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Journal of Neurology

, Volume 266, Issue 3, pp 631–635 | Cite as

Long-lasting diagonistic dyspraxia suppressed by rTMS applied to the right motor cortex

  • François SellalEmail author
  • Benjamin Cretin
  • Mariano Musacchio
  • Marie-Camille Berthel
  • Gabriela Carelli
  • Jean-Marc Michel
Original Communication
  • 83 Downloads

Abstract

We describe the case of a 58-year-old patient with complete callosal agenesis, who developed after a stroke a long lasting and distressing diagonistic dyspraxia. We found two original treatments to relieve the patient from his left limb conflicting movements. Reinforcing left arm sensory input minimized dyspraxic movements but was difficult to apply daily and was found unsatisfactory by the patient. As left anarchic, unwished movements of diagonistic dyspraxia have been attributed to the lack of inhibition exerted by supplementary motor area on right motor cortex, we applied sham-controlled rTMS to the right motor cortex. This procedure provided a dramatic suppression of left-hand involuntary movements. To our knowledge, this is the first description of the successful treatment of diagonistic dyspraxia.

Keywords

Diagnostic dyspraxia Movement disorders Corpus callosum rTMS 

Notes

Compliance with ethical standards

Conflicts of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Supplementary material

Supplementary material 1 (MP4 92284 KB)

Supplementary material 2 (MP4 33902 KB)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Neurology Department and CMRRHôpitaux Civils de ColmarColmar CedexFrance
  2. 2.INSERM U-1118, Faculté de MédecineStrasbourg UniversityStrasbourgFrance
  3. 3.Neuropsychology UnitHôpitaux Universitaires de StrasbourgStrasbourgFrance
  4. 4.Neuroradiology DepartmentHôpitaux CivilsColmarFrance
  5. 5.Groupe Hospitalier Simone VeilEaubonneFrance
  6. 6.Gerontology PoleHôpitaux CivilsColmarFrance

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