Appendicular ataxia without position sense loss in a patient with parietal lobe infarct

2015 ◽  
Vol 352 (1-2) ◽  
pp. 107
Author(s):  
Ashkan Mowla ◽  
Haris Kamal ◽  
S. Ali Nabavizadeh
Keyword(s):  
Parietal Lobe ◽  
Position Sense

scholarly journals Distinguishing Motor Weakness From Impaired Spatial Awareness: A Helping Hand!

2017 ◽  
Vol 10 ◽  
pp. 117954761770946
Author(s):  
Suneil A Raju ◽  
Charles R Swift ◽  
Karna Dev Bardhan
Keyword(s):  
Parietal Lobe ◽  
Rehabilitation Medicine ◽  
Position Sense ◽  
Joint Position Sense ◽  
Spatial Awareness ◽  
Motor Weakness ◽  
Computed Tomographic ◽  
Eyes Closed ◽  
Literature Evidence ◽  
Underlying Mechanisms

Our patient, aged 73 years, had background peripheral neuropathy of unknown cause, stable for several years, which caused some difficulty in walking on uneven ground. He attended for a teaching session but now staggered in, a new development. He had apparent weakness of his right arm, but there was difficulty in distinguishing motor weakness from impaired spatial awareness suggestive of parietal lobe dysfunction. With the patient seated, eyes closed, and left arm outstretched, S.A.R. lifted the patient’s right arm and asked him to indicate when both were level. This confirmed motor weakness. Urgent computed tomographic scan confirmed left subdural haematoma and its urgent evacuation rapidly resolved the patient’s symptoms. Intrigued by our patient’s case, we explored further and learnt that in rehabilitation medicine, the awareness of limb position is commonly viewed in terms of joint position sense. We present recent literature evidence indicating that the underlying mechanisms are more subtle.

Quantitative evaluation of position sense in patients with parietal lesion

2019 ◽  
Author(s):  
Yoshihiro Itaguchi
Keyword(s):  
Parietal Lobe ◽  
Position Sense ◽  
Reproduction Task ◽  
Sensory Deficits ◽  
Localization Test ◽  
Postcentral Gyrus ◽  
Wrong Direction ◽  
Exploratory Movements ◽  
Sensorimotor Skills ◽  
Parietal Lesion

A position reproduction task was performed, in a controlled experimental environment, by seven patients with a parietal lobe lesion. We obtained mainly three findings: (a) even for patients who failed a thumb localization test, the accuracy of position reproduction was adequate and did not deviate from the range of error observed in healthy young participants, (b) the patients showed a centralizing tendency in localization, and (c) they initially moved in the wrong direction when reproducing the remembered positions. The study also indicated that patients whose lesion sites included the postcentral gyrus exhibited stronger exploratory movements than those who had no such lesions and lacked smoothness of movement. In patients without the lesion of the postcentral gyrus, a higher-order dysfunction, rather than the pure position sense problem, was suggested to contributed to their task performance. The present study provided fundamental data for sensorimotor skills of patients with parietal lesion, and these quantitative findings would also contribute to reconsideration of current assessments and rehabilitations for sensory deficits.

Neural Encoding Correlates of High and Low Verbal Memory Performance

2006 ◽  
Vol 20 (2) ◽  
pp. 68-78 ◽  
Author(s):  
Sibylle Heinze ◽  
Gudrun Sartory ◽  
Bernhard W. Müller ◽  
Armin de Greiff ◽  
Michael Forsting ◽  
...  
Keyword(s):  
Verbal Memory ◽  
Parietal Lobe ◽  
Functional Neuroimaging ◽  
Memory Performance ◽  
Extrastriate Cortex ◽  
Parahippocampal Gyrus ◽  
Premotor Area ◽  
High Performers ◽  
Rehearsal Strategy ◽  
Common Memory

Neuroimaging studies have indicated involvement of left prefrontal cortex and temporal areas in verbal memory processes. The current study used event-related functional neuroimaging to compare encoding of subsequently recalled and not recalled words in high and low memory performers. Fifteen healthy volunteers were given lists of words to learn with immediate recall and to read as a control condition. High performers reported to have visualized the words whereas low performers used a rehearsal strategy. Compared to reading, unsuccessful encoding was associated with thalamic and left premotor area (BA 6) activity. Comparing successful with unsuccessful learning yielded widespread activity of the left prefrontal and posterior temporal gyrus as well as the left superior parietal lobe in the whole group. Low performers showed activation of the left premotor area throughout learning and additionally of the left middle temporal and parahippocampal gyrus during successful encoding. High performers showed increased activation in the extrastriate cortex throughout learning and additionally in the left parietal post- and paracentral areas as well as in the right precuneus during successful encoding. The results suggest that high verbal memory performance is the result of spatiovisual activation concomitant to imagery and low performance of hippocampal and motor activation, the latter being associated with rehearsal, with a common memory circuit subserving both groups.

