title: Alteration of intention and self-initiated action associated with bilateral anterior cingulotomy.
abstract: Neuropsychological manifestations of bilateral anterior cingulate cortex lesions were studied in patients treated with cingulotomy for chronic intractable pain. Cingulotomy patients more than 1 year postsurgery were contrasted with nonsurgical chronic pain patients. Patients were assessed on a neuropsychological battery, including measures of response intention, initiation, generation, and persistence. Cingulotomy patients were intact across most cognitive domains, but they showed deficits of focused and sustained attention as well as mild executive dysfunction. Self-initiated responding--including spontaneous verbal utterances and unstructured design fluency--was most impaired. Results indicate that the greatest impact of cingulotomy lesions is on response intention and self-initiated behavior, with reduced behavioral spontaneity.
authors.affiliation: Department of Psychiatry and Human Behavior, Brown University School of Medicine, Providence, Rhode Island 02906, USA.
authors.forename: R A
authors.initials: RA
authors.lastname: Cohen
authors.forename: R F
authors.initials: RF
authors.lastname: Kaplan
authors.forename: P
authors.initials: P
authors.lastname: Zuffante
authors.forename: D J
authors.initials: DJ
authors.lastname: Moser
authors.forename: M A
authors.initials: MA
authors.lastname: Jenkins
authors.forename: S
authors.initials: S
authors.lastname: Salloway
authors.forename: H
authors.initials: H
authors.lastname: Wilkinson
mesh_terms: D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging; D002908:Chronic Disease; D003072:Cognition Disorders / Q000175:diagnosis; D005260:Female; D007839:Functional Laterality; D006179:Gyrus Cinguli / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D019635:Neurosurgical Procedures / Q000379:methods*; D010146:Pain / Q000601:surgery; D010147:Pain Measurement; D011596:Psychomotor Disorders / Q000175:diagnosis*; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed