Erratum to: Functional Brain Organization of Global and Local Visual Perception: An Event-Related Potentials Study

Adult subjects were asked to recognize a hierarchical visual stimulus (a letter) while their attention was drawn to either the global or local level of the stimulus. Event-related potentials (ERP) and behavioral indices (reaction time and percentage of correct responses) were measured. An analysis of behavioral indices showed the global level precedence effect, i.e. the increase in a small letter recognition time when this letter is a part of incongruent stimulus. An analysis of ERP components showed level-related (global vs. local) differences in the timing and topography of the brain organization of perceptual processing and regulatory mechanisms of attention. Visual recognition at the local level was accompanied by (1) stronger activation of the visual associative areas (P _z and T ₆) at the stage of sensory features analysis (P1 ERP component), (2) involvement mainly of inferior temporal cortices of the right hemisphere (T ₆) at the stage of sensory categorization (P2 ERP component), and (3) involvement of prefrontal cortex of the right hemisphere at the stage of selection of the relevant features of the target (N2 ERP component). Visual recognition at the global level was accompanied by (1) pronounced involvement of mechanisms of early sensory selection (N1 ERP component), (2) prevailing activation of parietal cortex of the right hemisphere (P ₄) at the stage of sensory categorization (P2 ERP component) as well as at the stage of the target stimulus identification (P3 ERP component). We suggested that perception of the hierarchical stimulus at the global level is related primarily to the analysis of its spatial features in the dorsal visual system whereas the perception at the local level primarily involves an analysis of the object-related features in the ventral visual system.     

Functional brain organization of global and local visual perception: an ERP study

Adult subjects were asked to recognize a hierarchical visual stimulus (a letter) while their attention was drawn to either the global or local level of the stimulus. Event-related potentials (ERP) and psychophysical indices (reaction time and percentage of correct responses) were measured. An analysis of psychophysical indices showed the global level precedence effect, i.e., the increase in a small letter recognition time when this letter is a part of incongruent stimulus. An analysis of ERP components showed level-related (global vs. local) differences in the timing and topography of the brain organization of perceptual processing and regulatory mechanisms of attention. Visual recognition at the local level was accompanied by (1) stronger activation of the visual associative areas (Pz and T6) at the stage of sensory features analysis (P1 ERP component), (2) involvement mainly of inferior temporal cortices of the right hemisphere (T6) at the stage of sensory categorization (P2 ERP component), and (3) involvement of prefrontal cortex of the right hemisphere at the stage of the selection of the relevant features of the target (N2 ERP component). Visual recognition at the global level was accompanied by (1) pronounced involvement of mechanisms of early sensory selection (N1 ERP component), (2) prevailing activation of parietal cortex of the right hemisphere (P4) at the stage of sensory categorization (P2 ERP component) as well as at the stage of the target stimulus identification (P3 ERP component). It is suggested that perception at the global level of the hierarchical stimulus is related primarily to the analysis of the spatial features of the stimulus in the dorsal visual system whereas the perception at the local level primarily involves an analysis of the object-related features in the ventral visual system.     

Mechanisms of selective attention in adults and children as reflected by evoked potentials to warning stimuli

Components of evoked potentials to stimuli differing in size and warning about the necessity of subsequent recognition of an image at the global or local level were analyzed to identify the specific features of selective attention in adults and seven-year-old children. In both age groups, components were found that were related to selective attention aimed at processing a warning stimulus (the P1, N1, and P2 components) and producing a response to the subsequent test stimulus. Both age groups exhibited similar dependences of changes in the P1 component (40–110 and 110–220 ms in the adults and children, respectively) on the type of the warning stimulus. The children displayed a greater increase in the amplitude of the P1 component of the response to the global versus the local key than the adults did. The P1 component is suggested to reflect not only the sensory features of the stimulus but also the selective attention associated with its sensory processing. The amplitude of the P2 component of the response to the global key (190–240 and 330–410 ms in the adults and children, respectively) was higher in both age groups. This component is believed to indicate evaluation of the signal importance of the warning stimulus. In the adults, late components of event-related potentials (ERPs), i.e., P3-N3 (300–450 ms), were associated with the global or local level of recognition of a test hierarchical stimulus that was presented after the key, with the greatest differences in the central and posterior associative areas of the right hemisphere and in the frontocentral areas of the left hemisphere. In the children, the N3 component (530–600 ms) in the left parietal area, as well as the late ERP phases, i.e., Ps (680–950 ms) and Ns (1030–1130 ms), during which the frontal cortical areas are involved in preparing the subsequent response, was shown to depend on the type of the warning stimulus.     

