scholarly journals Differential white matter involvement associated with distinct visuospatial deficits after right hemisphere stroke

Cortex ◽  
2017 ◽  
Vol 88 ◽  
pp. 81-97 ◽  
Author(s):  
Alex R. Carter ◽  
Mark P. McAvoy ◽  
Joshua S. Siegel ◽  
Xin Hong ◽  
Serguei V. Astafiev ◽  
...  

2013 ◽  
Vol 26 (1-2) ◽  
pp. 111-119 ◽  
Author(s):  
Jennifer Heidler-Gary ◽  
Mikolaj Pawlak ◽  
Edward H. Herskovits ◽  
Melissa Newhart ◽  
Cameron Davis ◽  
...  

Objective:Test the hypothesis that right hemisphere stroke can cause extinction of left hand movements or movements of either hand held in left space, when both are used simultaneously, possibly depending on lesion site.Methods:93 non-hemiplegic patients with acute right hemisphere stroke were tested for motor extinction by pressing a counter rapidly for one minute with the right hand, left hand, or both simultaneously with their hands held at their sides, or crossed over midline.Results:We identified two distinct types of motor extinction in separate patients; 20 patients extinguished left hand movements held in left or right space (left canonical body extinction); the most significantly associated voxel cluster of ischemic tissue was in the right temporal white matter. Seven patients extinguished either hand held in left space (left space extinction), and the most significantly associated voxel cluster of ischemic tissue was in right parietal white matter.Conclusions:There was a double dissociation between left canonical body extinction and left space motor extinction. Left canonical body extinction seems to be associated with more dorsal (parietal) ischemia, and left canonical body extinction seems to be associated with more ventral (temporal) ischemia.



1982 ◽  
Vol 36 (5) ◽  
pp. 314-321 ◽  
Author(s):  
J. Kaplan ◽  
D. B. Hier


2010 ◽  
Author(s):  
Peii Chen ◽  
C. Priscilla Galarza ◽  
Kimberly Hreha ◽  
Tara Miceli ◽  
Anna M. Barrett


2010 ◽  
Vol 41 (01) ◽  
Author(s):  
S Vossel ◽  
P Eschenbeck ◽  
P Weiss ◽  
G Fink




1980 ◽  
Vol 1 (3) ◽  
pp. 279-294 ◽  
Author(s):  
Daniel B. Hier ◽  
Joni Kaplan

ABSTRACTWe have compared the verbal comprehension abilities of 34 right hemisphere damaged patients to 16 hospitalized control subjects of comparable age and educational attainment. The right hemisphere damaged patients performed as well as the control subjects on a vocabulary test, but were impaired in their ability to interpret proverbs and comprehend logico-grammatical sentences. Impairment on the proverbs test was the result of a decrease in the number of abstract interpretations, whereas impairment on the logico-grammatical sentence comprehension test was related to difficultes in grasping spatial and passive relationships. These comprehension impairments tended to correlate with visuospatial deficits and hemianopia, but not with the degree of hemiparesis or the presence of sensory extinction. Patients with anterior right hemisphere damage performed better on the logico-grammatical sentence conprehension test than patients with posterior damage. A variety of factors probably contribute to these verbal deficits including impaired intellect, inattention, an inability to grasp spatial relationships, and difficulties in manipulating the inner schemata of language.





2021 ◽  
Vol 11 (3) ◽  
pp. 354
Author(s):  
Kyoung Lee ◽  
Sang Yoo ◽  
Eun Ji ◽  
Woo Hwang ◽  
Yeun Yoo ◽  
...  

Lateropulsion (pusher syndrome) is an important barrier to standing and gait after stroke. Although several studies have attempted to elucidate the relationship between brain lesions and lateropulsion, the effects of specific brain lesions on the development of lateropulsion remain unclear. Thus, the present study investigated the effects of stroke lesion location and size on lateropulsion in right hemisphere stroke patients. The present retrospective cross-sectional observational study assessed 50 right hemisphere stroke patients. Lateropulsion was diagnosed and evaluated using the Scale for Contraversive Pushing (SCP). Voxel-based lesion symptom mapping (VLSM) analysis with 3T-MRI was used to identify the culprit lesion for SCP. We also performed VLSM controlling for lesion volume as a nuisance covariate, in a multivariate model that also controlled for other factors contributing to pusher behavior. VLSM, combined with statistical non-parametric mapping (SnPM), identified the specific region with SCP. Lesion size was associated with lateropulsion. The precentral gyrus, postcentral gyrus, inferior frontal gyrus, insula and subgyral parietal lobe of the right hemisphere seemed to be associated with the lateropulsion; however, after adjusting for lesion volume as a nuisance covariate, no lesion areas were associated with the SCP scores. The size of the right hemisphere lesion was the only factor most strongly associated with lateropulsion in patients with stroke. These results may be useful for planning rehabilitation strategies of restoring vertical posture and understanding the pathophysiology of lateropulsion in stroke patients.



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