Neural mechanisms of embodiment: asomatognosia due to premotor cortex damage.

BACKGROUND Patients with asomatognosia generally describe parts of their body as missing or disappeared from corporeal awareness. This disturbance is generally attributed to damage in the right posterior parietal cortex. However, recent neuroimaging and electrophysiological studies suggest that corporeal awareness and embodiment of body parts are instead linked to the premotor cortex of both hemispheres. PATIENT We describe a patient with asomatognosia of her left arm due to damage in the right premotor and motor cortices. The patient's pathological embodiment for her left arm was associated with mild left somatosensory loss, mild frontal dysfunction, and a behavioral deficit in the mental imagery of human arms. CONCLUSION Asomatognosia may also be associated with damage to the right premotor cortex.

[1]  I. M. Harris,et al.  Anatomical limitations in mental transformations of body parts , 2005 .

[2]  O. Blanke,et al.  Preattentive interference between touch and audition: a case study on multisensory alloesthesia , 2005, Neuroreport.

[3]  E. So,et al.  Ictal asomatognosia as a cause of epileptic falls , 2004, Neurology.

[4]  R. Passingham,et al.  That's My Hand! Activity in Premotor Cortex Reflects Feeling of Ownership of a Limb , 2004, Science.

[5]  C. Spence,et al.  Multisensory integration and the body schema: close to hand and within reach , 2003, Current Biology.

[6]  C. Spence,et al.  Multisensory representation of limb position in human premotor cortex , 2003, Nature Neuroscience.

[7]  O. Blanke,et al.  Neuropsychology: Stimulating illusory own-body perceptions , 2002, Nature.

[8]  M L Phillips,et al.  Separating depersonalisation and derealisation: the relevance of the “lesion method” , 2002, Journal of neurology, neurosurgery, and psychiatry.

[9]  Roger Newport,et al.  Links between vision and somatosensation Vision can improve the felt position of the unseen hand , 2001, Current Biology.

[10]  M S Graziano,et al.  Coding the location of the arm by sight. , 2000, Science.

[11]  T. Feinberg,et al.  Illusory limb movements in anosognosia for hemiplegia , 2000, Journal of neurology, neurosurgery, and psychiatry.

[12]  M. Graziano Where is my arm? The relative role of vision and proprioception in the neuronal representation of limb position. , 1999, Proceedings of the National Academy of Sciences of the United States of America.

[13]  S. Tipper,et al.  Vision influences tactile perception without proprioceptive orienting , 1998, Neuroreport.

[14]  S. Kosslyn,et al.  Mental rotation of objects versus hands: neural mechanisms revealed by positron emission tomography. , 1998, Psychophysiology.

[15]  Elisabetta Làdavas,et al.  Seeing where your hands are , 1997, Nature.

[16]  R. Leiguarda,et al.  Paroxysmal alien hand syndrome. , 1993, Journal of neurology, neurosurgery, and psychiatry.

[17]  T. Feinberg,et al.  Verbal asomatognosia , 1990, Neurology.

[18]  Charles M. Culver Test of Right-Left Discrimination , 1969, Perceptual and motor skills.

[19]  M. Critchley The parietal lobes , 1966 .