Role of the Frontal Cortical Areas in the Analysis of Visual Stimuli at Conscious and Unconscious Levels

Event-related potentials (ERP) in response to complex target stimuli, which consisted of a central recognizable picture and a lateral masked image (analyzed at the unconscious level) were recorded in adult subjects and seven-year-old children. ERP components N200, N300, and P400/N400 had different topography and were differently pronounced in adults and children. In adult subjects, the N200 component that reflects the processing of a sensory stimulus was recorded in the temporo-parieto-occipital and occipital areas. In children, N200 was recorded in the caudal regions and the frontal areas of the cortex. Analysis of different waveforms obtained by subtraction of the ERP to the central stimulus from the ERP to the complex stimulus showed that unconscious stimulus processing in adult subjects is not reflected in the ERP structure. In children, an unconsciously processed image incorporated into a complex stimulus evokes processing negativity in the occipital and frontal cortical areas. Comparison of ERP in groups of children divided by their reflectivity/impulsivity showed that, predominantly, the left frontal area is involved in image analysis at the unconscious level in reflective children and, predominantly, the right frontal area participates in unconscious image analysis in impulsive children. It is suggested that the perfection of the visual recognition of a target stimulus, which contains additional unconsciously processed information, consists in growth of the involvement of the left-hemispheric mechanisms (with respective growth of significance of the left-hemispheric mechanisms) and in a decrease in the role of the frontal areas in analysis of sensory information.     

Functional specialization of hemispheres in matching current and preceding stimuli

Classification of visual patterns, a differentiating sign of which is the position of the longer axis of an oval and the principal part of the image, was studied. Stimuli were presented at random to the left (LVF) or right (RVF) visual fields in two situations:same (preceding imageS ₁ was of the same form and presented to the same visual field as the current imageS ₂) anddifferent (S ₁ differed fromS ₂ by both form and location). Classification ofdifferent images was less effective compared with that ofsame images during stimulation of LVF and showed no dependence on the preceding image during stimulation of RVF. The matching of event-related potentials (ERP) in response toS ₂ and differential curvesS ₂−S ₁ revealed the processes related to accessing the information on the preceding stimulus and processing of the current stimulus, which simultaneously occur during the initial 50 ms in both hemispheres and in the 160–180 ms interval in the right hemisphere. Both processes were more expressed during stimulation of the contralateral visual field. In the 190–310 ms interval, discrimination of thesame anddifferent images was determined by processing of information about the current stimulus on the basis of the results of the preceding stage of analysis. This process was more expressed in the occipital, parietal and temporoparietooccipital regions of the right hemisphere independently of the stimulated visual field. The involvement of frontal regions at this stage of information processing was observed only at stimulation of RVF. The dependence of differences of ERP to thesame anddifferent images on the stimulated visual field was revealed for the 320–500-ms interval (N ₄₀₀ and late positive complex) in the occipital regions.     

Organization of selective attention during preparation for the recognition of global and local characteristics of a visual stimulus in children with different levels of maturity of the regulatory brain systems

Event-related potentials (ERPs) evoked by key stimuli informing a subject about the forthcoming recognition of the global or local level of a hierarchical test figure were analyzed in 7-year-old children with different levels of maturity of the regulatory brain systems. Differences in both the initial ERP components P1, N1, and P2 (which reflect the analysis of the sensory characteristics and significance of a key stimulus) and the late components N3, Pc, and Nc (which reflect the preparation for the recognition of a subsequent test figure) were found. It was shown that, in children with frontal-thalamic regulatory system immaturity (FTRSI), the amplitude of the ERP component N1 is decreased in the caudal areas. In children with an immature bottom-up activation system, a decrease in the amplitude of initial ERP components in the caudal areas was observed in a broader time interval in components P1, N1, and P2. As compared to the control groups of children, in children with immature frontal-thalamic structures, components N3, Pc, and Nc were different in both the caudal and precentral areas. In children with immature lower brainstem activation structures, the late ERP components were different, predominantly, in the parietal and temporo-parieto-occipital areas. Comparison of ERPs in response to global and local key stimuli in children of the control group demonstrated a clear-cut temporal and topographical organization in the period of preparation for subsequent recognition of a prescribed level of the test stimulus: the earlier preparation stages were associated with component N3 in the parietal and temporo-parieto-occipital areas, whereas later stages were associated with Pc changes in the frontal areas. In children with FTRSI, changes in the late components in the caudal areas were poorly expressed and their topographical organization (characteristic of the control group) was absent; the involvement of the frontal areas in the late stages of the key stimulus analysis was restricted. These findings may give grounds to suggest the significance of the frontal-thalamic system in the organization of the response to an expected stimulus. In children with immature lower brainstem activation structures, the type of the key stimulus was reflected in the late ERP components in a diffuse way.     

