Ricerc@Sapienza

Neuropsychological studies on acquired topographical disorientation have provided useful insights into the contribution of different brain regions to human navigation. However, little is known about the possibility to restore navigational skills after brain damage. Here we describe the case of No Longer Lost (NLL), a 49-year-old man who complained of severe topographical disorientation following traumatic brain injury. Extensive neuropsychological evaluation at baseline revealed selective episodic memory deficits and topographical disorientation.

Planning ability is fundamental for goal-directed spatial navigation. Preliminary findings
from patients and healthy individuals suggest that travel planning (TP)—namely,
navigational planning—can be considered a distinct process from visuospatial planning
(VP) ability. To shed light on this distinction, two right brain-damaged patients without
hemineglect were compared with a control group on two tasks aimed at testing VP
(i.e., Tower of London-16, ToL-16) and TP (i.e., Minefield Task, MFT). The former requires

People orient themselves in the environment using three different, hierarchically organized, spatial cognitive styles: landmark, route, and survey. Landmark style is based on a representation encompassing only visual information (terrain features); route style is based on a representation that connects landmarks and routes using an egocentric (body-centred) frame of reference; survey style is based on a global map-like representation that mainly involves an allocentric (world-centred) frame of reference.

Memory for object location requires at least three processes: object recognition, object location, and object-location binding. Gender-related differences during childhood are still a matter of debate, especially concerning memory for object location, where females are expected to outperform males. Memory for object position is pivotal for spatial navigation and its investigation during childhood is crucial in order to understand the roots of gender-related differences in spatial orientation.

Anatomical and functional findings in primates suggest the existence of a dedicated parieto-medial temporal pathway for spatial navigation, consisting of both direct and indirect projections from the caudal inferior parietal lobe (cIPL) to the hippocampus and the parahippocampal cortex, with indirect projections relaying through the posterior cingulate and retrosplenial cortex. This neural network is largely unexplored in humans. This study aimed at testing the existence of a parieto-medial temporal pathway for spatial navigation in humans.