Assessment of Developmental Prosopagnosia in an Individual with Tourette Syndrome and Attention Deficit Hyperactivity Disorder: A Case Report

Background/Objectives: Prosopagnosia is the inability to recognize people by their faces. Developmental prosopagnosia is the hereditary or congenital variant of the condition. The aim of this study was to demonstrate the assessment of developmental prosopagnosia in a clinical context, using a combin...

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Main Authors: Petter Espeseth Emhjellen, Randi Starrfelt, Rune Raudeberg, Bjørnar Hassel
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/15/1/56
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author Petter Espeseth Emhjellen
Randi Starrfelt
Rune Raudeberg
Bjørnar Hassel
author_facet Petter Espeseth Emhjellen
Randi Starrfelt
Rune Raudeberg
Bjørnar Hassel
author_sort Petter Espeseth Emhjellen
collection DOAJ
description Background/Objectives: Prosopagnosia is the inability to recognize people by their faces. Developmental prosopagnosia is the hereditary or congenital variant of the condition. The aim of this study was to demonstrate the assessment of developmental prosopagnosia in a clinical context, using a combination of commercially available clinical assessment tools and experimental tools described in the research literature. Methods: We conducted a comprehensive neuropsychological assessment of a man with Tourette syndrome and attention deficit hyperactivity disorder (ADHD). The patient (ON) had experienced difficulties with face identity recognition throughout his life but believed they were caused by a lack of interest in others. Results: The neuropsychological assessment revealed varying degrees of difficulties primarily related to executive functions, attention, reaction time, and memory processes, as expected in a person with Tourette’s syndrome and ADHD. In addition, ON reported severe problems with face recognition on a prosopagnosia questionnaire and demonstrated severely impaired performance on tests of face memory and face perception commonly used to diagnose prosopagnosia. Interestingly, he reported familial face recognition problems on the maternal side of the family, while tics and ADHD symptoms occurred on the paternal side. This suggests that, in this case, the conditions were likely inherited through different genetic pathways. Conclusions: Proper assessment of face recognition problems, which includes a broad spectrum of clinical assessment tools, could help patients develop awareness and acceptance of themselves and their difficulties, and could serve as a basis for the development of clinical interventions. While ON’s DP, Tourette syndrome, and ADHD may have distinct genetic origins, impairment in face identity recognition has been observed across several neurodevelopmental conditions and is likely more common than currently thought.
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spelling doaj-art-a4504d2d5ba14814ae617afe626ec4a62025-01-24T13:25:50ZengMDPI AGBrain Sciences2076-34252025-01-011515610.3390/brainsci15010056Assessment of Developmental Prosopagnosia in an Individual with Tourette Syndrome and Attention Deficit Hyperactivity Disorder: A Case ReportPetter Espeseth Emhjellen0Randi Starrfelt1Rune Raudeberg2Bjørnar Hassel3Department of Neurohabilitation, Oslo University Hospital, 0424 Oslo, NorwayDepartment of Psychology, University of Copenhagen, 1172 Copenhagen, DenmarkDepartment of Biological and Medical Psychology, Faculty of Psychology, University of Bergen, 5007 Bergen, NorwayDepartment of Neurohabilitation, Oslo University Hospital, 0424 Oslo, NorwayBackground/Objectives: Prosopagnosia is the inability to recognize people by their faces. Developmental prosopagnosia is the hereditary or congenital variant of the condition. The aim of this study was to demonstrate the assessment of developmental prosopagnosia in a clinical context, using a combination of commercially available clinical assessment tools and experimental tools described in the research literature. Methods: We conducted a comprehensive neuropsychological assessment of a man with Tourette syndrome and attention deficit hyperactivity disorder (ADHD). The patient (ON) had experienced difficulties with face identity recognition throughout his life but believed they were caused by a lack of interest in others. Results: The neuropsychological assessment revealed varying degrees of difficulties primarily related to executive functions, attention, reaction time, and memory processes, as expected in a person with Tourette’s syndrome and ADHD. In addition, ON reported severe problems with face recognition on a prosopagnosia questionnaire and demonstrated severely impaired performance on tests of face memory and face perception commonly used to diagnose prosopagnosia. Interestingly, he reported familial face recognition problems on the maternal side of the family, while tics and ADHD symptoms occurred on the paternal side. This suggests that, in this case, the conditions were likely inherited through different genetic pathways. Conclusions: Proper assessment of face recognition problems, which includes a broad spectrum of clinical assessment tools, could help patients develop awareness and acceptance of themselves and their difficulties, and could serve as a basis for the development of clinical interventions. While ON’s DP, Tourette syndrome, and ADHD may have distinct genetic origins, impairment in face identity recognition has been observed across several neurodevelopmental conditions and is likely more common than currently thought.https://www.mdpi.com/2076-3425/15/1/56prosopagnosianeuropsychological assessmentcomorbidityheredity
spellingShingle Petter Espeseth Emhjellen
Randi Starrfelt
Rune Raudeberg
Bjørnar Hassel
Assessment of Developmental Prosopagnosia in an Individual with Tourette Syndrome and Attention Deficit Hyperactivity Disorder: A Case Report
Brain Sciences
prosopagnosia
neuropsychological assessment
comorbidity
heredity
title Assessment of Developmental Prosopagnosia in an Individual with Tourette Syndrome and Attention Deficit Hyperactivity Disorder: A Case Report
title_full Assessment of Developmental Prosopagnosia in an Individual with Tourette Syndrome and Attention Deficit Hyperactivity Disorder: A Case Report
title_fullStr Assessment of Developmental Prosopagnosia in an Individual with Tourette Syndrome and Attention Deficit Hyperactivity Disorder: A Case Report
title_full_unstemmed Assessment of Developmental Prosopagnosia in an Individual with Tourette Syndrome and Attention Deficit Hyperactivity Disorder: A Case Report
title_short Assessment of Developmental Prosopagnosia in an Individual with Tourette Syndrome and Attention Deficit Hyperactivity Disorder: A Case Report
title_sort assessment of developmental prosopagnosia in an individual with tourette syndrome and attention deficit hyperactivity disorder a case report
topic prosopagnosia
neuropsychological assessment
comorbidity
heredity
url https://www.mdpi.com/2076-3425/15/1/56
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AT runeraudeberg assessmentofdevelopmentalprosopagnosiainanindividualwithtourettesyndromeandattentiondeficithyperactivitydisorderacasereport
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