Skip to main content
PMC home page
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1983 Feb;46(2):152–158. doi: 10.1136/jnnp.46.2.152

Motor neglect.

D Laplane, J D Degos
PMCID: PMC1027298  PMID: 6842219

Abstract

Motor neglect is characterised by an underutilisation of one side, without defects of strength, reflexes or sensibility. Twenty cases of frontal, parietal and thalamic lesions causing motor neglect, but all without sensory neglect, are reported. It is proposed that the cerebral structures involved in motor neglect are the same as those for sensory neglect and for the preparation of movement. As in sensory neglect, the multiplicity of the structures concerned suggests that this interconnection is necessary to maintain a sufficient level of activity. Predominance of left sided neglect by right sided lesions suggests that the left hemisphere is dominant for deliberate activity; hemispheric dominance could be applied to sensory neglect where conscious awareness would play the role of deliberate activity.

Full text

PDF
152

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barbizet J., Degos J. D., Lejeune A., Leroy A. Syndrome de dysconnection inter-hémisphérique avec dyspraxie diagnostique au cours d'une maladie de Marchiafava-Bignami. Rev Neurol (Paris) 1978 Dec;134(12):781–789. [PubMed] [Google Scholar]
  2. Bertoncini J., Mehler J. Quelques remarques à propos de la perception chez le nouveau-né. Rev Prat. 1981 Jan 21;31(5):387-8, 391-2, 395-6. [PubMed] [Google Scholar]
  3. Bowers D., Heilman K. M., Satz P., Altman A. Simultaneous performance on verbal, nonverbal and motor tasks by right-handed adults. Cortex. 1978 Dec;14(4):540–556. doi: 10.1016/s0010-9452(78)80029-x. [DOI] [PubMed] [Google Scholar]
  4. Castaigne P., Cambier J. La séméiologie des lésions thalamiques. Presse Med. 1969 Jun 25;77(31):1101–1103. [PubMed] [Google Scholar]
  5. Castaigne P., Laplane D., Degos J. D. Trois cas de négligence motrice par lésion frontale pré-rolandique. Rev Neurol (Paris) 1972 Jan;126(1):5–15. [PubMed] [Google Scholar]
  6. Castaigne P., Laplane D., Degos J. D. Trois cas de négligence motrice par lésion rétro-rolandique. Rev Neurol (Paris) 1970 Apr;122(4):233–242. [PubMed] [Google Scholar]
  7. DENNY-BROWN D., MEYER J. S., HORENSTEIN S. The significance of perceptual rivalry resulting from parietal lesion. Brain. 1952 Dec;75(4):433–471. doi: 10.1093/brain/75.4.432. [DOI] [PubMed] [Google Scholar]
  8. Degos J. D., Verroust J., Bouchareine A., Serdaru M., Barbizet J. Asterixis in focal brain lesions. Arch Neurol. 1979 Nov;36(11):705–707. doi: 10.1001/archneur.1979.00500470075015. [DOI] [PubMed] [Google Scholar]
  9. Gazzaniga M. S., Bogen J. E., Sperry R. W. Dyspraxia following division of the cerebral commissures. Arch Neurol. 1967 Jun;16(6):606–612. doi: 10.1001/archneur.1967.00470240044005. [DOI] [PubMed] [Google Scholar]
  10. Gilman S., Denny-Brown D. Disorders of movement and behaviour following dorsal column lesions. Brain. 1966 Sep;89(3):397–418. doi: 10.1093/brain/89.3.397. [DOI] [PubMed] [Google Scholar]
  11. Gilman S., Marco L. A. Effects of medullary pyramidotomy in the monkey. I. Clinical and electromyographic abnormalities. Brain. 1971;94(3):495–514. doi: 10.1093/brain/94.3.495. [DOI] [PubMed] [Google Scholar]
  12. Gilman S. The mechanism of cerebellar hypotonia. An experimental study in the monkey. Brain. 1969;92(3):621–638. doi: 10.1093/brain/92.3.621. [DOI] [PubMed] [Google Scholar]
  13. Heilman K. M., Pandya D. N., Geschwind N. Trimodal inattention following parietal lobe ablations. Trans Am Neurol Assoc. 1970;95:259–261. [PubMed] [Google Scholar]
  14. Heilman K. M., Valenstein E. Frontal lobe neglect in man. Neurology. 1972 Jun;22(6):660–664. doi: 10.1212/wnl.22.6.660. [DOI] [PubMed] [Google Scholar]
  15. Heilman K. M., Van Den Abell T. Right hemisphere dominance for attention: the mechanism underlying hemispheric asymmetries of inattention (neglect). Neurology. 1980 Mar;30(3):327–330. doi: 10.1212/wnl.30.3.327. [DOI] [PubMed] [Google Scholar]
  16. Hicks R. E. Intrahemispheric response competition between vocal and unimanual performances in normam adult human males. J Comp Physiol Psychol. 1975 Mar;89(1):50–60. doi: 10.1037/h0076385. [DOI] [PubMed] [Google Scholar]
  17. Joffroy A. J., Lamarre Y. Single cell activity in the ventral lateral thalamus of the unanesthetized monkey. Exp Neurol. 1974 Jan;42(1):1–16. doi: 10.1016/0014-4886(74)90002-8. [DOI] [PubMed] [Google Scholar]
  18. Laplane D., Talairach J., Meininger V., Bancaud J., Orgogozo J. M. Clinical consequences of corticectomies involving the supplementary motor area in man. J Neurol Sci. 1977 Dec;34(3):301–314. doi: 10.1016/0022-510x(77)90148-4. [DOI] [PubMed] [Google Scholar]
  19. Larochelle L., Bedard P., Boucher R., Poirier L. J. The rubro-olivo-cerebello-rubral loop and postural tremor in the monkey. J Neurol Sci. 1970 Jul;11(1):53–64. doi: 10.1016/0022-510x(70)90040-7. [DOI] [PubMed] [Google Scholar]
  20. Lomas J., Kimura D. Intrahemispheric interaction between speaking and sequential manual activity. Neuropsychologia. 1976;14(1):23–33. doi: 10.1016/0028-3932(76)90004-x. [DOI] [PubMed] [Google Scholar]
  21. Macpherson J. M., Rasmusson D. D., Murphy J. T. Activities of neurons in "motor" thalamus during control of limb movement in the primate. J Neurophysiol. 1980 Jul;44(1):11–28. doi: 10.1152/jn.1980.44.1.11. [DOI] [PubMed] [Google Scholar]
  22. Massion J. Rôle possible de l'activité rythmique du noyau ventrolatéral dans la prédétermination centrale du mouvement. J Physiol (Paris) 1968;60 (Suppl 2):497–498. [PubMed] [Google Scholar]
  23. Mountcastle V. B., Lynch J. C., Georgopoulos A., Sakata H., Acuna C. Posterior parietal association cortex of the monkey: command functions for operations within extrapersonal space. J Neurophysiol. 1975 Jul;38(4):871–908. doi: 10.1152/jn.1975.38.4.871. [DOI] [PubMed] [Google Scholar]
  24. POIRIER L. J. Experimental and histological study of midbrain dyskinesias. J Neurophysiol. 1960 Sep;23:534–551. doi: 10.1152/jn.1960.23.5.534. [DOI] [PubMed] [Google Scholar]
  25. Reeves A. G., Hagamen W. D. Behavioral and EEG asymmetry following unilateral lesions of the forebrain and midbrain in cats. Electroencephalogr Clin Neurophysiol. 1971 Jan;30(1):83–86. doi: 10.1016/0013-4694(71)90208-2. [DOI] [PubMed] [Google Scholar]
  26. Schott B., Michel F., Michel D., Dumas R. Apraxie idéomotrice unilatérale gauche avec main gauche anomique: syndrome de déconnexion calleuse? Rev Neurol (Paris) 1969 May;120(5):359–365. [PubMed] [Google Scholar]
  27. Tanji J., Taniguchi K. Does the supplementary motor area play a part in modifying motor cortex reflexes? J Physiol (Paris) 1978;74(3):317–318. [PubMed] [Google Scholar]
  28. Umbach W., Ehrhardt K. J. Micro-electrode recording in the basal ganglia during stereotaxic operations. Confin Neurol. 1965;26(3):315–317. doi: 10.1159/000104046. [DOI] [PubMed] [Google Scholar]
  29. Valenstein E., Heilman K. M. Unilateral hypokinesia and motor extinction. Neurology. 1981 Apr;31(4):445–448. doi: 10.1212/wnl.31.4.445. [DOI] [PubMed] [Google Scholar]
  30. WELCH K., STUTEVILLE P. Experimental production of unilateral neglect in monkeys. Brain. 1958 Sep;81(3):341–347. doi: 10.1093/brain/81.3.341. [DOI] [PubMed] [Google Scholar]
  31. Watson R. T., Heilman K. M., Cauthen J. C., King F. A. Neglect after cingulectomy. Neurology. 1973 Sep;23(9):1003–1007. doi: 10.1212/wnl.23.9.1003. [DOI] [PubMed] [Google Scholar]
  32. Watson R. T., Heilman K. M., Miller B. D., King F. A. Neglect after mesencephalic reticular formation lesions. Neurology. 1974 Mar;24(3):294–298. doi: 10.1212/wnl.24.3.294. [DOI] [PubMed] [Google Scholar]
  33. Watson R. T., Miller B. D., Heilman K. M. Nonsensory neglect. Ann Neurol. 1978 Jun;3(6):505–508. doi: 10.1002/ana.410030609. [DOI] [PubMed] [Google Scholar]
  34. Zoll J. G. Transient anosognosia associated with thalamotomy: is it caused by proprioceptive loss? Confin Neurol. 1969;31(1):48–55. doi: 10.1159/000103462. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES