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Case StudiesÝÝÝÝÝÝÝÝ C.S_files/image004.gif)
ÝÝÝÝÝÝÝ The first ever reported case of
developmental prosopagnosia was found in a child at five years of age.Ý The child, TA, had prosopagnosia which
prevented him from discriminating between faces.Ý The child came from an uncomplicated
pregnancy and was of normal development.Ý
The only difference was the child couldnít distinguish between his
father and mother and strangers.Ý He did
have however, a superior ability to read and his vocabulary came in rapid
development.Ý He had no family history of
any neurological or psychological problem and grew up in a normal two parent
family.Ý As he was progressing through
school the question was brought up where to place the child, he had difficulty
finding his way around and was frequently lost.Ý
He also was becoming frustrated at the slow pace of the rest of the
students in the class as far as reading abilities were concerned.Ý TA was spotted asking strangers if they were
his Mother, Friend or Teacher.Ý These
problems brought attention to TA and soon it was discovered that he was unable
to identify specific objects out of a category.ÝÝ When tested in the laboratory it was
discovered that TA met or exceeded all of his peers at all tasks except for
visual recognition.Ý He navigated the
hospital using room numbers and distinguished between his doctors by reading
their name tags.Ý Although TA claimed
that a picture of himself was his brother, skin
conductance tests showed that TA had covert
recognition for familiar faces. (Jones 2001)
ÝÝÝÝÝÝÝ Another case of prosopagnosia was
spotted in KD, a fourteen month old girl.Ý
It was at this young age that KD was found to be unable to discriminate
her own face, as well as her parents, from other strangers.Ý After conducting tests it was found that KD
could match faces by looking at each feature individually.Ý This was a way for KD to cope with her
problem.Ý KDís specific prosopagnosia
allowed her to understand expression, a trait commonly lost with those
suffering from it.Ý Besides that she
faced problems with the identification of familiar faces as well as the ability
to determine someoneís age or gender by visual clues alone.Ý She did compensate by using other outside
stimuli.Ý After formal tests it was
concluded that KD had co-morbid visual impairments, she also had problems with
color vision and the discrimination of objects.Ý
KD did learn how to read despite her problems.Ý It was determined that there were problems
occurring at the level of most basic encoding processes in her brain for face
and face recognition (see how this works).Ý This case study showed just how early face
recognition develops and how soon prosopagnosia can become a problem. (Joy
2002)
ÝÝÝÝÝÝÝ An ascribed case of prosopagnosia
occurred in a two year old.Ý This child
received a bilateral occipital infraction following a case of meningitis.Ý After the infraction occurred the child had
difficulties identifying shapes and also had problems with her ability to view
pictures.Ý She was unable to read because
of the problem but could write and spell only phonetically.Ý Even though she could write she was unable to
read her words back.Ý This case showed
the first ties to adult ascribed prosopagnosia. (Joy 2002)
ÝÝÝÝÝÝÝ The case of LG, a child with
developmental agnosia and prosopagnosia, gave new
ideas to the thought of rehabilitation.Ý
LG was the product of a normal pregnancy and delivery like most
developmental cases.Ý Just after birth
the EEG patterns LG was giving were abnormal in both occipital lobes.Ý Despite this, LG had normal color vision and
good literacy skills through out his life.Ý
He also had superior verbal intellect.Ý
The impairment LG faced was in the direction of real objects, objects
such as photos were impaired when in their conventional and unusual forms.Ý He was also facing social problems with his
inability to recall faces of those familiar to him as well as discriminating
different genders and ages.Ý He could
however, identify features when in isolation.Ý
It was soon found the LG was naturally resolving his deficits.Ý His brain appeared to have plasticity of
brain function.Ý The question still
remains can our minds heal prosopagnosia? (Joy 2002)
ÝÝÝÝÝÝÝ A case study done by Gelder, Pourtois,
Vroomen, and Bachoud-Levi (2000) showed that when hearing familiar voice
expressions, the presence of corresponding facial expressions helped the
subject (AD) recognize the voices.Ý AD
was a 74-year old with bilateral lesions of the anteroinferior parts of the
occipital lobe.Ý She was severely
impaired in covert recognition of familiar faces and showed a complete loss of
processing facial expressions in recognition.Ý
So, the fact that the facial expressions helped her distinguish voices
suggests that even though the expressions were not recognized, they were still
processed somehow and helped to identify voices, which will in turn help to
identify faces.Ý Also, the paradigm they
used in the study is suggested to be a useful tool in finding remaining covert
face processing in prosopagnosic patients.
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