"iDoctor – Medical Blog"

Tabaki NE, Vikelis M, Besmertis L, Vemmos K, Stathis P, Mitsikostas DD. Apraxia related with subcortical lesions due to cerebrovascular disease.Acta Neurol Scand: DOI: 10.1111/j.1600-0404.2009.01224.x.© 2009 The Authors Journal compilation © 2009 Blackwell Munksgaard.Objectives [ndash] To examine whether ideomotor apraxia exists in patients with subcortical ischemic lesions.Patients and Methods [ndash] 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 [ndash] 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 = [minus]2.55, P = 0.0014) and depression levels (t = [minus]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 [ndash] Ischemic damage of subcortical modular systems may affect praxis.

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