Selective map-following navigation deficit: A new case of developmental topographical disorientation(74 visite) Conson M, Bianchini F, Quarantelli M, Boccia M, Salzano S, Di Vita A, Guariglia C
*** IBB - CNR *** a Developmental Neuropsychology Laboratory, Department of Psychology , University of Campania "Luigi Vanvitelli," , Caserta , Italy. b Department of Psychology , "Sapienza" University of Rome , Rome , Italy. c Cognitive and Motor Rehabilitation Unit , IRCCS Fondazione Santa Lucia , Rome , Italy. d Institute of Biostructure and Bioimaging , National Research Council , Naples , Italy. e Cognitive-Behavioral School of Psychotherapy "Serapide SPEE," , Naples , Italy. f PhD Program in Behavioral Neuroscience , "Sapienza" University of Rome , Rome , Italy.
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<div class=""><h4>INTRODUCTION: </h4><br>Developmental topographical <br>disorientation (DTD) is a lifelong condition in which affected <br>individuals are selectively impaired in navigating space. Although it <br>seems that DTD is widespread in the population, only a few cases have <br>been studied from both a behavioral and a neuroimaging point of view. <br>Here, we report a new case of DTD, never described previously, of a <br>young woman (C.F.) showing a specific deficit in translating <br>allocentrically coded information into egocentrically guided navigation,<br> in presence of spared ability of constructing such representations.<br><h4>METHOD: </h4><br>A series of behavioral experiments was performed together with a resting-state functional magnetic resonance imaging (fMRI).<br><h4>RESULTS: </h4><br>We<br> demonstrated that C.F. was fully effective in learning and following <br>routes and in building up cognitive maps as well as in recognizing <br>landmarks. C.F.'s navigational skills, instead, dropped drastically in <br>the map-following task when she was required to use a map to navigate in<br> a novel environment. The rs-fMRI experiment demonstrated aberrant <br>functional connectivity between regions within the default-mode network <br>(DMN), and in particular between medial prefrontal cortex and posterior <br>cingulate, medial parietal, and temporal cortices.<br><h4>DISCUSSION: </h4><br>Our<br> results would suggest that, at least in C.F., dysfunctional <br>coactivation of core DMN regions would interfere with the ability to <br>exploit cognitive maps for real-life navigation even when these maps can<br> be correctly built.<br>
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