Neurophysiological mechanisms of recognition fragmented images by five- to six-year-old children

Behavioral indices and event-related potentials (ERP) were analyzed in five- to six-year-old children who were shown a set of previously unseen fragmented drawings of familiar images. These children recognized less fragmented images than seven- to eight-year-old children. At the age of five to six years, there was no increase in N350–400 prefrontal negativity and slow positive complex, which is characteristic of mature recognition that involves executive control. Comparison of ERP for recognized vs. unrecognized stimuli revealed a significant increase in the P300 and N400 amplitudes in the right occipital area. Note that, in children of this age, there were no significant differences between reactions to recognized and unrecognized images in the lateral extrastriate cortex (T₅/T₆), which is the key structure for recognition of familiar images via integration of their sensory features. Our data suggest that in five- to six-year-old children recognition of fragmented images has specific features determined by immaturity of the executive control and insufficient involvement of the ventral visual system.     

Functional organization of the brain in the period of preparation for recognizing fragmented images in seven- to eight-year-old children and adults

Functional connectivity between the prefrontal cortex and the temporal and temporo-parieto-occipital cortices in the process of preparing for the recognition of fragmented images were analyzed in adults (n = 26) and seven- to eight-year-old children (n = 20).The evaluations of the imaginary part of the complex-valued coherency for the EEG alpha-rhythm (Jα) were used as an index for the strength of cortico-cortical interactions. The Jα value was analyzed in the following three experimental conditions corresponding to different stages of readiness for visual recognition: (1) nonspecific attention holding in the period preceding a warning stimulus (S1); (2) focused attention in the interval preceding a not-yet-recognized target stimulus (S2) and (3) pretuning preceding a recognized stimulus (S3). Adult subjects tended towards a growing level of functional connectivity in α-rhythm in progressing from attention holding to focused attention preceding the emergence of a target stimulus, but children, on the contrary, demonstrated a decreasing trend. Comparing the Jα values in the subgroups of adults and children who showed the highest recognition scores in the solution of cognitive tasks helped reveal age-specific patterns in the rearrangements of cortico-cortical functional connectivity in α-rhythm in the left and right hemispheres at different stages of readiness for recognizing incomplete images. In adults, the maximal Jα values were found in the left hemisphere in the interval preceding the recognition of a target image. At this stage of pretuning, the Jα values at the leads in the left hemisphere in adults significantly exceeded those in children. The Jα values for the right hemisphere in adults were maximal during focused prestimulus attention when the image was not yet recognized and these values were significantly higher than in children under the same experimental conditions. Children showed maximal Jα values in both hemispheres during nonspecific attention. The specifics of functional connectivity observed between the prefrontal, temporal and temporo-parieto-occipital cortices in seven- to eight-year-old children during functional pretuning to the recognition of fragmented images are considered to reflect the relative immaturity of neurophysiological mechanisms underlying the voluntary attention and working memory in children of this age group.     

Hemispheric specialization for global and local processing: the effect of stimulus category.

Neuropsychological evidence indicates that the global aspect of complex visual scenes is preferentially processed by the right hemisphere, and local aspects are preferentially processed by the left hemisphere. Using letter-based hierarchical stimuli (Navon figures), we recently demonstrated, in a directed-attention task, lateralized neural activity (assessed by positron emission tomography) in the left prestriate cortex during local processing, and in the right prestriate cortex during global processing. Furthermore, temporal-parietal cortex was critically activated bilaterally in a divided-attention task that involved varying the number of target switches between local and global levels of letter-based hierarchical stimuli. Little is known about whether such stimulus categories influence such hemispheric lateralization. We now present data on brain activity, derived from positron emission tomography, in normal subjects scanned during either local or global processing of object-based hierarchical stimuli. We again observe attentional modulation of neural activity in prestriate cortex. There is now greater right-sided activation for local processing and greater left-sided activation for global processing, which is the opposite of that seen with letter-based stimuli. The results suggest that the relative differential hemispheric activations in the prestriate areas during global and local processing are modified by stimulus category.     

