This study is part of an effort to map neural systems involved in the
Processing of emotion, and it focuses on the possible cortical compone
nts of the process of recognizing facial expressions. We hypothesized
that the cortical systems most responsible for the recognition of emot
ional facial expressions would draw on discrete regions of right highe
r-order sensory cortices and that the recognition of specific emotions
would depend on partially distinct system subsets of such cortical re
gions. We tested these hypotheses using lesion analysis in 37 subjects
with focal brain damage. Subjects were asked to recognize facial expr
essions of six basic emotions: happiness, surprise, fear, anger, disgu
st, and sadness. Data were analyzed with a novel technique, based on t
hree-dimensional reconstruction of brain images, in which anatomical d
escription of surface lesions and task performance scores were jointly
mapped onto a standard brain-space. We found that all subjects recogn
ized happy expressions normally but that some subjects were impaired i
n recognizing negative emotions, especially fear and sadness. The cort
ical surface regions that best correlated with impaired recognition of
emotion were in the right inferior parietal cortex and in the right m
esial anterior infracalcarine cortex. We did not find impairments in r
ecognizing any emotion in subjects with lesions restricted to the left
hemisphere. These data provide evidence for a neural system important
to processing facial expressions of some emotions, involving discrete
visual and somatosensory cortical sectors in right hemisphere.