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Updated: May 3, 2026

Multimedia Battery for Assessment of Cognitive and Basic Skills in Mathematics BM-PROMA
Published on: August 28, 2021
On the origins of calculation abilities
1Instituto Colombiano de Neuropsicología, Bogotá, Colombia.
Counting abilities evolved over millennia, but complex arithmetic is recent. This study links acalculia (calculation disorder) and finger agnosia to left angular gyrus damage, proposing a unified neuropsychological syndrome.
Area of Science:
- Neuroscience
- Cognitive Psychology
- History of Mathematics
Background:
- Counting, often using finger sequencing, is a widespread human ability across cultures and history.
- Advanced number representation and arithmetic skills emerged much later, within the last 5000-6000 years.
- The prevalence of base-ten numerical systems and the clinical link between acalculia and finger agnosia warrant investigation.
Purpose of the Study:
- To analyze the historical development of calculation abilities.
- To explore the rationale behind base-ten number systems.
- To investigate the neuropsychological underpinnings of calculation deficits, specifically acalculia and finger agnosia.
Main Methods:
- Historical and anthropological review of counting and number systems.
- Analysis of clinical associations between acalculia, finger agnosia, and other neurological deficits.
- Neuropsychological examination of brain damage, particularly focusing on the left angular gyrus.
Main Results:
- Calculation abilities have a long evolutionary history, distinct from the more recent development of abstract number representation.
- Finger agnosia, right-left discrimination disturbances, semantic aphasia, and acalculia are proposed to be part of a single syndrome.
- This syndrome is associated with damage to the left angular gyrus, indicating shared cognitive mechanisms.
Conclusions:
- Historical and anthropological data support a unified view of acalculia, finger agnosia, and right-left discrimination disorders.
- These deficits likely stem from disruptions in common brain activity and impaired cognitive mechanisms within the left angular gyrus.
- Understanding this syndrome provides insights into the neural basis of numerical cognition and spatial awareness.
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