Apraxia related with subcortical lesions due to cerebrovascular disease
N E Tabaki1, M Vikelis, L Besmertis
1Neurology Department, Athens Naval Hospital, University of Athens, Greece. nefelitab@yahoo.com <nefelitab@yahoo.com>
Objectives:
To examine whether ideomotor apraxia exists in patients with subcortical ischemic lesions.
Patients And Methods:
A matched-control, prospective and multi-centered research design was used. Ideomotor apraxia, anxiety and depression were assessed by the Movement Imitation Test and the Hamilton scales, respectively.
Results:
Forty two consecutive patients with subcortical ischemic stroke and an equal number of healthy participants, matched in age and sex were included. Paired-sample t-tests showed that patients had significantly more apractic elements in their movements (t = 5.03, P < 0.01), higher anxiety (t = -2.55, P = 0.0014) and depression levels (t = -2.61, P = 0.012) than their healthy matched participants. Participants with higher anxiety and depression scores performed worse on the Movement Imitation Test.
Conclusions:
Ischemic damage of subcortical modular systems may affect praxis.
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