Perception of eye gaze direction in a case of acquired prosopagnosia

The ability to perceive the direction of eye gaze is critical in social settings. Brain lesions in the superior temporal sulcus (STS) impair this ability. We investigated the perception of gaze direction of PS, a patient suffering from acquired prosopagnosia (Rossion et al., 2003). Despite lesions in the face network, the STS was spared in PS. We assessed perception of gaze direction in PS with upright, inverted, and contrast-reversed faces. Compared to the performance of 11 healthy women matched for age and education, PS demonstrated abnormal discrimination of gaze direction with upright and contrast-reversed faces, but not with inverted faces. Our findings suggest that the inability of the patient to process faces holistically weakened her perception of gaze direction, especially in demanding tasks.