Constructional apraxia after left or right unilateral stroke

The present study re-assesses the question whether deficits, after brain damage, in constructional tasks can be partitioned in different types of disorders of spatial cognition. Based on a current cognitive neuroscience account, originally proposed by Kosslyn [Kosslyn, S. M. (1987). Seeing and imagining in the cerebral hemispheres: A computational approach. Psychological Review, 94, 148-175], that posits two complementary lateralized systems for the encoding of (categorical and coordinate) spatial relations, it is here proposed that two qualitatively different types of "constructional apraxia" can occur and that the nature of the constructional impairment after unilateral lesions closely reflects the loss of lateralized components for the perceptual processing of differing types of spatial relations. New evidence is presented, based on the study of two groups of patients with unilateral posterior brain lesions, which supports such a bipartition of constructional apraxia. In addition, past evidence is reviewed in the light of this new cognitive neuroscience account.