“Seeing oneself”: a case of autoscopy

Autoscopy is the experience of seeing an image of one’s body in external space. We describe the case of a patient who reported longstanding autoscopic hallucinations following post-eclamptic brain damage. The MR scan demonstrated damage involving the occipital cortex and the basal ganglia bilaterally. We hypothesize that the image was the result of aberrant plasticity mechanisms involving cortical areas that play a central role in high-order body or representation of oneself.

[1]  D. Ffytche,et al.  The anatomy of conscious vision: an fMRI study of visual hallucinations , 1998, Nature Neuroscience.

[2]  C. Frith,et al.  Experiencing Oneself vs Another Person as Being the Cause of an Action: The Neural Correlates of the Experience of Agency , 2002, NeuroImage.

[3]  M. Hallett,et al.  Neural networks for Braille reading by the blind. , 1998 .

[4]  Antonio Damasio,et al.  Mental self: The person within , 2003, Nature.

[5]  K CONRAD [A strange case of mirror phantom; heautoscopic phenomenon as a permanent state in a tumor of the hypophysis]. , 1953, L'Encephale.

[6]  C. N. Macrae,et al.  Finding the Self? An Event-Related fMRI Study , 2002, Journal of Cognitive Neuroscience.

[7]  F. Bermpohl,et al.  Cortical midline structures and the self , 2004, Trends in Cognitive Sciences.

[8]  O. Blanke,et al.  Out-of-body experience and autoscopy of neurological origin. , 2004, Brain : a journal of neurology.

[9]  O. Devinsky,et al.  Autoscopic phenomena with seizures. , 1989, Archives of neurology.

[10]  Peter Brugger,et al.  Reflective mirrors: Perspective-taking in autoscopic phenomena , 2002, Cognitive neuropsychiatry.

[11]  C. Spence,et al.  Multisensory integration and the body schema: close to hand and within reach , 2003, Current Biology.

[12]  K. Yau,et al.  Interoception: the sense of the physiological condition of the body , 2003, Current Opinion in Neurobiology.

[13]  P. Benson,et al.  Recognizing one's own face , 2001, Cognition.

[14]  E. Menninger-Lerchenthal V. Kapitel. Das Truggebilde der eigenen Gestalt in der Pathologie. , 1935 .

[15]  R Bhaskaran,et al.  Autoscopy in hemianopic field. , 1990, Journal of neurology, neurosurgery, and psychiatry.

[16]  G. Winocur,et al.  In Search of the Self: A Positron Emission Tomography Study , 1999 .