Voxel-Based Lesion Analysis of Ideomotor Apraxia

Ideomotor apraxia is a cognitive disorder most often resulting from acquired brain lesions (i.e., strokes or tumors). Neuroimaging and lesion studies have implicated several brain regions in praxis and apraxia, but most studies have described (sub)acute patients. This study aimed to extend previous...

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Main Authors: Giovanna Oliveira Santos, Analía L. Arévalo, Timothy J. Herron, Brian C. Curran, Guilherme Lepski, Nina F. Dronkers, Juliana V. Baldo
Format: Article
Language:English
Published: MDPI AG 2024-08-01
Series:Brain Sciences
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Online Access:https://www.mdpi.com/2076-3425/14/9/853
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author Giovanna Oliveira Santos
Analía L. Arévalo
Timothy J. Herron
Brian C. Curran
Guilherme Lepski
Nina F. Dronkers
Juliana V. Baldo
author_facet Giovanna Oliveira Santos
Analía L. Arévalo
Timothy J. Herron
Brian C. Curran
Guilherme Lepski
Nina F. Dronkers
Juliana V. Baldo
author_sort Giovanna Oliveira Santos
collection DOAJ
description Ideomotor apraxia is a cognitive disorder most often resulting from acquired brain lesions (i.e., strokes or tumors). Neuroimaging and lesion studies have implicated several brain regions in praxis and apraxia, but most studies have described (sub)acute patients. This study aimed to extend previous research by analyzing data from 115 left hemisphere chronic stroke patients using the praxis subtest of the Western Aphasia Battery, which is divided into four action types: facial, upper limb, complex, and instrumental. Lesion–symptom mapping was used to identify brain regions most critically associated with difficulties in each of the four subtests. Complex and instrumental action deficits were associated with left precentral, postcentral, and superior parietal gyri (Brodmann areas 2, 3, 4, 5, and 6), while the facial and upper limb action deficits maps were restricted to left inferior, middle, and medial temporal gyri (Brodmann areas 20, 21, 22, and 48). We discuss ideas about neuroplasticity and cortical reorganization in chronic stroke and how different methodologies can reveal different aspects of lesion and recovery networks in apraxia.
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spelling doaj-art-ed5b03a20b084e6a8439c7dbbcac7cfc2025-08-20T01:56:05ZengMDPI AGBrain Sciences2076-34252024-08-0114985310.3390/brainsci14090853Voxel-Based Lesion Analysis of Ideomotor ApraxiaGiovanna Oliveira Santos0Analía L. Arévalo1Timothy J. Herron2Brian C. Curran3Guilherme Lepski4Nina F. Dronkers5Juliana V. Baldo6Department of Experimental Surgery, Medical School, University of São Paulo, Sao Paulo 05021-001, BrazilDepartment of Experimental Surgery, Medical School, University of São Paulo, Sao Paulo 05021-001, BrazilResearch Service, VA Northern California Health Care System, Martinez, CA 94553, USAResearch Service, VA Northern California Health Care System, Martinez, CA 94553, USADepartment of Experimental Surgery, Medical School, University of São Paulo, Sao Paulo 05021-001, BrazilDepartment of Psychology, University of California, Berkeley, Berkeley, CA 94720, USAResearch Service, VA Northern California Health Care System, Martinez, CA 94553, USAIdeomotor apraxia is a cognitive disorder most often resulting from acquired brain lesions (i.e., strokes or tumors). Neuroimaging and lesion studies have implicated several brain regions in praxis and apraxia, but most studies have described (sub)acute patients. This study aimed to extend previous research by analyzing data from 115 left hemisphere chronic stroke patients using the praxis subtest of the Western Aphasia Battery, which is divided into four action types: facial, upper limb, complex, and instrumental. Lesion–symptom mapping was used to identify brain regions most critically associated with difficulties in each of the four subtests. Complex and instrumental action deficits were associated with left precentral, postcentral, and superior parietal gyri (Brodmann areas 2, 3, 4, 5, and 6), while the facial and upper limb action deficits maps were restricted to left inferior, middle, and medial temporal gyri (Brodmann areas 20, 21, 22, and 48). We discuss ideas about neuroplasticity and cortical reorganization in chronic stroke and how different methodologies can reveal different aspects of lesion and recovery networks in apraxia.https://www.mdpi.com/2076-3425/14/9/853chronic strokeleft hemisphere lesionslesion–symptom mappingpraxiswestern aphasia battery
spellingShingle Giovanna Oliveira Santos
Analía L. Arévalo
Timothy J. Herron
Brian C. Curran
Guilherme Lepski
Nina F. Dronkers
Juliana V. Baldo
Voxel-Based Lesion Analysis of Ideomotor Apraxia
Brain Sciences
chronic stroke
left hemisphere lesions
lesion–symptom mapping
praxis
western aphasia battery
title Voxel-Based Lesion Analysis of Ideomotor Apraxia
title_full Voxel-Based Lesion Analysis of Ideomotor Apraxia
title_fullStr Voxel-Based Lesion Analysis of Ideomotor Apraxia
title_full_unstemmed Voxel-Based Lesion Analysis of Ideomotor Apraxia
title_short Voxel-Based Lesion Analysis of Ideomotor Apraxia
title_sort voxel based lesion analysis of ideomotor apraxia
topic chronic stroke
left hemisphere lesions
lesion–symptom mapping
praxis
western aphasia battery
url https://www.mdpi.com/2076-3425/14/9/853
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