Encyclopedia of Clinical Neuropsychology

2018 Edition
| Editors: Jeffrey S. Kreutzer, John DeLuca, Bruce Caplan


  • H. Branch CoslettEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-57111-9_1306


Hemispatial motor planning deficit; Hypokinesia


Hemiakinesia is a disorder of action in which subjects with a brain lesion exhibit difficulty in moving the contralesional body that cannot be attributed to hemiparesis or peripheral nervous system dysfunction. Subjects with this disorder may fail to gaze to the side opposite a lesion or, when instructed to lift both arms, may fail to elevate the contralesional arm. Crucially, these subjects may be shown in other tasks to have the capacity to perform the task; for example, the subject who fails to lift the contralesional arm when instructed to elevate both arms may succeed in lifting the arm when instructed to lift only that arm.

Current Knowledge

Evidence for the clinical disorder of hemiakinesia comes from the often-striking effects of hemispace on motor performance. A number of investigators have demonstrated that subjects may perform better when using the impaired limb in the contralesional as opposed to...

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References and Readings

  1. Coslett, H. B. (1999). Spatial influences on motor and language function. Neuropsychologia, 37, 695–706.PubMedCrossRefGoogle Scholar
  2. Coslett, H. B., Schwartz, M. F., Goldberg, G., Haas, D., & Perkins, J. (1993). Multi-modal hemispatial deficits after left hemisphere stroke: A deficit in attention? Brain, 116, 527–554.PubMedCrossRefGoogle Scholar
  3. Ghacibeh, G. A., Shenker, J. I., Winter, K. H., Triggs, W. J., & Heilman, K. M. (2007). Dissociation of neglect subtypes with transcranial magnetic stimulation. Neurology, 69, 1122–1127.PubMedCrossRefGoogle Scholar
  4. Heilman, K. M., Valenstein, E., & Watson, R. T. (2000). Neglect and related disorders. Seminars in Neurology, 20, 463–470.PubMedCrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of NeurologyUniversity of Pennsylvania, HUPPhiladelphiaUSA