Altered topology of neural circuits in congenital prosopagnosia

Using a novel fMRI-based inter-subject functional correlation (ISFC) approach, which isolates stimulus-locked inter-regional correlation patterns, we compared the cortical topology of the neural circuit for face processing in participants with congenital prosopagnosia (CP) and matched controls. Whereas the anterior temporal lobe served as the major network hub for face processing in controls, this was not the case for the CPs. Instead, this group evinced hyper-connectivity in posterior regions of the visual cortex, mostly associated with the lateral occipital and the inferior temporal cortices. Moreover, the extent to which the network organization was atypical differed as a function of the severity of the face recognition deficit. These results offer new insights into the perturbed cortical topology in CP, which may serve as the underlying neural basis of the behavioral deficits typical of this disorder. The approach adopted here has the potential to uncover altered topologies in other neurodevelopmental disorders, as well.\n\nSignificance StatementCongenital prosopagnosia (CP; face blindness), a developmental deficit in face recognition, is thought to affect up to 3% of the population. Understanding its neural basis is challenging as there is no obvious deficit on conventional structural or functional MRI scans. Using an innovative, fMRI-based inter-subject correlation approach geared towards tracking inter-regional stimulus-locked brain activation, the present study uncovers marked topological differences in a distributed brain network of higher-order visual regions in CP relative to controls. Alteration in topology also differs as a function of the severity of the deficit. These findings shed new light on the neural perturbations underlying CP, and the analytic approach we have adopted may have utility in elucidating the neural basis of other neurodevelopmental disorders such as dyslexia or amusia.