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Increased Writing Activity in Neurological Conditions:A Review and Clinical Study
JNNP 61:510-514, vanVugt,P.,et al, 1996
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Article Abstract
Increased writing activity in a 70-year-old,right-handed man presenting with a history of alcohol misuse and maturity onset diabetes is reported. Brain CT disclosed corticosubcortical atrophy and 99mTc-HMPAO SPECT disclosed severe bilateral frontal hypoperfusion more prominent on the right.The patient's neuropsychological symptomatology consisted of severe (verbal)aspontaneity,intermittent utilisation behavior,and pronounced increased writing activity,which mainly consisted of a perseverative, micrographic written reproduction of visually or verbally perceived language fragments.Several neurological causes of increased writing activity and the equivocal terminology met in the medical literature are reviewed.A distinction between hypergraphia and automatic writing behavior is proposed.It is concluded that our patient's increased writing activity may be characterized as automatic writing behavior.
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dementia,frontal lobe type
frontal lobe,lesion of
frontal lobe,pathologic signs of
hypergraphia
multiple sclerosis
neoplasm,primary of CNS
review article
seizure
writing
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