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Impaired Recognition and Experience of Disgust Following Damage to the Insula and Basal Ganglia.

 Andrew J. Calder, Jill Keane, Facundo Manes, Nagui Antoun and Andrew W. Young
  
 

Abstract:
Recent studies indicate that disgust may be served by a separate neural substrate. Patients with Huntington's disease show a disproportionate impairment in recognising facial signals of disgust, and fMRI research has shown that disgust facial expressions engage different brain areas (insula and putamen) to other facial affects. Interpretation of these studies, however, is contingent on whether they have identified a system that is specialised for processing facial signals of disgust, or a 'supramodal' system involved in recognising human signals of this emotion from all sensory modalities. We address this issue in a case study of NK, a 25-year-old man with damage to the left insula and left basal ganglia. NK showed a highly selective impairment in recognising facial and vocal disgust signals, and reduced self-assessed experience of disgust. NK's deficits are consistent with damage to a supramodal system underlying the recognition of disgust from multiple modalities.

 
 


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