[Contribution to anatomical and clinical studies of avoidance phenomena (author's transl)]

Rev Neurol (Paris). 1979;135(11):775-87.
[Article in French]

Abstract

The authors report 5 cases of avoiding phenomenon of the hand from parietal lesions. Four of these patients were operated for intractable epilepsy, from a parietal cortectomy that implicated a certain amount of white matter. The avoiding phenomena observed are analyzed as elementary motor perturbations rather than a disturbance of motor comportment. The authors distinguish two types of avoiding phenomena: 1--Avoiding phenomenon of dystonic type occurs during any motor activity and persists during all its development. It is probably related to the removal of the cortex of the post-central gyrus and of the anterior part of the superior parietal lobule; 2--The initial avoiding phenomenon is brief and occurs only at the beginning of the movements which implicate solely the upper limb; it seems related to the removal of the internal part of the superior parietal lobule that corresponds approximately to areas 5 and 7 from Brodmann. Some hypotheses are discussed concerning the possible physio-pathological mechanisms of these disturbances.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Cerebral Decortication / adverse effects*
  • Cerebral Infarction / complications*
  • Cerebral Infarction / pathology
  • Child
  • Dystonia / etiology
  • Dystonia / pathology
  • Epilepsy / surgery
  • Female
  • Humans
  • Male
  • Middle Aged
  • Movement Disorders / etiology*
  • Movement Disorders / pathology
  • Parietal Lobe / blood supply
  • Parietal Lobe / pathology
  • Parietal Lobe / surgery*