Short report
The selective inability to draw horizontal lines: a peculiar
constructional disorder
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.
© 1998 by Journal of Neurology, Neurosurgery, and Psychiatry
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