Hemineglect and apraxia

Question 1

what is abulia

Answer 1

lack of motivation

Question 2

what is aphasia

Answer 2

lack of lang undertanding and ability to speak

Question 3

what is apraxia

Answer 3

inability to use a motor program to do something

Question 4

what is hemineglect

Answer 4

inability to orient toward, perceive or act on stim from one side despite intact motor and sensory function

Question 5

3 tests for hemineg

Answer 5

1. double simultaneous stim
2. line bisection
3. cancellation

Question 6

3 other tests of cortical sensory functions

Answer 6

1. graphesthesia
2. 2 point discrim.
3. point localization

Question 7

** what is gerstmann’s syndrome (4)

Answer 7

1. acalculia
2. agraphia without alexia
3. finger agnosia
4. impaired left/right discrim

Question 8

what is lesion of gerstmann’s

Answer 8

left parietal

Question 9

what does hemineglect indicate until proven otherwise and why

Answer 9

R parietal lesion - does attending for BOTH lobes

Question 10

IF not R parietal, what else? (3)

Answer 10

1. R prefrontal
2. cingulate gyrus
3. R striatum

Question 11

cause of hemineglect

Answer 11

1. STROKE

2. post-icta;

Question 12

what are neigbourhood signs for hemineglect (2)

Answer 12

1. anosagnosia

2. field cuts

Question 13

what are 3 attentional aspects that can contribute to hemineglect

Answer 13

1. higher cognition
2. monitoring area
3. select

Question 14

what is apraxia

Answer 14

inability to perform movement in response to commands

Question 15

5 types of apraxia

Answer 15

1. limb
2. ideomotor
3. ideational
4. apraxia of speech
5. gait apraxia

Question 16

what is and what are tests of ideomotor apraxia

Answer 16

can’t perform overlearned tasks when asked

1. wave goodbye
2. flip a coin
3. use scissors
4. kick a ball

Question 17

what are limb (kinetic) apraxias

Answer 17

clumsy, slow movements, awkward

- not overlearned skills

Question 18

what is ideational apraxia

Answer 18

sequencing problems - what order to do a task in - cook a meal

Question 19

what is speech apraxia

Answer 19

hard to coordinate mucsles of speech

Question 20

how does one lose praxis

Answer 20

disconnection or destruction of dominant hemisphere association areas

Question 21

**DDx for ideomotor apraxia and prev.

Answer 21

1. non-fluent primary progressive aphasia/corticobasal syndrome 80-90%
2. alzheimers - 70-80
3. progressive supranuc. palsy 70%
4. stroke 25-57
5. parkinsons -

Question 22

what happens to apraxia with time

Answer 22

not consistently elicited and come and goes