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Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1993 Feb;56(2):159–166. doi: 10.1136/jnnp.56.2.159

Three arms: a case study of supernumerary phantom limb after right hemisphere stroke.

P W Halligan 1, J C Marshall 1, D T Wade 1
PMCID: PMC1014815  PMID: 8437005

Abstract

A case of supernumerary phantom limb is described after a haematoma within the right basal ganglia. The phantom, which persisted for many months, occurred in the context of severe left hemiplegia, sensory loss, hemianopia, and neglect. The subjective reality of this "third arm" caused the patient considerable distress, which was not ameliorated by his attempts to rationalise its existence. Although deeply confused by the phantom, the patient was otherwise fully oriented, with a high verbal IQ, and normal cognition. Two distinct formal interpretations of the phenomenon are discussed.

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Selected References

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  1. Alexander M. P., Stuss D. T., Benson D. F. Capgras syndrome: a reduplicative phenomenon. Neurology. 1979 Mar;29(3):334–339. doi: 10.1212/wnl.29.3.334. [DOI] [PubMed] [Google Scholar]
  2. Appenzeller O., Bicknell J. M. Effects of nervous system lesions on phantom experience in amputees. Neurology. 1969 Feb;19(2):141–146. doi: 10.1212/wnl.19.2.141. [DOI] [PubMed] [Google Scholar]
  3. Cutting J. Study of anosognosia. J Neurol Neurosurg Psychiatry. 1978 Jun;41(6):548–555. doi: 10.1136/jnnp.41.6.548. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Damasio A. R., Damasio H., Chui H. C. Neglect following damage to frontal lobe or basal ganglia. Neuropsychologia. 1980;18(2):123–132. doi: 10.1016/0028-3932(80)90058-5. [DOI] [PubMed] [Google Scholar]
  5. Ellis H. D., Young A. W. Accounting for delusional misidentifications. Br J Psychiatry. 1990 Aug;157:239–248. doi: 10.1192/bjp.157.2.239. [DOI] [PubMed] [Google Scholar]
  6. Fleminger S. Seeing is believing: the role of 'preconscious' perceptual processing in delusional misidentification. Br J Psychiatry. 1992 Mar;160:293–303. doi: 10.1192/bjp.160.3.293. [DOI] [PubMed] [Google Scholar]
  7. GILLIATT R. W., PRATT R. T. C. Disorders of perception and performance in a case of right-sided cerebral thrombosis. J Neurol Neurosurg Psychiatry. 1952 Nov;15(4):264–271. doi: 10.1136/jnnp.15.4.264. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Hodkinson H. M. Evaluation of a mental test score for assessment of mental impairment in the elderly. Age Ageing. 1972 Nov;1(4):233–238. doi: 10.1093/ageing/1.4.233. [DOI] [PubMed] [Google Scholar]
  9. House A., Hodges J. Persistent denial of handicap after infarction of the right basal ganglia: a case study. J Neurol Neurosurg Psychiatry. 1988 Jan;51(1):112–115. doi: 10.1136/jnnp.51.1.112. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Levine D. N., Calvanio R., Rinn W. E. The pathogenesis of anosognosia for hemiplegia. Neurology. 1991 Nov;41(11):1770–1781. doi: 10.1212/wnl.41.11.1770. [DOI] [PubMed] [Google Scholar]
  11. Levine D. N. Unawareness of visual and sensorimotor defects: a hypothesis. Brain Cogn. 1990 Jul;13(2):233–281. doi: 10.1016/0278-2626(90)90052-p. [DOI] [PubMed] [Google Scholar]
  12. McGlynn S. M., Schacter D. L. Unawareness of deficits in neuropsychological syndromes. J Clin Exp Neuropsychol. 1989 Mar;11(2):143–205. doi: 10.1080/01688638908400882. [DOI] [PubMed] [Google Scholar]
  13. Nelson H. E., O'Connell A. Dementia: the estimation of premorbid intelligence levels using the New Adult Reading Test. Cortex. 1978 Jun;14(2):234–244. doi: 10.1016/s0010-9452(78)80049-5. [DOI] [PubMed] [Google Scholar]
  14. Semenza C., Goodglass H. Localization of body parts in brain injured subjects. Neuropsychologia. 1985;23(2):161–175. doi: 10.1016/0028-3932(85)90101-0. [DOI] [PubMed] [Google Scholar]

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