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PATTERNS IN ALLESTHESIA AND THEIR RELATION TO DISORDER OF BODY SCHEME AND OTHER SENSORY PHENOMENA

PATTERNS IN ALLESTHESIA AND THEIR RELATION TO DISORDER OF BODY SCHEME AND OTHER SENSORY PHENOMENA Abstract IN RECENT communications one of us (M. B. B.) and associates1 have described unusual sensory changes in patients with diffuse disease of the brain. These changes were unilateral allesthesia, or crossed displacement; extinction of sensation, and disturbances in location and identification of parts of the body. All these dysfunctions were found to be on one side of the body and were associated with severe mental disorder. Analyses of the responses to stimulations made in the affected sensory field disclosed that the defects were more pronounced in one area than in another. Thus, allesthesia, as well as extinction, was found oftenest in an extremity and seldom in the face. Extinction was more likely to occur in the distal than in the proximal portion of an extremity.1c These spatial differences were observed on repeated examinations. Moreover, under the influence of amobarbital sodium (amytal sodium®) the area which yielded allesthesia References 1. Bender, M. B., and Wortis, S. B.: Patterns in Perceptual, Motor and Intellectual Functions in Organic Brain Disease , Tr. Am. Neurol. A. 72:31, 1947. 2. Bender, M. B.; Wortis, S. B., and Cramer, J.: Organic Mental Syndrome with Phenomena of Extinction and Allesthesia , Arch. Neurol. & Psychiat. 59:273 ( (March) ) 1948. 3. Bender, M. B.; Shapiro, M. F., and Teuber, H. L.: Allesthesia and Disorder of the Body Scheme , Tr. Am. Neurol. A. 73:170, 1948. 4. Shapiro, M. F.; Teuber, H. L., and Bender, M. B.: Disturbance of Body Image and Allesthesia , J. Nerv. & Ment. Dis. 108:253, 1948. 5. Bender, M. B.; Shapiro, M. F., and Teuber, H. L.: Allesthesia and Disturbance of the Body Scheme , Arch. Neurol. & Psychiat. 62: 222 ( (Aug.) ) 1949. 6. Bender, M. B.; Shapiro, M. F., and Schappell, A. W.: Observations on the Extinction Phenomenon in Hemiplegia , Tr. Am. Neurol. A. 74:160, 1949 7. Extinction Phenomena in Hemiplegia , Arch. Neurol. & Psychiat. 62:717 ( (Dec.) ) 1949. 8. Bender, M. B.; Fink, M., and Green, M.: Patterns in Perception on Simultaneous Tests of Face and Hand , Tr. Am. Neurol. A. , 1950, to be published. 9. Kolb, L.: Observations on the Somatic Sensory Extinction Phenomenon and the Body Scheme After Unilateral Resection of the Posterior Central Gyrus , Tr. Am. Neurol. A. , 1950, to be published. 10. We have not found true allesthesia in a patient with tabes. On the other hand, we observed all types of displacement, including allesthesia and synesthesia, in a patient with sensory changes as the result of a tumor of the spinal cord. 11. Schilder, P.: Mind: Perception and Thought in Their Constructive Aspects , New York, Columbia University Press, 1942. 12. Gerstmann, J.: Fingeragnosie und isolierte Agraphie, ein neues Syndrom , Ztschr. f. d. ges. Neurol. u. Psychiat. 108:152, 1927 13. Zur Symptomatologie der Herderkrankungen in der Uebergangsregion der unteren parietal- und mittleren Okzipitalhirnwindung , Deutsche Ztschr. f. Nervenh. 116:46, 1930. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Neurology & Psychiatry American Medical Association

PATTERNS IN ALLESTHESIA AND THEIR RELATION TO DISORDER OF BODY SCHEME AND OTHER SENSORY PHENOMENA

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Publisher
American Medical Association
Copyright
Copyright © 1950 American Medical Association. All Rights Reserved.
ISSN
0096-6886
DOI
10.1001/archneurpsyc.1950.02310280013002
Publisher site
See Article on Publisher Site

Abstract

Abstract IN RECENT communications one of us (M. B. B.) and associates1 have described unusual sensory changes in patients with diffuse disease of the brain. These changes were unilateral allesthesia, or crossed displacement; extinction of sensation, and disturbances in location and identification of parts of the body. All these dysfunctions were found to be on one side of the body and were associated with severe mental disorder. Analyses of the responses to stimulations made in the affected sensory field disclosed that the defects were more pronounced in one area than in another. Thus, allesthesia, as well as extinction, was found oftenest in an extremity and seldom in the face. Extinction was more likely to occur in the distal than in the proximal portion of an extremity.1c These spatial differences were observed on repeated examinations. Moreover, under the influence of amobarbital sodium (amytal sodium®) the area which yielded allesthesia References 1. Bender, M. B., and Wortis, S. B.: Patterns in Perceptual, Motor and Intellectual Functions in Organic Brain Disease , Tr. Am. Neurol. A. 72:31, 1947. 2. Bender, M. B.; Wortis, S. B., and Cramer, J.: Organic Mental Syndrome with Phenomena of Extinction and Allesthesia , Arch. Neurol. & Psychiat. 59:273 ( (March) ) 1948. 3. Bender, M. B.; Shapiro, M. F., and Teuber, H. L.: Allesthesia and Disorder of the Body Scheme , Tr. Am. Neurol. A. 73:170, 1948. 4. Shapiro, M. F.; Teuber, H. L., and Bender, M. B.: Disturbance of Body Image and Allesthesia , J. Nerv. & Ment. Dis. 108:253, 1948. 5. Bender, M. B.; Shapiro, M. F., and Teuber, H. L.: Allesthesia and Disturbance of the Body Scheme , Arch. Neurol. & Psychiat. 62: 222 ( (Aug.) ) 1949. 6. Bender, M. B.; Shapiro, M. F., and Schappell, A. W.: Observations on the Extinction Phenomenon in Hemiplegia , Tr. Am. Neurol. A. 74:160, 1949 7. Extinction Phenomena in Hemiplegia , Arch. Neurol. & Psychiat. 62:717 ( (Dec.) ) 1949. 8. Bender, M. B.; Fink, M., and Green, M.: Patterns in Perception on Simultaneous Tests of Face and Hand , Tr. Am. Neurol. A. , 1950, to be published. 9. Kolb, L.: Observations on the Somatic Sensory Extinction Phenomenon and the Body Scheme After Unilateral Resection of the Posterior Central Gyrus , Tr. Am. Neurol. A. , 1950, to be published. 10. We have not found true allesthesia in a patient with tabes. On the other hand, we observed all types of displacement, including allesthesia and synesthesia, in a patient with sensory changes as the result of a tumor of the spinal cord. 11. Schilder, P.: Mind: Perception and Thought in Their Constructive Aspects , New York, Columbia University Press, 1942. 12. Gerstmann, J.: Fingeragnosie und isolierte Agraphie, ein neues Syndrom , Ztschr. f. d. ges. Neurol. u. Psychiat. 108:152, 1927 13. Zur Symptomatologie der Herderkrankungen in der Uebergangsregion der unteren parietal- und mittleren Okzipitalhirnwindung , Deutsche Ztschr. f. Nervenh. 116:46, 1930.

Journal

A.M.A. Archives of Neurology & PsychiatryAmerican Medical Association

Published: Oct 1, 1950

References