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Constructional apraxia is an inability to reproduce patterns or join component parts into a whole. This condition is assessed through observation of a patient completing activities such as drawing, copying, or building three-dimensional objects (Lezak, Howieson, & Loring, 2004). Impairments in processing spatial forms observed in constructional apraxia can occur in the absence of apraxia of singular motor movements (Benton, 1969).
Categorization
Recent studies suggest qualitatively different types of constructional apraxia determined by the location of brain insult. In general, patients with right hemisphere impairment make more coordinate type errors (e.g., distance and angular distortions), whereas those with left hemispheric impairment tend to commit categorical errors (e.g., position exchanges and pattern reversals) (Laeng, 2006). Patients with right hemispheric impairment generally experience difficulties with the...
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Benton, A. L. (1969). Constructional apraxia: Some unanswered questions. In A. L. Benton (Ed.), Contributions to clinical neuropsychology (pp. 128–141). Chicago: Aldine.
Benton, A. L. (1982). Spatial thinking in neurological patients: Historical aspects. In M. Potegal (Ed.), Spatial abilities: Development and physiological foundations (pp. 253–271). New York: Academic Press.
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Laeng, B. (2006). Constructional apraxia after left or right unilateral stroke. Neuropsychologia, 44:1595–1606.
Lezak, M. D., Howieson, D. B., & Loring, D. W. (2004). Neuropsychological Assessment (4th ed.). New York: Oxford University Press.
Makuuchi, M., Kaminaga, T., & Sugishita, M. (2003). Both parietal lobes are involved in drawing: A functional MRI study and implications for constructional apraxia. Brain Research, 16:338–347.
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Smith, M., Esiri, M., Barnetson, L., King, E., & Nagy, Z. (2001). Constructional apraxia in Alzheimer's disease: Association with occipital lobe pathology and accelerated cognitive decline. Dementia and Geriatric Cognitive Disorders, 12:281–288.
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Byerley, A.K., Davis, A.S. (2011). Constructional Apraxia. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79948-3_1446
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DOI: https://doi.org/10.1007/978-0-387-79948-3_1446
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