Agnosias And Neglect Flashcards

1
Q

The What system

A

The ventral processing system, higher aspects of visual object recognition: connects visual perception of shape and form with the representation of the objects meaning

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2
Q

Left and right components of the occipital to temporal pathway, in the What system

A

Left: letters and numbers
Right: objects and faces

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3
Q

The Where system

A

Dorsal processing system, works with objects’ locations in relation to the self and other objects. Helps plan and coordinate motor movements

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4
Q

Where system pathway

A

Occipital to parietal

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5
Q

What is a visual agnosia?

A

Lack of access to knowledge about objects, where one can see an object but not know what it is.

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6
Q

Apperceptive agnosia

A

Difficulty with object perception, an inability to use components to synthesize a full image

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7
Q

Testing for apperceptive agnosia

A

Copying and matching objects, discriminating shapes

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8
Q

Lesion site and cause for apperceptive agnosia

A

Right parieto-occipital area, often caused by carbon monoxide poisoning

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9
Q

What is associative agnosia?

A

Loss of knowledge of semantic meanings of objects, there is difficulty accessing concepts but not words

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10
Q

Testing for associative agnosia

A

Can draw, match and discriminate objects, but can’t name objects

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11
Q

Lesion site and cause of associative agnosia

A

Bilateral damage to the temporo-occipital junction and subjacent white matter. Caused by bilateral primary carotid artery stroke

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12
Q

Definition of prosopagnosia

A

Agnosia for faces, can see and recognize emotions and match faces and distinguish age and gender but can’t distinguish individual faces

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13
Q

Lesion site for prosopagnosia

A

Bilateral damage to the fusiform gyrus

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14
Q

Left vs right debate

A

Left: deficits in symbolic spatial cognition (left right disorientation, finger agnosia, map reading, compass reading)
Right: deficits in concrete spatial cognition (putting on clothes, gauging space between items)

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15
Q

Components of right hemisphere syndrome

A
  • constructional apraxia
  • neglect
  • anosognosia
  • left hemiplegia or hemiparesis
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16
Q

What is neglect?

A

Loss of conscious awareness of an aspect of spatial or personal space

17
Q

Most common neglect?

A

Left side of space, found with right hemisphere lesions to the parieto-occipital or inferior parietal region. Thalamic, subcortical lesions

18
Q

Common cause for neglect

A

Right side major carotid artery stroke

19
Q

Description of neglect

A

It extends beyond the body, to the entire left side. It’s more than just sensory loss on that side, it’s like a lack of attention

20
Q

Presentation of neglect

A
  • no attention to the left side of space or of objects
  • gradient of neglect, not a clear cut line
  • allothesia (transferring stimuli to the right)
  • multimodal
21
Q

Extinction test for neglect

A

Eyes closed –> right stimulus –> left stimulus –> both stimuli
Only the right side is noted