Simultaneously cooperative, but serially antagonistic: a neuropsychological study of diagonistic dyspraxia in a case of Marchiafava-Bignami disease
We describe a patient with Marchiafava-Bignami disease who showed, in addition to signs of callosal interruption, a peculiar form of diagonistic dyspraxia. Unlike the typical diagonistic dyspraxia, both of the patient's hands could simultaneously cooperate in a sequence of bimanual actions. Mor...
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Published in | Behavioural neurology Vol. 19; no. 3; pp. 137 - 144 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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IOS Press
2008
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Abstract | We describe a patient with Marchiafava-Bignami disease who showed, in addition to signs of callosal interruption, a peculiar form of diagonistic dyspraxia. Unlike the typical diagonistic dyspraxia, both of the patient's hands could simultaneously cooperate in a sequence of bimanual actions. More specifically, his right hand could start a commanded action with the cooperation of his left hand. However, once the action was completed, his left hand started an antagonistic action, undoing the result, with the cooperation of his right hand. Once this countermanding action was completed, the original action started again. These antagonistic actions repeated themselves alternately unless he was restrained. The patient's diagonistic dyspraxia was apparent in only some bimanual actions, and he showed no diagonistic dyspraxia when performing voluntary actions; the antagonistic actions occurred in response to oral commands or by imitation. Magnetic resonance imaging showed symmetrical demyelination with partial necrosis in the genu, body, and anterior splenium of the corpus callosum. We speculate that the bimanual coordination is possible because part of the corpus callosum is intact, whereas the antagonistic actions may be caused by conflict between the two hemispheres due to interhemispheric disinhibition elicited by the demyelinated part of the corpus callosum. |
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AbstractList | We describe a patient with Marchiafava‐Bignami disease who showed, in addition to signs of callosal interruption, a peculiar form of diagonistic dyspraxia. Unlike the typical diagonistic dyspraxia, both of the patient’s hands could simultaneously cooperate in a sequence of bimanual actions. More specifically, his right hand could start a commanded action with the cooperation of his left hand. However, once the action was completed, his left hand started an antagonistic action, undoing the result, with the cooperation of his right hand. Once this countermanding action was completed, the original action started again. These antagonistic actions repeated themselves alternately unless he was restrained. The patient′s diagonistic dyspraxia was apparent in only some bimanual actions, and he showed no diagonistic dyspraxia when performing voluntary actions; the antagonistic actions occurred in response to oral commands or by imitation. Magnetic resonance imaging showed symmetrical demyelination with partial necrosis in the genu, body, and anterior splenium of the corpus callosum. We speculate that the bimanual coordination is possible because part of the corpus callosum is intact, whereas the antagonistic actions may be caused by conflict between the two hemispheres due to interhemispheric disinhibition elicited by the demyelinated part of the corpus callosum. |
Author | Tsukamoto, Tetsuro Tachibana, Kaori Abe, Nobuhito Hirayama, Kazumi Manabe, Hideaki Fuse, Takahisa |
AuthorAffiliation | 1 Department of Behavioral Neurology and Cognitive Neuroscience Tohoku University Graduate School of Medicine Sendai Japan 3 Department of Cardiovascular Surgery National Hospital Organization Shizuoka Medical Center Shizuoka Japan 2 Department of Neurosurgery National Hospital Organization Shizuoka Medical Center Shizuoka Japan 4 Department of Neurology Numazu Rehabilitation Hospital Numazu Japan |
AuthorAffiliation_xml | – name: 4 Department of Neurology Numazu Rehabilitation Hospital Numazu Japan – name: 1 Department of Behavioral Neurology and Cognitive Neuroscience Tohoku University Graduate School of Medicine Sendai Japan – name: 2 Department of Neurosurgery National Hospital Organization Shizuoka Medical Center Shizuoka Japan – name: 3 Department of Cardiovascular Surgery National Hospital Organization Shizuoka Medical Center Shizuoka Japan |
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Snippet | We describe a patient with Marchiafava-Bignami disease who showed, in addition to signs of callosal interruption, a peculiar form of diagonistic dyspraxia.... We describe a patient with Marchiafava‐Bignami disease who showed, in addition to signs of callosal interruption, a peculiar form of diagonistic dyspraxia.... |
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SubjectTerms | Apraxias - complications Apraxias - pathology Awareness Clinical Note Conflict (Psychology) Corpus Callosum - pathology Demyelinating Diseases - complications Demyelinating Diseases - pathology Functional Laterality Humans Intention Magnetic Resonance Imaging Male Marchiafava-Bignami Disease - complications Marchiafava-Bignami Disease - pathology Middle Aged Neuropsychological Tests Psychomotor Performance |
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Title | Simultaneously cooperative, but serially antagonistic: a neuropsychological study of diagonistic dyspraxia in a case of Marchiafava-Bignami disease |
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