Case Report

Intermittent Alien Hand Syndrome and Callosal Apraxia in Multiple Sclerosis: Implications for Interhemispheric Communication

Table 2

DA performance on selected motor tasks (the star indicates scores below cutoffs).

Motor tasksRangeCutoffsRight hand
raw score
(corrected)
Left hand
raw score
(corrected)
R & L
hand

Writing to dictation1
 (i) Words0–10≤6.4107 (6.3)*
 (ii) Nonwords0–5≤1.454 (3.3)
 (iii) Sentences0–2<0.620*
Writing (copying)
 (i) Words 0–555
 (ii) Digits0–10109
Action imitation2
 (i) MF actions0–36≤323231*
 (ii) ML actions0–36≤3130*30*
Tool use
 (i) Pantomimes (verbal)30–16≤121616
 (ii) Single object use (a)40–14<141414
 (iii) Single object use (b)0–151515
 (iv) Multiple object use50–5<55
Construction ability
 (i) Figure copying60–12≤7.1810 (10.1)9/12 (9.1)
 (ii) Rey-Osterrieth complex fig.70–36≤28.8731
 (iii) WAIS-R block design80–3622 ( )
 (iv) Clock drawing test90–10≤79
Tactile gnosis0–201916

Note: the different motor components were explored by mean of the following standardized tests: the writing subtests of the Esame Neuropsicologico per l’Afasia(Capasso, Miceli 2001)1; test for ideomotor apraxia (Tessari et al., 2011 [10])2; the pantomime subtest of the Limb Apraxia Battery (Bartolo et al., 2008)3; real object use in addition to ideational apraxia testing (DeRenzi et al., 1968)4; multiple object use (De Renzi and Lucchelli, 1988)5; the constructional apraxia subtest of the mental deterioration battery (Carlesimo et al., 1995)6; the Italian version of the Rey Figure copying test (Caffarra e coll., 2002)7; the Italian version of the block design subtest of the Wechsler adult intelligence scale (WAIS-R)8; clock drawing subtest of the Esame Neuropsicologico Breve (Mondini et al., 2008)9.