Development of the brain’s organization of working memory in young schoolchildren

In 7–8 and 9–10-years old children, we studied event-related potentials (ERPs) during paired comparison of non-verbalizable visuospatial stimuli presented at an interval of 1.5–1.8 s. Age-related differences were found in the involvement of various cortical areas in the formation and retention of a short-term memory trace of the reference stimulus and during comparison of the short-term trace with the test stimulus presented. In both age groups, working memory was associated with an elevation of the amplitude of the sensory-specific N1 component in the visual cortical areas. Age-related differences in the processing of sensory-specific characteristics of a stimulus were the greatest in the ERPs to the test stimulus: at the age of 9–10, the N1 component amplitude was significantly increased in all caudal leads and, in the occipital and inferior temporal leads, this component was preceded by P1 component. At this age, we observed the early involvement of the inferior frontal cortex, which was not observed at the age of seven. The increase in positivity over that area was observed in the interval of 100–200 ms. Substantial differences between age groups were found in the late ERP component corresponding to cognitive processes. At the age of 7–8, the presentation of both the reference and test stimuli causes the increase in the amplitude of the slow positive complex (SPC) in the caudal liads with the maximum enhancement found in the interval of 300–800 ms in the parietal leads. At the age of 9–10, the SPC increase, much like in adults, was observed in ERP to the test stimulus only. At this age, adult-like specific changes in the late phases of ERPs were observed in the fronto-central regions at the different stages of working memory. They are the increases in the negative N400 wave in the ERP to the reference stimulus and the SPC to the test stimulus. These data show that, at the age of 9–10, the functional organization of working memory of the adult type is formed; however, the extent to which the frontal cortex, and its dorsal regions in particular, is involved into working memory processes does not meet yet a definitive level.     

Primary Sensory and Motor Cortex Excitability Are Co-Modulated in Response to Peripheral Electrical Nerve Stimulation

Peripheral electrical stimulation (PES) is a common clinical technique known to induce changes in corticomotor excitability; PES applied to induce a tetanic motor contraction increases, and PES at sub-motor threshold (sensory) intensities decreases, corticomotor excitability. Understanding of the mechanisms underlying these opposite changes in corticomotor excitability remains elusive. Modulation of primary sensory cortex (S1) excitability could underlie altered corticomotor excitability with PES. Here we examined whether changes in primary sensory (S1) and motor (M1) cortex excitability follow the same time-course when PES is applied using identical stimulus parameters. Corticomotor excitability was measured using transcranial magnetic stimulation (TMS) and sensory cortex excitability using somatosensory evoked potentials (SEPs) before and after 30 min of PES to right abductor pollicis brevis (APB). Two PES paradigms were tested in separate sessions; PES sufficient to induce a tetanic motor contraction (30–50 Hz; strong motor intensity) and PES at sub motor-threshold intensity (100 Hz). PES applied to induce strong activation of APB increased the size of the N₂₀-P₂₅ component, thought to reflect sensory processing at cortical level, and increased corticomotor excitability. PES at sensory intensity decreased the size of the P25-N33 component and reduced corticomotor excitability. A positive correlation was observed between the changes in amplitude of the cortical SEP components and corticomotor excitability following sensory and motor PES. Sensory PES also increased the sub-cortical P₁₄-N₂₀ SEP component. These findings provide evidence that PES results in co-modulation of S1 and M1 excitability, possibly due to cortico-cortical projections between S1 and M1. This mechanism may underpin changes in corticomotor excitability in response to afferent input generated by PES.     

Functional Organization of the Brain during the Operation of Working Memory

Event-related potentials (ERPs) recorded from various cortical areas during matching of two consecutive pictures were analyzed. Reflecting the process of trace fixation, the ERP to the reference stimulus was characterized by an increase in components P150 and P300 in the occipital and temporo-parieto-occipital areas and components N300 and N400 in the precentral areas as compared with the ERP elicited by the warning stimulus. The ERP to the test stimulus, which reflected trace retrieval and matching with current information, was characterized by a generalized increase in the late positive complex in the interval 300–600 ms. Similarity and/or dissimilarity of the test and reference stimuli was reflected in the parameters of the ERP to the test stimulus. The results testify to the difference in functional and topographic organization of the brain cortex at the initial and late stages of operation of the working memory.     

