Imitation of facial movements in brain damaged patients

The imitation of a large repertoire of upper and lower facial actions was requested from a group of left, right brain damaged and control subjects in order to explore: (1) if a left or right hemispheric focal lesion produces a similar pattern of impairment on this task; (2) if the impairment is associated with oral apraxia. The results show that left and right brain damaged patients score significantly lower than controls but the two pathologic groups do not differ from each other. The imitation of facial movements is not related in any way to oral apraxia and no specific localization of the lesion seems responsible for the impairment in this task. It is suggested that the control of facial movements might have a multiple representation in either hemisphere.