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Parietal Lobe

The parietal lobe contain the primary sensory cortex which controls sensation (touch, pressure. Behind the primary sensory cortex is a large association area that controls fine sensation (judgment of texture, weight, size, shape). There are Parietal Lobes on the left and right sides

  • Right - Damage to this area can cause visuo-spatial deficits (you may have difficulty finding your way around new, or even familiar, places or neglect, do not recognize anything on your affected left side)
  • Left - Damage to this area may disrupt a patient’s ability to understand spoken and/or written language

Somatosensory Disturbances

  • Heightened somatosensory thresholds
  • “Afferent paresis” (Luria) - clumsiness in fingers due to loss of feedback on position

Somatoperceptual Disorders

  • Astereognosis (“stereo” = “solid” in Greek) - inability to recognize objects by touch
  • Simultaneous extinction - failure to attend to stimuli presented at the same time
  • Asomatognosia: loss of a sense of one's own body including
    • Anosognosia: denial or lack of knowledge of illness or impairment
    • Anosodiaphoria: indifference toward illness
    • Finger agnosia: inability to point to or identify fingers upon stimulation

Blaint's Syndrome

  • Inability to fixate on distinct visual stimuli despite ability to move eyes
  • Simultagnosia - attention limited to one object at a time
  • Optic Ataxia - difficulty reaching for objects under visual guidance

Right Parietal Lesions

  • Neglect for contralateral (left) side of body
  • Neglect for visual stimuli in left visual field
  • Impairment in object recognition in unfamiliar views or positions

Left Parietal Lesions

  • Gerstmann Syndrome
    • Finger Agnosia
    • Right-left confusion
    • Agraphia (inability to write)
    • Acalculia (inability to do arithmetic)
  • Other disturbances may include
    • Dyslexia
    • Dysphasia (errors in grammar)
    • Apraxia (loss of a skilled movement)
      • Ideomotor Apraxia - Inability to copy movements or gestures of others
      • Constructional Apraxia - Visuomotor disorder in which subject can't move objects, copy figures, etc.

Drawing - Multiple forms of error ranging from entire drawing to individual details

Spatial Cognition - Ability to manipulate spatial objects mentally may be impaired, e.g., map reading