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. 1996 Oct;61(4):396–400. doi: 10.1136/jnnp.61.4.396

Imitation and utilisation behaviour.

E De Renzi 1, F Cavalleri 1, S Facchini 1
PMCID: PMC486581  PMID: 8890779

Abstract

OBJECTIVE: To investigate the incidence, anatomical correlates, and clinical features of imitation and utilisation behaviour, which are thought by Lhermitte and coworkers to represent a reliable and frequent index of frontal lobe disease. METHODS: 78 patients with hemispheric local lesions were tested in two separate sessions, in which their reactions to a series of gestures performed by the examiner and to the presentation of a set of objects were recorded. The patients were stratified into a frontal (n = 52) and a non-frontal group (n = 26) on the basis of their CT data. RESULTS AND CONCLUSIONS: Imitation behaviour was present in 39% of the frontal patients and was mainly associated with medial and lateral lesions, at odds with the claim of Lhermitte et al that it is a constant accompaniment of lower, mediobasal lesions. In the non-frontal group it was found in three patients, all with damage to the deep nuclei region. Utilisation behaviour was a much rarer phenomenon, present in only two patients, both of whom had frontal damage. Neither imitation behaviour nor utilisation behaviour were found in patients with retrorolandic cortical lesions.

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Selected References

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

  1. Anderson S. W., Damasio H., Jones R. D., Tranel D. Wisconsin Card Sorting Test performance as a measure of frontal lobe damage. J Clin Exp Neuropsychol. 1991 Nov;13(6):909–922. doi: 10.1080/01688639108405107. [DOI] [PubMed] [Google Scholar]
  2. Assal G. Un aspect du comportement d'utilisation: la dépendance vis-a-vis du langage écrit. Rev Neurol (Paris) 1985;141(6-7):493–495. [PubMed] [Google Scholar]
  3. Brazzelli M., Colombo N., Della Sala S., Spinnler H. Spared and impaired cognitive abilities after bilateral frontal damage. Cortex. 1994 Mar;30(1):27–51. doi: 10.1016/s0010-9452(13)80323-1. [DOI] [PubMed] [Google Scholar]
  4. Corcoran R., Upton D. A role for the hippocampus in card sorting? Cortex. 1993 Jun;29(2):293–304. doi: 10.1016/s0010-9452(13)80182-7. [DOI] [PubMed] [Google Scholar]
  5. De Renzi E., Barbieri C. The incidence of the grasp reflex following hemispheric lesion and its relation to frontal damage. Brain. 1992 Feb;115(Pt 1):293–313. doi: 10.1093/brain/115.1.293. [DOI] [PubMed] [Google Scholar]
  6. Fukui T., Hasegawa Y., Sugita K., Tsukagoshi H. Utilization behavior and concomitant motor neglect by bilateral frontal lobe damage. Eur Neurol. 1993;33(4):325–330. doi: 10.1159/000116963. [DOI] [PubMed] [Google Scholar]
  7. Grafman J., Jonas B., Salazar A. Wisconsin Card Sorting Test performance based on location and size of neuroanatomical lesion in Vietnam veterans with penetrating head injury. Percept Mot Skills. 1990 Dec;71(3 Pt 2):1120–1122. doi: 10.2466/pms.1990.71.3f.1120. [DOI] [PubMed] [Google Scholar]
  8. Hashimoto R., Yoshida M., Tanaka Y. Utilization behavior after right thalamic infarction. Eur Neurol. 1995;35(1):58–62. doi: 10.1159/000117092. [DOI] [PubMed] [Google Scholar]
  9. Hermann B. P., Wyler A. R., Richey E. T. Wisconsin Card Sorting Test performance in patients with complex partial seizures of temporal-lobe origin. J Clin Exp Neuropsychol. 1988 Aug;10(4):467–476. doi: 10.1080/01688638808408253. [DOI] [PubMed] [Google Scholar]
  10. Lhermitte F. 'Utilization behaviour' and its relation to lesions of the frontal lobes. Brain. 1983 Jun;106(Pt 2):237–255. doi: 10.1093/brain/106.2.237. [DOI] [PubMed] [Google Scholar]
  11. Lhermitte F. Human autonomy and the frontal lobes. Part II: Patient behavior in complex and social situations: the "environmental dependency syndrome". Ann Neurol. 1986 Apr;19(4):335–343. doi: 10.1002/ana.410190405. [DOI] [PubMed] [Google Scholar]
  12. Lhermitte F., Pillon B., Serdaru M. Human autonomy and the frontal lobes. Part I: Imitation and utilization behavior: a neuropsychological study of 75 patients. Ann Neurol. 1986 Apr;19(4):326–334. doi: 10.1002/ana.410190404. [DOI] [PubMed] [Google Scholar]
  13. Shallice T., Burgess P. W., Schon F., Baxter D. M. The origins of utilization behaviour. Brain. 1989 Dec;112(Pt 6):1587–1598. doi: 10.1093/brain/112.6.1587. [DOI] [PubMed] [Google Scholar]
  14. Strauss E., Hunter M., Wada J. Wisconsin Card Sorting Performance: effects of age of onset of damage and laterality of dysfunction. J Clin Exp Neuropsychol. 1993 Nov;15(6):896–902. doi: 10.1080/01688639308402606. [DOI] [PubMed] [Google Scholar]

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