PSY 448 Clinical Neuropsychology

Last revised:Sept 28,, 2021
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
Parietal lobe
  • 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