Callosal Motor Impersistence: A Novel Disconnection Syndrome. 2017

Hee Jin Kim, and Dongyeop Kim, and Da-Heen Won, and Juhee Chin, and Kwang Ho Lee, and Sang Won Seo, and Kenneth M Heilman, and Duk L Na
*Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea †Neuroscience Center, Samsung Medical Center, Seoul, Republic of Korea ‡Department of Clinical Research Design and Evaluation ¶Department of Health Sciences and Technology, Samsung Advanced Institute for Health Science and Technology, Sungkyunkwan University, Seoul, Republic of Korea §Department of Neurology, University of Florida, Gainesville, Florida ∥Veterans Affairs Medical Center, Gainesville, Florida.

Motor impersistence, an inability to sustain a certain position or movement, is a motor-intentional disorder, caused more often by right than left hemisphere lesions. Since the right hemisphere is dominant for mediating motor persistence, callosal lesions that disconnect the left hemisphere from the right may induce impersistence of the right upper and lower limbs. After an undiagnosed left callosal infarction, a 65-year-old right-handed man suddenly developed a transient loss of volitional movement of his left leg. Five days after onset, he was admitted to our hospital with signs of callosal disconnection: left-hand agraphia and apraxia, left-hand tactile anomia, failures on cross-replication of hand postures, and intermanual conflict. He had neither weakness nor ataxia of his upper or lower extremities, but when asked to keep his arms or legs extended he could not maintain his right arm and leg in the extended position, suggesting motor impersistence in his dominant limbs. When we examined him 3 months after onset, the motor impersistence had disappeared. In conclusion, motor impersistence of dominant limbs can result from isolated callosal injury that disconnects the left hemisphere from the right hemisphere's frontal-subcortical networks.

UI MeSH Term Description Entries
D008297 Male Males
D003337 Corpus Callosum Broad plate of dense myelinated fibers that reciprocally interconnect regions of the cortex in all lobes with corresponding regions of the opposite hemisphere. The corpus callosum is located deep in the longitudinal fissure. Interhemispheric Commissure,Neocortical Commissure,Callosum, Corpus,Callosums, Corpus,Commissure, Interhemispheric,Commissure, Neocortical,Commissures, Interhemispheric,Commissures, Neocortical,Corpus Callosums,Interhemispheric Commissures,Neocortical Commissures
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly
D013577 Syndrome A characteristic symptom complex. Symptom Cluster,Cluster, Symptom,Clusters, Symptom,Symptom Clusters,Syndromes
D020243 Infarction, Anterior Cerebral Artery NECROSIS occurring in the ANTERIOR CEREBRAL ARTERY system, including branches such as Heubner's artery. These arteries supply blood to the medial and superior parts of the CEREBRAL HEMISPHERE, Infarction in the anterior cerebral artery usually results in sensory and motor impairment in the lower body. ACA Infarct,Anterior Cerebral Artery Infarction,Anterior Cerebral Artery Stroke,Heubner Artery Infarction,Stroke, Anterior Cerebral Artery,ACA Infarction,Anterior Cerebral Artery Syndrome,Heubner's Artery Infarction,Infarction, Anterior Cerebral Artery Circulation,Infarction, Anterior Cerebral Artery Distribution,Infarction, Heubner Artery,Syndrome, Anterior Cerebral Artery,ACA Infarctions,ACA Infarcts,Artery Infarction, Heubner,Artery Infarction, Heubner's,Heubners Artery Infarction,Infarct, ACA,Infarction, ACA,Infarction, Heubner's Artery,Infarctions, ACA,Infarcts, ACA

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