Acute hemiconcern: a right anterior parietotemporal syndrome.

Details

Serval ID
serval:BIB_377DA2641A0D
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Acute hemiconcern: a right anterior parietotemporal syndrome.
Journal
Journal of Neurology, Neurosurgery, and Psychiatry
Author(s)
Bogousslavsky J., Kumral E., Regli F., Assal G., Ghika J.
ISSN
0022-3050 (Print)
ISSN-L
0022-3050
Publication state
Published
Issued date
1995
Volume
58
Number
4
Pages
428-432
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
Three patients developed a striking visual and motor behaviour in the acute phase of a stroke involving the territory of the right anterior parietal artery (postcentral gyrus, parts or upper and middle temporal gyri, anterior part of inferior parietal gyrus, and supramarginal gyrus). The patients concentrated on the left side of their bodies, looking at it for long periods and relentlessly rubbing, touching, pinching, pressing, lifting, and manipulating parts of the left arm, trunk, and leg with their right hand or foot. They all had severe loss of elementary sensation on the left (touch, pain, temperature, vibration, position). The behaviour was not associated with overinterest in the left hemispace apart from their own bodies. It lasted no more than a few days, disappearing when left sided sensation improved. The findings suggest an association between sensory dysfunction and this "acute hemiconcern". None of 13 patients with a mirror infarct in the left hemisphere and none of 38 patients with acute hemisensory loss due to thalamic capsular or brainstem stroke showed hemiconcern behaviour. This behaviour may result from a feeling of strangeness critically associated with hemisensory loss without hemispatial neglect, due to involvement of the right anterior parietotemporal region.
Keywords
Aged, Behavior, Cerebrovascular Disorders/pathology, Cerebrovascular Disorders/psychology, Compulsive Behavior, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Parietal Lobe/pathology, Syndrome, Temporal Lobe/pathology
Pubmed
Web of science
Open Access
Yes
Create date
25/01/2008 11:45
Last modification date
20/08/2019 13:25
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