Constructional Apraxia

Cortex ◽  
2018 ◽  
Vol 104 ◽  
pp. 127 ◽  
Author(s):  
Roberto Cubelli ◽  
Sergio Della Sala
1998 ◽  
Vol 11 (1) ◽  
pp. 43-49 ◽  
Author(s):  
Luigi Trojano ◽  
Dario Grossi

We report on a patient affected by selective drawing disabilities. The patient could correctly reproduce and draw simple geometric figures on request, but when he tried to reproduce more complex drawings or to draw common objects he performed very poorly. To identify the cognitive impairment in this patient, we adopted two test batteries based on recent information-processing models of drawing. Results showed that the patient’s drawing disabilities were independent of visuo-perceptual and executive impairments. These findings support recent cognitive models of drawing abilities: some intermediate stages of drawing exist at which information is processed to prepare and guide motor output, and which may be selectively disrupted after discrete cerebral lesions.


1944 ◽  
Vol 90 (380) ◽  
pp. 753-760 ◽  
Author(s):  
E. Stengel

In recent years important additions to the knowledge of the symptomatology in cases with involvement of the parietal lobe have been made. Both constructional apraxia (Kleist, 1922) and Gerstmann's syndrome, consisting of finger-agnosia, disturbance of right-left orientation, agraphia and acalculia (1924) have been related to lesions of the angular gyrus of the dominant hemisphere. Before the description of those symptoms, a loss of spatial orientation had been described in cases with lesions of the same localization. Balint (1910), Riddoch (1917), and others had observed that symptom in single cases, but the most comprehensive description was given by Gordon Holmes (1918), who studied it in a case-material of war injuries. When Holmes and his co-workers published their observations, constructional apraxia and Gerstmann's syndrome were still unknown. Loss of spatial orientation as a fully developed symptom is rare, while the other two disorders are not uncommon. For this reason the psychopathological relationship of those symptoms is still insufficiently understood. The following case offers an opportunity for studying the problem:


Author(s):  
Brittney Moore ◽  
Andrew S. Davis

Author(s):  
John R. Hodges

Chapter 3 discusses aspects of normal and abnormal language function, followed by a brief description of disorders of calculation (acalculia) and of higher-order motor control (apraxia). The second half of the chapter deals with disturbed right hemisphere functions: neglect phenomena, dressing and constructional apraxia, and complex visuo-perceptual deficits (agnosias).


2020 ◽  
Vol 9 (7) ◽  
pp. 2202
Author(s):  
Mirko Di Rosa ◽  
Sonia D’Alia ◽  
Francesco Guarasci ◽  
Luca Soraci ◽  
Elisa Pierpaoli ◽  
...  

The prognostic interaction between chronic kidney disease (CKD) and cognitive impairment is still to be elucidated. We investigated the potential interaction of overall cognitive impairment or defective constructional praxis and CKD in predicting 1-year mortality among 646 older patients discharged from hospital. The estimated glomerular filtration rate (eGFR) was calculated using the Berlin Initiative Study (BIS) equation. Cognitive impairment was assessed by the Mini Mental State Exam (MMSE) and defective constructional praxis was ascertained by the inherent MMSE item. The study outcome was 1-year mortality. Statistical analysis was carried out using Cox regression. After adjusting for potential confounders, the co-occurrence of eGFR <30 and overall cognitive impairment (Hazard Ratio (HR) = 3.12, 95% Confidence Interval (CI) = 1.26–7.77) and defective constructional praxis (HR = 2.50, 95% CI = 1.08–5.77) were associated with the outcome. No significant prognostic interaction of eGFR < 30 with either overall cognitive impairment (HR = 1.99, 95% CI = 0.38–10.3) or constructional apraxia (HR = 1.68, 95% CI = 0.33–8.50) was detectable, while only cognitive deficits were found significantly associated with the outcome in the interaction models (HR = 3.12, 95% CI = 1.45–6.71 for overall cognitive impairment and HR = 2.16, 95% CI = 1.05–4.45 for constructional apraxia). Overall cognitive impairment and defective constructional praxis may be associated with increased risk of 1-year mortality among older hospitalized patients with severe CKD. However, no significant prognostic interaction between CKD and cognitive impairment could be observed.


1936 ◽  
Vol 82 (341) ◽  
pp. 744-762 ◽  
Author(s):  
W. Mayer-Gross

In dealing with the question of visual impairment in cases of so-called constructional apraxia in a previous paper, I had occasion to discuss arguments put forward by Erich Feuchtwanger, who had proposed to abandon the term “apraxia” for this condition and to call the disturbance “agnosia”. My conclusion was in favour of the original concept of Kleist, who had put the ailment among the apractic syndromes. This, however, makes a detailed analysis of the motor activities and their disturbance in constructional apraxia necessary in order to define its place among the known kinds of apraxia.


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