Thalamo-cortical connectivity was characterised in a patient with bilateral infarct of the thalami, without evidence of cognitive deficits in everyday life. Patient underwent social and emotional tests, Iowa Gambling Task (IGT), with and without concomitant heart rate variability (HRV) recording and at 3T-MRI to assess thalamo-cortical connectivity. Patient showed impairment at the IGT, in somatic marker, in emotions and theory of mind. MRI documented a bilateral damage of the centromedian-parafascicular complex. Patient's thalamic lesions disconnected brain areas involved in decision-making and autonomic regulation, affecting the somatic marker and resulting in the neuropsychological deficit exhibited by L.C.

Synesthesia is a condition in which perceptual or cognitive stimuli (e.g., a written letter) trigger atypical additional percepts (e.g., the color yellow). Although these cross-modal pairings appear idiosyncratic in that they superficially differ from synesthete to synesthete, underlying patterns do exist and these can, in some circumstances, reflect the cross-modal intuitions of nonsynesthetes (e.g., higher pitch sounds tend to be "seen" in lighter colors by synesthetes and are also paired to lighter colors by nonsynesthetes in cross-modal matching tasks). We recently showed that grapheme-color synesthetes are more sensitive to sound symbolism (i.e., cross-modal sound-meaning correspondences) in natural language compared to nonsynesthetes. Accordingly, we hypothesize that sound symbolism may be a guiding force in synesthesia to dictate what types of synesthetic experiences are triggered by words. We tested this hypothesis by examining the cross-modal mappings of lexical-gustatory synesthete, JIW, for whom words trigger flavor experiences. We show that certain phonological features (e.g., front vowels) systematically trigger particular categories of taste (e.g., bitter) in his synesthesia. Some of these associations agree with sound symbolic patterns in natural language. This supports the view that synesthesia may be an exaggeration of cross-modal associations found in the general population and that sound symbolic properties of language may arise from similar mechanisms as those found in synesthesia.

Synesthesia is an inherited condition causing unusual secondary sensations (e.g, sounds might be experienced as both auditory and visual percepts). The condition has been linked with cognitive and perceptual benefits and is considered a benign alternative form of perception. Here, we investigate self-referred synesthete populations and their rates of radiologically determined white matter hyperintensities (WMH) of a type compatible with the McDonald imaging criteria for the diagnosis of multiple sclerosis (MS). MS is a chronic condition resulting in damage to myelination surrounding nerve fibers of the central nervous system (CNS). Magnetic resonance imaging (MRI) features highly suggestive of MS without overt clinical symptoms are termed radiologically isolated syndrome (RIS). We present data showing that the shared MRI profile of MS and RIS has been significantly overrepresented in synesthetes who have participated in neuroimaging research. We present validation of the clinical and MRI status of these synesthetes and an analysis showing the significant probability their unusual numbers may not have arisen by chance. We discuss how to interpret significant data based on small case numbers and consider the implications of our findings for synesthesia’s clinical status.

Numerous imaging studies have confirmed the amygdala as prominent within a neural network mediating specific phobia, including arachnophobia. We report the case of a patient in whom arachnophobia was abolished after left temporal mesial lobectomy, with unchanged fear responses to other stimuli. The phenomenon of abolition of specific phobia after amygdala removal has not, to our knowledge, been previously reported.

Behavioral variant frontotemporal dementia (bvFTD) affects emotional evaluation, but less is known regarding the patients' ability to remember emotional stimuli. Here, bvFTD patients and age-matched controls studied positive, negative, and neutral pictures followed by a recognition memory test. Compared to controls, bvFTD patients showed a reduction in emotional evaluation of negative scenes, but not of positive or neutral scenes. Additionally, the patients showed an overall reduction in recognition memory accuracy, due to impaired recollection in the face of relatively preserved familiarity. These results show that bvFTD reduces the emotional evaluation of negative scenes and impairs overall recognition memory accuracy and recollection.

The current study is the first investigation of color 'obsessions' and 'phobias' in ASD. We investigate the color perception and cognition of J.G., a boy with ASD who has a strong obsession with blue, and a strong phobia of other colors. J.G.'s performance on a series of color tasks (color-entity association; chromatic discrimination; color classification) is compared to 13 children with and without autism who do not have color obsessions or phobias. The findings lead to the formalization of two hypotheses: (i) color obsessions and phobias in individuals with ASD are related to an unusually strong ability to associate colors with entities; (ii) color obsessions are related to hyposensitivity, and color phobias to hypersensitivity, in the affected regions of color space.

This study documents a patient (MR) with a demyelinating illness centred on the left frontal lobe who presents with severe memory difficulties in both recall and recognition memory tests. His performance on the latter is characterized by pathologically high false-alarm rates together with unimpaired hit rates. False-alarm rates are not affected by having targets and distracters that are similar to each other (e.g. synonyms) and remain high when inherently unfamiliar stimuli are used (e.g. non-words). This suggests that MR is not over-reliant on familiarity cues. It is suggested, instead, that MR has difficulties in establishing a focused memory description of the target items, such that the memory description that he forms contains features that are common to many items (including distracters) and lacks item-specific distinctive information. A number of lines of evidence are presented which support this interpretation. For instance, orienting instructions (which may alter the featural composition of the target memories) may be used to attenuate false recognition and NIR is impaired at making source attribution judgements (which requires item-specific information) about targets that are correctly recognized.

