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Post graphemic impairments of writing: the case of micrographia
Gianfranco Denes1, Matteo Signorini, Chiara Volpato
1Department of Neurology, Venice Hospital and Department of Science of Language, Ca' Foscari Venice University, Italy. denes@unive.it
Abstract:
Micrographia (MG), an acquired impairment of writing characterized by diminution of letter size, coupled with slowing and loss of accuracy, is most frequently observed in the course of degenerative disease of basal ganglia, such as Parkinson's Disease. Only a few cases of MG without concomitant extrapyramidal signs have been described, mostly following vascular lesion of the left basal ganglia. In this article we report an isolated pattern of MG following an extensive traumatic cerebral lesion centered in the left basal ganglia. The nature of this impairment is analyzed according to a cognitive model of writing and interpreted as a specific example of peripheral dysgraphia.
Insights
Micrographia, a writing impairment, can occur after brain injury, not just degenerative diseases. This case shows isolated micrographia following traumatic brain injury affecting the basal ganglia.
Area of Science:
- Neuroscience
- Neurology
- Cognitive Science
Background:
- Micrographia (MG) is typically associated with neurodegenerative basal ganglia disorders like Parkinson's Disease.
- Previous reports of MG without extrapyramidal signs often link to vascular lesions in the left basal ganglia.
Observation:
- This study details a rare case of isolated micrographia.
- The patient experienced an extensive traumatic cerebral lesion primarily affecting the left basal ganglia.
Findings:
- The observed micrographia was not linked to typical neurodegenerative conditions.
- The impairment was analyzed using a cognitive model of writing.
Implications:
- This case expands the known causes of micrographia beyond neurodegeneration.
- It suggests traumatic brain injury to the basal ganglia can cause specific peripheral dysgraphia.
- Understanding the cognitive underpinnings of writing impairments is crucial for diagnosis and treatment.
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