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Journal of Neurology, Neurosurgery, and Psychiatry 1998;64:795-798; doi:10.1136/jnnp.64.6.795
Copyright © 1998 by the BMJ Publishing Group Ltd.
J Neurol Neurosurg Psychiatry 1998;64:795-798 ( June )

Short report

The selective inability to draw horizontal lines: a peculiar constructional disorder Dario Grossi,a Nina Antonetta Fragassi,a Enrico Giani,a Luigi Trojanob

a Department of Neurological Sciences, "Federico II" University, Naples, Italy, b "S Maugeri Foundation", IRCCS, Rehabilitation Center of Campoli, Campoli-Telese (BN), 82030 Italy

Correspondence to: Dr Dario Grossi, Clinica Neurologica, Ed 17, Nuovo Policlinico, Via S Pansini 5, 80131 Napoli, Italy.

Received 17 June 1997 and in revised form 29 September 1997; Accepted 23 October 1997

A patient is described who was affected by degenerative dementia and who developed severe constructional apraxia. She showed a dissociation between the construction of horizontal lines (impaired) and oblique or vertical lines (spared) which has never been reported previously. A battery of tests disclosed that this phenomenon was consistent across a range of experimental conditions and that a similar dissociation was evident in perceptual and representational domains. This peculiar clinical finding suggests that mental representations of horizontal and vertical spatial relations in an egocentric coordinate system are functionally dissociated.

Keywords: constructional apraxia; visuospatial defects; dementia


© 1998 by Journal of Neurology, Neurosurgery, and Psychiatry

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