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. 2020 Oct;94:250–264. doi: 10.1016/j.neurobiolaging.2020.06.011

Table 5.

Brain regions with at least 2 structural and 2 functional studies correlating with anosognosia

Region
N of structural studies
N of functional studies
Frontal A M B T A M B T
 Inferior frontal Gyrus 1 1 2↓ 5 1 1 7↓
 Superior frontal Gyrus 1 1 2 4↓ 2 1 3↓
 Middle/medial frontal Gyrus 1 1 2↓ 1 1 2↓
 Prefrontal cortex (PFC)
 Orbitofrontal

1
2
3↓
2

2
4↓✝
Temporal
 Medial temporal lobe

1
1
2↓
2

2
4↓
Cingulate cortex
 Anterior cingulate cortex 1 2 3↓ 3 2 5↓
 Posterior cingulate cortex

2

2↓
1

2
3↓/↑✝
Insular
 Insula 1 1 2↓ 1 1 2↓

A, anosognosia study, M, Metacognition study, B, Study using both anosognosia and metacognition measures, T, Total N of studies.

↓ = negative—decreased blood flow/glucose metabolism associated with worse anosognosia/metacognition scores.

↑ = positive correlation—increased blood flow/glucose metabolism associated with worse anosognosia/metacognition score.

Perrotin et al. (2015) found significance across FDG-PET & fMRI.