Mechanisms of Classification of Visual Objects in Children with Different Styles of Cognitive Activity

A sample of seven-year-old children was divided into reflective and impulsive groups using the matching familiar figures test (MFFT). Event-related potentials of different regions of the cerebral cortex were studied in children from these groups performing classification of visual-object shapes on the basis of only one discriminative feature or with the use of additional information. Comparison of the success of visual-stimulus identification in reflective and impulsive children under the conditions of alternative choice (MFFT) and classification according to a specified discriminative feature demonstrates differences in the mechanisms of both selection and analysis of the sensory characters of the stimulus. When the shape of a visual object is classified according to the discriminative feature, the initial stages of analysis in impulsive children are accompanied by the emergence of wave N80 in the left hemisphere, which may reflect the higher rate of detection of the discriminative feature by these children. Impulsive children are also characterized by an earlier development and a higher amplitude of component P300 compared to reflective children. In the latter, waves N250 and N350, indicating continuing information processing, are superposed on this positive component. If the picture presented to children contains an element consistent with the discriminative feature, the N350 amplitude in the right temporo-parieto-occipital region and the negative shift corresponding to the N350 wave in the left temporo-parieto-occipital region are increased in reflective and impulsive children, respectively. Additional information increased wave N400 in the left frontal region.     

Recognition of visual images by separate hemispheres in conditions of masked blocking of interhemispheric transmission

The subjects learned to recognize three figures presented in the left visual hemifield and three figures presented in the right visual hemifield. During presentation of a stimulus, the contralateral hemifield was overlapped by a mask. After the training, recognition of all six figures presented in the right and left visual hemifields, was compared. Each hemisphere recognizes figures which were learned in the corresponding visual hemifield, but the recognition of figures learned in the opposite visual hemifield was poor. Thus, the ability of the hemispheres to act separately in recognizing different sets of visual images, was established.     

Event-related potentials associated with a shift in the strategy of visual perception during recognition of a hierarchical stimulus

Recording of event-related potentials (ERPs) was used to study the brain mechanisms of shifting the strategy of recognition of the global and local levels of a hierarchical image by adult subjects. A shift in the strategy of visual recognition results in substantial changes in ERP parameters in the caudal and frontocentral cortical areas. The activation effect of the switchover from one recognition strategy to another is associated with an increase in the amplitude of early ERP components (C1, P100, and N150) of the caudal cortical areas. Changes in the late ERP components associated with processing of significant information features during the shift in the recognition strategy are observed in the frontal areas within the interval 388–579 ms, with the amplitude of components N300 and N400 increasing.     

Differences in semantic event-related potentials in learning-disabled,normal, and gifted children

Cortical event-related potentials (ERP) were recorded over FZ, CZ, and PZ scalp sites in 15 learning-disabled (LD), 14 gifted (G), and 13 normal control (N) children of ages 8–12. The common stimulus consisted of nouns presented 80 percent of the time; the target stimulus of animal names presented 20 per cent of the time. ERPs were averaged over subjects from 180 msec pre-stimulus to 900 msec post-stimulus. Principal components analysis was used to determine if there were amplitude differences at different post-stimulus latencies as a function of condition. Differences in ERP's between groups (LD, gifted, and controls), scalp locations, and common versus target stimuli were analyzed by ANOVAs. P ₃ , Late, P ₂ , and N ₁ components represented by four factors were identified. Significant differences between G and LD and the N and LD groups were found target stimulus at all central locations for the P ₃ component. Differences were found centrally between G and LD, G and N, and N and LD groups for the P ₂ component centrally. Other differences were found for the N ₁ and late components. These differences could be interpreted as a deficit in either attentional mechanisms or information processing for the LD group.     

