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NEUROLOGY 1982;32:645
© 1982 American Academy of Neurology

Cortical mechanisms involved in praxis

Observations following partial and complete section of the corpus callosum in man

Bruce T. Volpe, M.D., John J. Sidtis, Ph.D., Jeffrey D. Holtzman, Ph.D., Donald H. Wilson, M.D. and Michael S. Gazzaniga, Ph.D.

Division of Cognitive Neuroscience (Drs. Volpe, Sidtis, Holtzman, and Gazzaniga) Cornell University, New York, NY, and the Department of Neurosurgery (Dr. Wilson), Dartmouth-Hitchcock Medical Center, Hanover. NH.

In patients who have undergone complete section of the corpus callosum for intractable epilepsy, lateralized presentation of visual nonverbal stimulation showed that the coordination of motor acts by either hand is controlled exclusively by the contralateral hemisphere. When two patients had serial operations consisting of an initial division of the splenium and posterior 3 cm, followed by complete callosal division, an opportunity arose to test the explicit cortical pathways involved in ipsilateral control. Between operations, these patients could not coordinate movements of the hand ipsilateral to the hemisphere receiving the command. This suggested that for visual nonverbal stimulation, the posterior 3 cm of corpus callosum is necessary for control of the ipsilateral hand; the rostra1 callosum cannot transfer sensorimotor commands. Also, contrary to current views, each hemisphere can carry out sequentially dependent motor activity.

Address correspondence and reprint requests to Dr. Volpe, Division of Cognitive Neuroscience, Cornell University Medical School, 1300 York Avenue, New York, NY 10021.

Aided by the USPHS Grant No. NS15053-3, and the Alfred P. Sloan, McKnight, and Burke Foundations Accepted for publication October 16,1981.




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