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NEUROLOGY 1985;35:855
© 1985 American Academy of Neurology

Directional hypokinesia

Prolonged reaction times for leftward movements in patients with right hemisphere lesions and neglect

Kenneth M. Heilman, MD, Dawn Bowers, PhD, H. Branch Coslett, MD, Harry Whelan, MD and Robert T. Watson, MD

Veterans Administration Medical Center and Department of Neurology, College of Medicine, University of Florida, Gainesville, FL.

Patients with hemispatial neglect perform activities poorly in the hemispace contralateral to the lesion. We postulate that hemispatial neglect induced by right hemisphere lesions may be associated with a directional hypokinesia: initiation of movements toward the hemispace contralateral to the lesion is affected more than movements toward the lesion. We tested 6 patients with hemispatial neglect caused by right hemisphere damage, 7 with left hemisphere damage and no neglect, and 12 controls. Patients with left hemispatial neglect initiated responses to left hemispace more slowly than toward right hemispace.

Address correspondence and reprint requests to Dr. Heilman, Box J-236, Department of Neurology, College of Medicine, University of Florida, Gainesville, FL 32610.

Supported by the Medical Research Service of the Veterans Administration.

Presented in part at the thirty-fifth annual meeting of the American Academy of Neurology, San Diego, CA, April 1983.

Accepted for publication October 4, 1984.




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