Position sense testing: Influence of starting position and type of displacement

2000 ◽  
Vol 81 (5) ◽  
pp. 592-597
Author(s):  
Johan L[ouml ]nn ◽  
Albert G. Crenshaw ◽  
Mats Djupsj[ouml ]backa ◽  
Jonas Pedersen ◽  
H[aring ]kan Johansson
Keyword(s):  
Position Sense ◽  
Starting Position

Nonketotic Hyperglycemic Chorea in a 10-Year-Old Asian Boy with Diabetes Mellitus

2020 ◽  
Author(s):  
Julia Marian ◽  
Firdous Rizvi ◽  
Lily Q. Lew
Keyword(s):  
Diabetes Mellitus ◽  
Parietal Lobe ◽  
Rare Complication ◽  
Brain Magnetic Resonance Imaging ◽  
Food Allergies ◽  
Developmental Venous Anomaly ◽  
Venous Anomaly ◽  
Resonance Imaging ◽  
Focal Lesions

AbstractNonketotic hyperglycemic chorea-ballism (NKHCB), also known as diabetic striato-pathy (DS) by some, is a rare complication of diabetes mellitus and uncommon in children. We report a case of a 10 11/12-year-old boy of Asian descent with uncontrolled type 1 diabetes mellitus (T1DM), Hashimoto's thyroiditis, and multiple food allergies presenting with bilateral chorea-ballism. His brain magnetic resonance imaging revealed developmental venous anomaly in right parietal lobe and right cerebellum, no focal lesions or abnormal enhancements. Choreiform movements resolved with correction of hyperglycemia. Children and adolescents with a movement disorder should be evaluated for diabetes mellitus, especially with increasing prevalence and insidious nature of T2DM associated with obesity.

The Analysis of Proprioception Alteration during First Five Months after Anterior Cruciate Ligament Reconstruction

2018 ◽  
Vol 1 (84) ◽  
Author(s):  
Vilma Jurevičienė ◽  
Albertas Skurvydas ◽  
Juozas Belickas ◽  
Giedra Bušmanienė ◽  
Dovilė Kielė ◽  
...  
Keyword(s):  
Anterior Cruciate Ligament ◽  
Angular Velocity ◽  
Knee Joint ◽  
Cruciate Ligament ◽  
Position Sense ◽  
Joint Position Sense ◽  
Joint Position ◽  
Starting Position ◽  
Angular Velocities ◽  
Anterior Cruciate

Research  background  and  hypothesis.  Proprioception  is  important  in  the  prevention  of  injuries  as  reduced proprioception  is  one  of  the  factors  contributing  to  injury  in  the  knee  joint,  particularly  the  ACL.  Therefore, proprioception appears not only important for the prevention of ACL injuries, but also for regaining full function after ACL reconstruction.Research aim. The aim of this study was to understand how proprioception is recovered four and five months after anterior cruciate ligament (ACL) reconstruction.Research methods. The study included 15 male subjects (age – 33.7 ± 2.49 years) who had undergone unilateral ACL reconstruction with a semitendinosus/gracilis (STG) graft in Kaunas Clinical Hospital. For proprioceptive assessment, joint position sense (JPS) was measured on both legs using an isokinetic dynamometer (Biodex), at knee flexion of 60° and 70°, and at different knee angular velocities of 2°/s and 10°/s. The patients were assessed preoperatively and after 4 and 5 months, postoperatively.Research results. Our study has shown that the JPS’s (joint position sense) error scores  to a controlled active movement is significantly higher in injured ACL-deficient knee than in the contralateral knee (normal knee) before surgery and after four and five months of rehabilitation.  After 4 and 5 months of rehabilitation we found significantly lower values in injured knees compared to the preoperative data. Our study has shown that in injured knee active angle reproduction errors after 4 and 5 months of rehabilitation were higher compared with the ones of the uninjured knee. Proprioceptive ability on the both legs was  independent of all differences angles for target and starting position for movement. The knee joint position sense on both legs depends upon the rate of two different angular velocities and the mean active angle reproduction errors at the test of angular velocity slow speed was the highest compared with the fast angular velocity. Discussion and conclusions. In conclusion, our study shows that there was improvement in mean JPS 4 and 5 months after ACL reconstruction, but it did not return to normal indices.Keywords: knee joint, joint position sense, angular velocity, starting position for movement.

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