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This account was supported by the study of patients with bilateral medial temporal amnesia, who exhibit impairments in perceptual tasks involving complex visual stimuli. Yet, little is known regarding the impact of unilateral MTL damage on complex visual abilities. To address this issue, we administered a visual matching task to 20 patients who underwent left (<jats:italic>N<\/jats:italic>\u2009=\u200912) or right (<jats:italic>N<\/jats:italic>\u2009=\u20098) anterior temporal lobectomy for drug\u2010resistant epilepsy and to 38 healthy controls. Presentation viewpoint was manipulated to increase feature ambiguity, as this is critical to reveal impairments in perceptual tasks. Similar to control participants, patients with left\u2010sided damage succeeded in all task conditions. In contrast, patients with right\u2010sided damage had decreased accuracy compared with that of the other two groups, as well as increased response time. Notably, the accuracy of those with right\u2010sided damage did not exceed chance level when feature ambiguity was high (i.e., when stimuli were presented from different viewpoints) for the most complex classes of stimuli (i.e., scenes and buildings, compared with single objects). The pattern reported in bilateral patients in previous studies was therefore reproduced in patients with right, but not left, resection. These results suggest that the complex visual\u2010representation functions supported by the MTL are right\u2010lateralized, and raise the question as to how the representational account of these regions applies to representations supported by left MTL regions.<\/jats:p>","DOI":"10.1002\/hipo.23569","type":"journal-article","created":{"date-parts":[[2023,7,22]],"date-time":"2023-07-22T08:49:14Z","timestamp":1690015754000},"page":"1113-1122","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Complex visual discrimination is impaired after right, but not left, anterior temporal lobectomy"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8385-8330","authenticated-orcid":false,"given":"Jeremy","family":"Gardette","sequence":"first","affiliation":[{"name":"LPNC, CNRS, UMR 5105 Universit\u00e9 Grenoble Alpes, Universit\u00e9 Savoie Mont Blanc  Grenoble France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chryst\u00e8le","family":"Mosca","sequence":"additional","affiliation":[{"name":"Neurology Department Chu Grenoble\u2010Alpes, Univ. 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