/22/2023]
Abstract
Prosopometamorphopsia (PMO) is a striking condition of visual perception in which facial features appear distorted, for example drooping, swelling, or twisting. Although numerous cases have been reported, few of those investigations have carried out formal testing motivated by theories of face perception. However, because PMO involves conscious visual distortions to faces which participants can report, it can be used to probe fundamental questions about face representations. Here we review cases of PMO that address theoretical questions in visual neuroscience including face specificity, inverted face processing, the importance of the vertical midline, dissociable representations for each half of the face, hemispheric specialization, the relationship between face recognition and conscious face perception, and the reference frames that face representations are embedded within. Finally, we list and touch upon eighteen open questions that make clear how much is left to learn about PMO and the potential it has to provide important advances in face perception.
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Lefebvre S, Very E, Jardri R, Horn M, Yrondi A, Delmaire C, Rascle C, Dujardin K, Thomas P, Pins D. The neural correlates of the visual consciousness in schizophrenia: an fMRI study. Eur Arch Psychiatry Clin Neurosci 2021; 271:661-675. [PMID: 32813032 PMCID: PMC8119280 DOI: 10.1007/s00406-020-01167-2] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Accepted: 07/08/2020] [Indexed: 12/12/2022]
Abstract
In the current literature, two distinct and opposite models are suggested to explain the consciousness disorders in schizophrenia. The first one suggests that consciousness disorders rely on a low-level processing deficit, when the second model suggests that consciousness disorders rely on disruption in the ability to consciously access information, with preserved unconscious processing. The current study aims to understand the mechanisms associated with visual consciousness disorder in order to pave the road that will settle the debate regarding these hypotheses. During a functional magnetic resonance imaging session, 19 healthy participants (HC) and 15 patients with schizophrenia (SCZ) performed a visual detection task to compare the neural substrates associated with the conscious access to the visual inputs. The visual detection threshold was significantly higher in SCZ than in HC [t(32) = 3.37, p = 0.002]. Whole-brain ANOVA demonstrated that around the visual detection threshold patients with SCZ failed to activate a large network of brain areas compared to HC. (1) During conscious vision, HC engaged more the left cuneus and the right occipital cortex than patients with SCZ, (2) during unconscious vision, HC engaged a large network that patients with SCZ failed to activate, and finally, (3) during the access to consciousness process, patients with SCZ failed to activate the anterior cingulate cortex. These results suggest that the consciousness disorders in schizophrenia rely on specific dysfunctions depending on the consciousness stage. The disorders of the conscious vision are associated with dysfunction of occipital areas while the ones associated with unconscious vision rely on a large widespread network. Finally, the conscious access to the visual inputs is impaired by a dysfunction of the anterior cingulate cortex. The current study suggests that none of the two suggested models can explain consciousness disorders in schizophrenia. We suggest that there is an alternative model supporting that the conscious access to visual inputs is due to a disengagement of the supragenual anterior cingulate during the unconscious processing of the visual inputs associated with a sensory deficit.
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Affiliation(s)
- S. Lefebvre
- University of Lille, Inserm U1172, Centre Lille Neuroscience and Cognition, CHU Lille, 59000 Lille, France ,Plateforme CURE, CHU Lille, Hôpital Fontan, 59000 Lille, France ,Translational Research Center, University Hospital of Psychiatry, University of Bern, Bern, Switzerland
| | - E. Very
- ToNIC, Toulouse NeuroImaging Center, Université de Toulouse, INSERM UMR 1214, CHU PURPAN – Pavillon BAUDOT, Place du Dr Joseph Baylac, 31024 Toulouse, France
| | - R. Jardri
- University of Lille, Inserm U1172, Centre Lille Neuroscience and Cognition, CHU Lille, 59000 Lille, France ,Plateforme CURE, CHU Lille, Hôpital Fontan, 59000 Lille, France
| | - M. Horn
- University of Lille, Inserm U1172, Centre Lille Neuroscience and Cognition, CHU Lille, 59000 Lille, France ,Plateforme CURE, CHU Lille, Hôpital Fontan, 59000 Lille, France
| | - A. Yrondi
- ToNIC, Toulouse NeuroImaging Center, Université de Toulouse, INSERM UMR 1214, CHU PURPAN – Pavillon BAUDOT, Place du Dr Joseph Baylac, 31024 Toulouse, France
| | - C. Delmaire
- University of Lille, Inserm U1172, Centre Lille Neuroscience and Cognition, CHU Lille, 59000 Lille, France ,Neuroimaging Department, Lille University Medical Center, 59000 Lille, France
| | - C. Rascle
- Plateforme CURE, CHU Lille, Hôpital Fontan, 59000 Lille, France
| | - K. Dujardin
- University of Lille, Inserm U1172, Centre Lille Neuroscience and Cognition, CHU Lille, 59000 Lille, France ,Department of Neurology and Movement Disorders, Lille University Medical Center, 59000 Lille, France
| | - P. Thomas
- University of Lille, Inserm U1172, Centre Lille Neuroscience and Cognition, CHU Lille, 59000 Lille, France ,Plateforme CURE, CHU Lille, Hôpital Fontan, 59000 Lille, France
| | - D. Pins
- University of Lille, Inserm U1172, Centre Lille Neuroscience and Cognition, CHU Lille, 59000 Lille, France ,Plateforme CURE, CHU Lille, Hôpital Fontan, 59000 Lille, France
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