A single case study of a 'deep dysgraphic' patient is reported. The majority of her errors consist of non-word and fragment responses in which initial letters tend to be correctly produced (e.g. book ¿ b, dentist ¿ dentant). The probability of making an error at a given position increases linearly from word beginning to word end for all spelling tasks requiring lexical access. This serial position effect cannot be attributed to damage to the graphemic buffer, since a different pattern is found in a buffer-taxing task which does not require lexical access. It is also unlikely to reflect a neglect deficit, since the serial position effect is related to ordinal positions rather than positions left or right of word-centre. It is argued that the patient's pattern reflects incomplete activation of lexical-orthographic representations. Our data are consistent with models of lexical activation in which the activation of letter nodes is a function of ordinal position.

This study reports three cases of synaesthesia who experience colors in response to written musical notation, graphemes and heard music. The synaesthetes show Stroop-like interference when asked to name the colour of graphemes but not for written musical notes. However, reliable interference is found in two further studies that require deeper processing of the musical notation (namely playing music from colored notation, and naming the synaesthetic color of the notes whilst suppressing the veridical color). This is the first empirical demonstration of synaesthesia for musical notation. The fact that synaesthetic color influences music playing/reading (a sensory-motor transformation) but not verbal color naming suggests that synaesthetic Stroop effects can arise from processing the meaning of a stimulus and not just as a result of verbal response interference. However, it is likely that the color associations themselves have a developmental origin in the names assigned to them. In all three cases, the colors of the written notes are related to the graphemes that arbitrarily denote them (e.g., 'A may be "red" both as a letter and when written in musical notation). The results suggest that synaesthetic associations may migrate from one representational format (e.g., graphemes) to another (e.g., musical notation).

This paper reports the influence of age-of-acquisition (AoA) effects on the oral reading accuracy of a Chinese brain-injured individual, FWL, who has anomia and dyslexia resulting from moderate-to-severe semantic deficits. We found an effect of the phonological consistency of a character and tentative evidence for an interaction between AoA and consistency. These observations converge on previous reports of an effect of AoA on reading and spelling of alphabetic scripts and in the reading of Japanese Kanji, a non-alphabetic script. An effect of AoA is also the expected outcome of the arbitrary mapping hypothesis which assumes that the locus of the AoA effect resides in the connection between levels of representations in the lexical processing system. We consider alternative interpretations of the AoA effect being located at the representations themselves, including phonological output and the semantic system. We propose that future studies of dyslexic individuals who rely primarily on the semantic reading route for reading in Chinese may reveal effects of semantic variables, including those associated with the semantic radical in phonetic compound characters.

This article reviews a number of studies that report discrepancies between written and oral spelling that cannot easily be explained in terms of deficits to modality-specific output routines. For instance, some patients appear to be 'surface dysgraphic' for oral spelling but 'phonological dysgraphic' for written spelling (e.g. Lesser, 1990). A model is proposed to account for these findings which contains the basic premise that the mappings between phonemes and letter names (in oral spelling) is generally non-arbitrary, whereas the mappings between phonemes and letter shapes (in written spelling) is entirely arbitrary. For example, the phoneme /t/ sounds similar to the oral letter name "Tee" but is arbitrarily related to the written letter 'T' or 't'. An important consequence of this is that oral spelling, in normal spellers, may be more biased by phonological correspondences than written spelling. Other discrepancies between written and oral spelling are reviewed and accommodated within this model, and the model is extended to include recognition of oral spellings and transcoding between spoken and written letter forms.

Synaesthesia is often triggered by numbers, although it is conceivable that different aspects of numerical representation are responsible for different variants of synaesthesia. For individuals with "higher synaesthesia" it is assumed that number meaning ( or numerosity) is responsible for the elicitation of synaesthetic experiences. This study documents a case study of a synaesthete, TD, who broadly fits this profile. TD reports that the same colours are elicited from physically different representations of number ( digits, dice patterns and finger counting) provided that they share the same numerosity. The authenticity of his synaesthesia is established using Stroop-like priming and interference paradigms. Not only does synaesthetic colour interfere with veridical colour judgements, but also veridical colours can interfere with numerosity judgments. This suggests a close bi-directional coupling between numerosity and colour. Together, these findings constrain theories concerning the neural basis of synaesthesia.

We report a single case study of a synesthete (PS) who has complex visual experiences from sounds, including human voices. Different vowel sounds from different speakers and modified to be of different pitch (f0) were presented to PS and controls who were asked to draw an (abstract) visual image of the sound noting colors, sizes, and locations. PS tended to be more consistent over time than controls. For both PS and controls, the pitch of the vowel influenced the choice of luminance (higher pitch being lighter) and vertical position (higher pitch being higher in space). However, the gender of the speaker influenced the size of the 'image' independently of pitch (vowels from males being larger).