Transient inability to distinguish between faces: electrophysiologic studies.
It is not known with certainty at which level of face processing by the cortex the distinction between a familiar and an unfamiliar face is made. Subdural electrodes were implanted under the fusiform gyrus of the right temporal lobe in a patient who developed an unusual inability to distinguish differences between faces as part of the epileptic aura ("all faces looked the same"). A cortical region located posterior to the epileptic focus was identified that exhibited a maximum evoked response to the presentation of facial images (N165), but not to objects, scenes, or character strings. Evoked potentials elicited by a variety of visual images indicated that any perturbation away from novel whole-face stimuli produced submaximal responses from this region of the right temporal lobe. Electrical stimulation of this region resulted in an impairment of face discrimination. It was found that presentation of familiar faces (grandmother, treating physician) produced a different response from that observed for novel faces. These observations demonstrate that within 165 msec of face presentation, and before the conscious precept of face familiarity has formed, this cortical region has already begun to distinguish between a familiar and an unfamiliar face.
Mundel
Trevor
T
Pfizer, Inc., Ann Arbor Laboratories, Michigan, USA.
Milton
John G
JG
Dimitrov
Alexander
A
Wilson
Hugh W
HW
Pelizzari
Charles
C
Uftring
Stephen
S
Torres
Ivan
I
Erickson
Robert K
RK
Spire
Jean-Paul
JP
Towle
Vernon L
VL
D000328:Adult; D001931:Brain Mapping / Q000379:methods; D004567:Electrodes, Implanted; D004569:Electroencephalography; D004594:Electrophysiology / Q000379:methods; D004833:Epilepsy, Temporal Lobe / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology; D005074:Evoked Potentials, Visual; D005145:Face; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D010364:Pattern Recognition, Visual; D020238:Prosopagnosia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology* / Q000523:psychology; D013702:Temporal Lobe / Q000473:pathology / Q000503:physiopathology; D013997:Time Factors