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PSY 448 Clinical Neuropsychology |
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Parietal Lobe Lesions: Behavioral Deficits |
Material in this handout summarizes materials from Kolb & Whishaw (2003), pp. 354-364
It is representative, rather than comprehensive in coverage.
Deficits in Somatosensory Processes (Anterior Parietal Lesions)
- Heightened somatosensory thresholds
- "Afferent paresis" (Luria): clumsiness in fingers due to loss of feedback on position
- Somatoperceptual disorders
- Astereognosis ("stereo" = "solid" in Greek): inability to recognize objects by touch (YouTube stereognosis exam 1.15)
- Simultaneous extinction: failure to attend to stimuli presented at the same time
- asomatognosia: loss of a sense of one's own body including
- anosognosia: denial or lack of knowledge of illness or impairment (YouTube 4.08 mostly SCZ)
- anosodiaphoria: indifference toward illness
- finger agnosia: inability to point to or identify fingers upon stimulation
Posterial Parietal Damage Balint's Syndrome (YouTube 1.29)
- Inability to fixate on distinct visual stimuli despite ability to move eyes
- Simultagnosia: attention limited to one object at a time
- Optic Ataxia: difficulty reaching for objects under visual guidance
Damage to BA 5-7 Right Parietal Lesions: Contralateral Neglect et al. (YouTube 3.18)
- Neglect for contralateral (left) side of body
- Neglect for visual stimuli in left visual field
Damage to BA 39 in R Hemisphere
- Impairment in object recognition in unfamiliar views or positions
Left Parietal Lesions: Gerstmann Syndrome et al. (YouTube 4.35)
- Gerstmann Syndrome
- Finger agnosia
- Right-left confusion
- agraphia (inability to write)
- acalculia (inability to do arithmetic)
- Other disturbances may include
- Dyslexia
- Dysphasia (errors in grammar)
- Apraxia [loss of a skilled movement; Dressing Apraxia YouTube (1.10)]
- Ideomotor Apraxia = inability to copy movements or gestures of others
- Constructional Apraxia = visuomotor disorder in which subject can't move objects, copy figures, etc.
- Woman with varying forms of apraxia [YouTube, first 5.34)
- Not to be confused with Childhood Apraxia of Speech (CAS) in which, despite normal muscles associated with talking, a child's brain has major difficulty in sequencing their movement to create accurate speech. Causes of CAS are not always clear.
? damage to Angular Gyrus? Drawing
- Multiple forms of error ranging from entire drawing to individual details
Disorders of Spatial Cognition
- Ability to manipulate spatial objects mentally may be impaired, e.g., map reading