'Directional apraxia': a unitary account of mirror writing following brain injury or as found in normal young children

J Neuropsychol. 2007 Mar;1(1):3-26. doi: 10.1348/174866407x180783.

Abstract

Mirror writing refers to the production of individual letters, whole words or sentences in reverse direction. Unintentional mirror writing has been observed in young children and brain-damaged people and interpreted as the manifestation of different cognitive impairments. We report on a mirror writing patient following left hemisphere stroke and the mirror writing phenomena in one sample of children learning to write. We propose a unitary account of mirror writing as the unavailability of the appropriate movement direction representation, either because the right configuration has yet to be specified fully (children learning to write) or because of its damage (acquired brain injury). For this reason, we propose that the lack of directional information relevant to writing be labelled 'directional apraxia'.

MeSH terms

  • Apraxia, Ideomotor / diagnosis*
  • Apraxia, Ideomotor / physiopathology
  • Apraxia, Ideomotor / psychology
  • Awareness / physiology
  • Child
  • Child, Preschool
  • Female
  • Frontal Lobe / physiopathology
  • Functional Laterality / physiology*
  • Humans
  • Infarction, Middle Cerebral Artery / diagnosis*
  • Infarction, Middle Cerebral Artery / physiopathology
  • Infarction, Middle Cerebral Artery / psychology
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Orientation / physiology
  • Parietal Lobe / physiopathology
  • Psychomotor Performance / physiology