[Bilateral crossed visuomotor ataxia--a case report].
We observed a 55 y.o. right-handed woman, who was suspected of splenium tumor (glioblastoma?) by CT scan and presented bilateral crossed visuomotor ataxia proposed by Rondot et al. Left unilateral apraxia and agraphia were not found, but left unilateral hemialexia was evident by tachistoscopic examinations. In regard to bilateral crossed visuomotor ataxia, we suggested that at least there might be three possible hypotheses about its realization mechanism. (1) Callosal lesion might disconnect heterotopical fibers which runs from one occipital lobe to another frontal lobe. (2) Integrated information of visual and proprioceptive inputs in the parieto-occipital regions could not be transferred mutually to other side of the brain. (3) Functional dissociation between visual perception of "moving" and that of "position" might be the cause of this symptom. Former could be transferred via subcallosal pathway, but latter not transferred due to the callosal lesion. Hypothesis (1) could not explain, at least, "positive aspects" of this symptom, and which hypothesis is most probable might not be decided at present, because anatomical evidence and patho-plastic mechanism are not yet clarified.
D001259:Ataxia / Q000209:etiology / Q000503:physiopathology*; D001932:Brain Neoplasms / Q000150:complications; D005260:Female; D007839:Functional Laterality; D005910:Glioma / Q000150:complications; D006801:Humans; D008875:Middle Aged; D011597:Psychomotor Performance / Q000502:physiology*; D014794:Visual Fields