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Left hemisphere abnormalities in face-selective activation and functional connectivity in developmental prosopagnosia
Alison Campbell1,2, Xian Li1,3,4, David Rothlein1,5
1Boston Attention and Learning Laboratory, VA Boston Healthcare System, Boston, MA, United States.
Imaging Neuroscience (Cambridge, Mass.)
|November 19, 2025
Summary
Developmental prosopagnosia (DP) is linked to reduced brain activation in the left fusiform face area (FFA). Functional connectivity deficits within the face network, particularly involving the right anterior superior sulcus (aSTS) and left FFA, are also observed in individuals with DP.
Area of Science:
- Neuroscience
- Cognitive Neuroscience
- Neuroimaging
Background:
- Developmental prosopagnosia (DP) is a condition characterized by the inability to recognize familiar faces.
- The underlying neural mechanisms of DP are not fully understood, hindering the identification of essential brain regions for normal face recognition.
Purpose of the Study:
- To investigate the functional activation and connectivity of face-selective brain regions in individuals with DP using fMRI.
- To explore the neural basis of DP by examining both local activation and network connectivity.
Main Methods:
- fMRI scans were performed on a large sample of individuals with DP (N=34) and controls (N=23).
- Analysis included functional activation during face viewing and functional connectivity during rest, examining both face-selective regions and their connections to other cortical areas.
Main Results:
- Reduced face-selective activation was found in the left fusiform face area (FFA) and left occipital face area (OFA) in individuals with DP.
- Functional connectivity within the face network was reduced in DP, with significant deficits between the right anterior superior sulcus (aSTS) and the left FFA.
- No significant functional connectivity differences were found outside the immediate face-selective network.
Conclusions:
- The left FFA plays a crucial role in face recognition deficits observed in DP, affecting both local activation and network connectivity.
- Functional connectivity impairments in DP are largely confined to the core face processing network.
- These findings highlight the importance of the left FFA and its network interactions in typical face recognition.
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