[Right neglect with hemiasomatognosia, mental confusion, apraxia and agraphia without aphasia].
A 74 year-old woman was admitted with a right hemiplegia resulting from a left infarct that had totally destroyed the territory supplied by the middle and anterior cerebral arteries. The patient presented with anosognosia and hemiasomatognosia and negligence of the right half-field. She was aprosodic, not aphasic, and there was a severe apraxia and total agraphia. These neuropsychological disorders are discussed in relation to the contradictory data relative to the manual lateralization of the patient. Findings in this case of a "crossed apraxia" show that management of language and of the propositional gestures are not necessarily ensured by the same hemisphere. It also appears that manual preference may be a poor clue for interpretation in terms of functional lateralization.
D000368:Aged; D000377:Agnosia / Q000209:etiology; D000381:Agraphia / Q000209:etiology; D001037:Aphasia; D001072:Apraxias / Q000209:etiology; D001828:Body Image; D002544:Cerebral Infarction / Q000503:physiopathology* / Q000523:psychology; D003221:Confusion / Q000209:etiology; D004292:Dominance, Cerebral / Q000502:physiology; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D005868:Gestures; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D007266:Inhibition, Psychological; D007802:Language
Négligence droite avec hémiasomatognosie, confusion mentale, apraxie et agraphie sans aphasie.