Developmental Prosopagnosia: Should it be Taken at Face Value?

Abstract

This study presents a rare case of developmental prosopagnosia. Structural magnetic resonance imaging (MRI) revealed no overt brain abnormalities. EP's basic visual skills and visual memory were intact, as was his ability to judge age, sex and expression from faces, identify facial parts, and make face/non-face decisions. EP was impaired at recognizing famous and very familiar faces and describing visual images of famous faces. He also displayed an anterograde memory impairment for recently studied faces, and performed poorly on tests of unfamiliar face matching, most notably for chimeric faces. It is suggested that EP may be deficient at encoding configural representations of faces. EP appears to have a "pure" (i.e. specific to faces) prosopagnosia, as he shows normal object recognition from unusual viewpoints, good gestalt completion for objects, but not for faces, normal visual imagery for objects but not for faces, a disruption of the inversion effect for faces but not for houses, and performs within the normal range on tests of within-category discriminations, even with unique exemplars of object categories such as famous buildings.