Tactile enumeration: A case study of acalculia.

Enumeration is one of the building blocks of arithmetic and fingers are used as a counting tool in early steps. Subitizing-fast and accurate enumeration of small quantities-has been vastly studied in the visual modality, but less in the tactile modality. We explored tactile enumeration using fingers, and gray matter (GM) changes using voxel-based morphometry (VBM), in acalculia. We examined JD, a 22-year-old female with acalculia following a stroke to the left inferior parietal cortex. JD and a neurologically healthy normal comparison (NC) group reported how many fingers were stimulated. JD was tested at several time points, including at acute and chronic phases. Using the sensory intact hand for tactile enumeration, JD showed deficit in the acute phase, compared to the NC group, and improvement in the chronic phase of (1) the RT slope of enumerating up to four stimuli, (2) enumerating neighboring fingers, and (3) arithmetic fluency performance. Moreover, VBM analysis showed a larger GM volume for JD relative to the NC group in the right middle occipital cortex, most profoundly in the chronic phase. JD's performance serves as a first glance of tactile enumeration in acalculia. Pattern-recognition-based results support the suggestion of subitizing being the enumeration process when using one hand. Moreover, the increase in GM in the occipital cortex lays the groundwork for studying the innate and primitive ability to perceive and evaluate sizes or amounts-"sense of magnitude"- as a multisensory magnitude area and as part of a recovery path for deficits in basic numerical abilities.

Damage to the Intraparietal Sulcus Impairs Magnitude Representations of Results of Complex Arithmetic Problems.

Past research investigating the role of the intraparietal sulcus (IPS) in numerical processes focused mainly on quantity and numerical comparisons as well on single digit arithmetic. The present study investigates the involvement of the IPS in estimating the results of multi-digit multiplication problems. For this purpose, the performance a 24-year-old female (JD) with brain damage in the left IPS was compared to an age-matched control group in the computation estimation task. When required to estimate whether the results of multi-digit multiplication problems are smaller or larger than given reference numbers, JD, in contrast to controls, did not show the common patterns of distance and size effects. Her strategy use was also atypical. Most control participants used both the approximated calculation strategy that involves rounding and calculation procedures and the sense of magnitude strategy that relies on an intuitive approximated magnitude representation of the results. In contrast, JD used only the former but not the latter strategy. Together, these findings suggest that the damage to the IPS impaired JD's representations of magnitude that play an important role in this computation estimation task.

Number sense biases children's area judgments.

Humans are thought to use the approximate number system (ANS) to make quick approximations based on quantity even before learning to count. However, there has long been controversy regarding the salience of number versus other stimulus dimensions throughout development, including a recent proposal that number sense is derived from a sense of general magnitude. Here, we used a regression approach to disentangle numerical acuity from sensitivity to total surface area in both 5-year-old children and adults. We found that both children and adults displayed higher acuity when making numerosity judgments than total surface area judgments. Adults were largely able to ignore irrelevant stimulus features when making numerosity or total area judgments. Children were more biased by numerosity when making total area judgments than by total area when making numerosity judgments. These results provide evidence that number is more salient than total surface area even before the start of formal education and are inconsistent with the Sense of Magnitude proposal.