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Clinical Neuropsychology-Right Convexity
Material from Clinical Neuropsychology lecture on Right Convexity
27
Psychology
Graduate
11/13/2011

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Term
Middle Cerebral Artery Stroke effects
Definition
If not death, hemiparesis or hemiplegia, visual field loss, aphasia (usually left hemisphere), apraxia (usually left hemisphere), neglect (usually right hemisphere)
Term
hemiparesis
Definition
weakness on one side of body
Term
hemiplegia
Definition
paralysis on one side of body
Term
posterior parietal cortex
Definition
parietal cortex except for postcentral gyrus (primary somatosensory cortex), includes inferior and superior parietal lobules
Term
inferior parietal lobule
Definition
bottom part of posterior parietal cortex, side borders sensory homunculus and bottom borders the temporal lobe, includes supramarginal and angular gyri
Term
intraparietal sulcus
Definition
fissure that divides the superior parietal lobule from the inferior parietal lobule
Term
spatial disorders
Definition
difficulty finding your way around (getting lost), recognising objects from different perspectives (mental rotation), mentally transforming viewpoints, copying and constructing objects, attending to objects, telling fingers apart, usually result of inferior parietal lesions, often on the right
Term
peripersonal space
Definition
the area around your body
Term
topographical dysfunction
Definition
getting lost in environments that one should not get lost in, like familiar routes, one's own neighborhood, or own home
Term
topographical disorientation
Definition
fail to find one's way around what should be a familiar environment, but retain related rote verbal knowledge, i.e. bus stops along route, usually bilateral or right-sided lesions in posterior parietal, subtypes agnosia and amnesia
Term
topographical agnosia
Definition
fail to find their way in previously familiar surroundings, but may be able to draw a map of the correct route, or verbally describe the spatial complexities of a route (go to here, then turn left...), fail to recognise familiar buildings, or famous buildings, lesion site is inferior occipito-temporal, often with prosopagnosia
Term
topographical amnesia
Definition
fail to find their way around, possibly because of a spatial deficit, can't draw a map of familiar or new environments, mislocate cities and countries on a map, can correctly recognise buildings and rooms once they reach them, lesion site is the inferior parietal lobule (more commonly on the right)
Term
cognitive map
Definition
mental representation of areas with landmarks, paths, nodes, districts, edges, distances, and directions
Term
developmental topographical disorientation
Definition
lifelong topographical disorientation without any trauma or stroke to brain, normal brain scans, navigational abilities are just never developed
Term
unusual views deficit
Definition
intact object recognition but cannot recognise known objects from an odd perspective, in silhouette, when fragmented, or in unusual lighting, lesion site similar to that of patients who cannot perform mental rotation tasks
Term
prosopagnosia
Definition
inability to recognise a person from their face, do know that they are seeing a face but must use other cues to recognise a person; bilateral occipito-temporal or right hemisphere lesions, very debilitating
Term
constructional apraxia
Definition
inability to appreciate spatial relationships between objects or parts of objects
Term
hemispatial neglect
Definition
failure to attend to the contralateral side of the world, unexplained by hemianopia or other sensory deficits, usually neglect of left side after right parietal lesions (but can be other cortical and subcortical), sometimes with representational neglect, usually multimodal but can be unimodal, often with anosognosia
Term
visual extinction
Definition
characteristic found in hemispatial neglect where stimulus is perceivable on the 'bad' side if nothing is on the 'good' side, but not visible if something is presented on 'good' side at the same time; often multimodal, but can be unimodal (just visual, just auditory, or just tactile)
Term
representational neglect
Definition
inattention in the 'mind's eye' from an egocentric perspective, will detail previously neglected side when they imagine the scene as though they are looking from the other side, thus information from both sides is available but not always accessed; Milan square experiment
Term
directional hypokinesia
Definition
difficulty moving eyes or hands to neglected side, indication that hemispatial neglect may sometimes have a motor component
Term
object-centered neglect
Definition
Term
anosognosia
Definition
denial of deficit or disability, may not be denial of all deficits, difficult to treat
Term
asomatognosia
Definition
denial of ownership of paralysed limb
Term
somatoparaphrenic delusion
Definition
confabulations about disowned limb, i.e. anarchic hand
Term
anosodiaphoria
Definition
indifference to paralysed limb
Term
misoplegia
Definition
hostility toward paralysed limb
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