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Preserved mid-fusiform activation for visual words in a patient with a visual word recognition impairment

Previous functional imaging studies have highlighted the role of left ventral temporal cortex in processing written word forms. We explored activation and anatomical connectivity of this region in HE, a professional writer with alexia as a result of stroke affecting primarily white matter in the lef...

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Published in:Neuropsychologia 2014-12, Vol.65 (Dec), p.113-124
Main Authors: Welcome, Suzanne E., Pasquarella, Adrian, Chen, Xi, Olson, David R., Joanisse, Marc F.
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Language:English
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description Previous functional imaging studies have highlighted the role of left ventral temporal cortex in processing written word forms. We explored activation and anatomical connectivity of this region in HE, a professional writer with alexia as a result of stroke affecting primarily white matter in the left inferior temporal lobe. We used a one-back visual recognition task and functional Magnetic Resonance Imaging to elicit automatic activation to various orthographic and non-orthographic stimuli. Surprisingly, HE showed cortical activation in the left mid-fusiform area during the presentation of words and word-like stimuli, suggesting that this region׳s role in processing visual words is intact despite his severely impaired reading. Diffusion Tensor Imaging data further suggest that HE shows an anatomical disconnection between the ventral temporal cortex and posterior middle temporal cortex. Together, these findings suggest that activation of word-specific regions of mid-fusiform gyrus is not sufficient to yield the conscious experience of reading in the absence of activity in downstream regions of the classical reading network. •A patient with severe reading impairment shows cortical activation in mid-fusiform cortex.•DTI shows a structural disconnection between ventral and middle temporal cortex.•Preserved activation in ventral temporal cortex is not sufficient for typical word recognition.
doi_str_mv 10.1016/j.neuropsychologia.2014.10.012
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subjects Adult and adolescent clinical studies
Aged
Biological and medical sciences
Connectivity
Diffusion Tensor Imaging
Diffusion tensor imaging (DTI)
Disconnection syndrome
Disorders of higher nervous function. Focal brain diseases. Central vestibular syndrome and deafness. Brain stem syndromes
Dyslexia - pathology
Dyslexia - physiopathology
Functional MRI
Humans
Magnetic Resonance Imaging
Male
Medical sciences
Nervous system (semeiology, syndromes)
Neurology
Organic mental disorders. Neuropsychology
Pattern Recognition, Visual - physiology
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reading
Temporal Lobe - pathology
Temporal Lobe - physiopathology
Vascular diseases and vascular malformations of the nervous system
title Preserved mid-fusiform activation for visual words in a patient with a visual word recognition impairment
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