Illusory limb movements in anosognosia for hemiplegia (original) (raw)
Illusory limb movements in anosognosia for hemiplegia
- Todd E Feinberga,
- David M Roaneb,
- Jeffrey Alic
- aYarmon Neurobehavior and Alzheimer's Disease Center, Beth Israel Medical Center, Fierman Hall, 9th Floor, 317 East 17th Street, New York, New York 10003, USA, bDepartment of Psychiatry, Beth Israel Medical Center, 16th Street and 1st Avenue, New York, New York 10003, USA, cDepartment of Psychiatry and Human Behavior, The University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216–4505, USA
- Dr Todd E Feinberg, Yarmon Neurobehavior and Alzheimer's Disease Center, Beth Israel Medical Center, Fierman Hall, 9th Floor, 317 East 17th Street, New York, New York 10003, USA
Abstract
To clarify the relation between anosognosia for hemiplegia and confabulation, 11 patients with acute right cerebral infarctions and left upper limb hemiparesis were assessed for anosognosia for hemiplegia, illusory limb movements (ILMs), hemispatial neglect, asomatognosia, and cognitive impairment. Five of 11 patients had unequivocal confabulation as evidenced by ILMs. The presence of ILMs was associated with the degree of anosognosia (p=0.002), with hemispatial neglect (p<0.05), and with asomatognosia (p<0.01). The results confirm that a strong relation exists between anosognosia for hemiplegia and confabulations concerning the movement of the plegic limb. There is also a strong relation between ILMs and asomatognosia.
- anosognosia
- confabulation
- asomatognosia
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