Reflection of the Emotional Significance of Visual Stimuli in the Characteristics of Evoked EEG Potentials

Healthy subjects (n = 88) were asked to passively visualize positive and passive emotiogenic visual stimuli and also stimuli with a neutral emotional content. Images of the International Affective Picture System (IAPS) were used. Amplitude/time characteristics of the components of evoked EEG potentials (EPs), P1, N1, P2, N2, and P3 and topographic distribution of the latter components were analyzed. The latencies, amplitudes, and topography of the EP waves induced by presentation of positive and negative stimuli were found to be different from the respective values for the EPs induced by neutral stimuli. The level and pattern of these differences typical of different EP components were dissimilar and depended on the sign of the emotions. Specificities related to the valency of an identified stimulus were observed within nearly all stages of processing of visual signals, for the negative stimuli, beginning from an early stage of sensory analysis corresponding to the development of wave Р1. The latencies of components Р1 in the case of presentation of emotiogenic negative stimuli and those of components N1, N2, and Р3 in the case of presentation of the stimuli of both valencies were shorter than the latencies observed at neutral stimuli. The amplitude of component N2 at perception of positive stimuli was, on average, lower, while the Р3 amplitude at perception of all emotiogenic stimuli was higher than in the case of presentation of neutral stimuli. The time dynamics of topographic peculiarities of processing of emotiogenic information were complicated. Activation of the left hemisphere was observed during the earliest stages of perception, while the right hemisphere was activated within the intermediate stages. Generalized activation of the cortex after the action of negative signals and dominance of the left hemisphere under conditions of presentation of positive stimuli were observed only within the final stages. As is supposed, emotiogenic stimuli possess a greater biological significance than neutral ones, and this is why the former attract visual attention first; they more intensely activate the respective cortical zones, and the corresponding visual information is processed more rapidly. The observed effects were more clearly expressed in the case of action of negative stimuli; these effects involved more extensive cortical zones. These facts are indicative of the higher intensity of activating influences of negative emotiogenic stimuli on neutral systems of the higher CNS structures.     

How the Visual Cortex Handles Stimulus Noise: Insights from Amblyopia

Adding noise to a visual image makes object recognition more effortful and has a widespread effect on human electrophysiological responses. However, visual cortical processes directly involved in handling the stimulus noise have yet to be identified and dissociated from the modulation of the neural responses due to the deteriorated structural information and increased stimulus uncertainty in the case of noisy images. Here we show that the impairment of face gender categorization performance in the case of noisy images in amblyopic patients correlates with amblyopic deficits measured in the noise-induced modulation of the P1/P2 components of single-trial event-related potentials (ERP). On the other hand, the N170 ERP component is similarly affected by the presence of noise in the two eyes and its modulation does not predict the behavioral deficit. These results have revealed that the efficient processing of noisy images depends on the engagement of additional processing resources both at the early, feature-specific as well as later, object-level stages of visual cortical processing reflected in the P1 and P2 ERP components, respectively. Our findings also suggest that noise-induced modulation of the N170 component might reflect diminished face-selective neuronal responses to face images with deteriorated structural information.     

Functional Asymmetry of the Brain and Ignoring of the Environment

Manifestations of functional asymmetry of human cerebral cortex at spatial orientation in the visual and auditory systems are considered. Disorder of the right hemisphere activity leads to two main interrelated disorders: ignoring of a portion of the extrapersonal space on the left and compression of this space on the right. The revealed disorders are considered as a result of suppression of activity of brain structures (first of all, of the parietal area of the right cortex) that form body scheme (the reference level at the spatial orientation). The suggestion is made about causes of ignoring of the external sensory space in disturbances of the right parietal cortex area. Role of the right hemisphere in other possible forms of ignoring of the external space is considered.     

The functional neuroanatomy of object agnosia: a case study

Cortical reorganization of visual and object representations following neural injury was examined using fMRI and behavioral investigations. We probed the visual responsivity of the ventral visual cortex of an agnosic patient who was impaired at object recognition following a lesion to the right lateral fusiform gyrus. In both hemispheres, retinotopic mapping revealed typical topographic organization and visual activation of early visual cortex. However, visual responses, object-related, and -selective responses were reduced in regions immediately surrounding the lesion in the right hemisphere, and also, surprisingly, in corresponding locations in the structurally intact left hemisphere. In contrast, hV4 of the right hemisphere showed expanded response properties. These findings indicate that the right lateral fusiform gyrus is critically involved in object recognition and that an impairment to this region has widespread consequences for remote parts of cortex. Finally, functional neural plasticity is possible even when a cortical lesion is sustained in adulthood.