A Case Of Utilization Behavior and Hyperorality Following Bilateral Anterior Cerebral Artery Infarct Partially Responsive to Carbamazepine: Can Both Behaviors Be Attributed To Lesions In Different Frontal Lobe Circuits?

Spiegel, David R.; Lamm, Kevin

doi:10.1016/j.psym.2011.01.040

Cited by 9 publications

(5 citation statements)

References 21 publications

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“…The lesions reported originally by Lhermitte in his landmark paper [1] were very heterogeneous, ranging from “anterior right cortical-subcortical frontal lobe” to “ascending frontal gyrus.” The author also reported cases with caudate lesions, which have been as well described many years later [11, 29, 30]. A predominant cluster of right lesions was shown, arising from various etiological mechanisms.…”

Section: The Heterogeneity Of Site and Type Of Brain Lesions Assocmentioning

confidence: 73%

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Utilization Behavior: What Is Known and What Has to Be Known?

Iaccarino

Chieffi

Iavarone

2014

Behavioural Neurology

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Since the first description by Lhermitte (1983), the utilization behavior (UB) still represents an enigma for behavioral neurology and neuropsychology. Recent findings shed some light on new frameworks for interpreting this interesting phenomenon. Functional neuroanatomical basis is still unclear, although recent advances in neuroimaging techniques have contributed to a better understanding of the syndrome. An important and promising step is given by shifting researcher's attention from frontoparietal to intrafrontal mechanisms. From a cognitive standpoint, three models have been proposed. However, a comprehensive account for the UB neurobehavioral complexity is still lacking. Aims of this paper are to briefly review the reported cases of utilization behavior (UB) and to describe the putative neurological mechanisms underlying UB. Furthermore, the cognitive models proposed to interpret UB will be summarized. For clinical purposes, features suitable for distinguishing UB from other neurobehavioral symptoms will be briefly described.

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Section: The Heterogeneity Of Site and Type Of Brain Lesions Assocmentioning

confidence: 73%

“…The authors also propose a new cognitive frame accounting for the UB (see below). An interesting study by Spiegel and Lamm reports a case of hyperorality [30]. The lesions involved bilaterally the medial frontal lobes and the left caudate nucleus.…”

Section: The Heterogeneity Of Site and Type Of Brain Lesions Assocmentioning

confidence: 99%

Utilization Behavior: What Is Known and What Has to Be Known?

Iaccarino

Chieffi

Iavarone

2014

Behavioural Neurology

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“…Next, we assessed each patient’s stimulus-bound behaviors, including grasp reflex (Seyffarth and Denny-Brown, 1948), oral reflexes (Schott and Rossor, 2003) including sucking and snout reflexes, visual groping (Seyffarth and Denny-Brown, 1948), hyperorality (Mendez et al, 1993; Spiegel and Lamm, 2011; Takahashi and Kawamura, 2001), and incidental utilization behavior. These behaviors constitute a stimulus-bound behavior spectrum where behaviors often overlap each other (Mendez et al 1993; Schott and Rossor, 2003; Seyffarth and Denny-Brown 1948; Spiegel and Lamm, 2011; Takahashi and Kawamura, 2001).…”

Section: Case Reportsmentioning

confidence: 99%

Forced Gazing: A Stimulus-bound Behavior

Funayama

Takata

2021

Cognitive and Behavioral Neurology

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We studied four patients with acquired brain injury who were compelled to gaze at a moving object or the face of an individual who came into their sight, especially the person’s eyes. The patients continued to gaze at the object or person until it disappeared from their sight. This behavior, referred to as forced gazing, is related to visual groping (part of the instinctive grasp reaction), and, together with a similar sign of visual grasping, constitutes a spectrum of visual stimulus-bound behaviors. In addition to forced gazing, the patients exhibited a primitive reflex such as a grasp or sucking reflex. Each of the patients had lesions in the bilateral frontal lobes of the brain. We considered forced gazing to be a stimulus-bound behavior, in which patients become extremely dependent on a specific external stimulus. As gaze-related communication is considered one of the bases of an infant’s social development, forced gazing may have its basis in innate human behavior that might manifest itself under specific pathological circumstances such as bilateral frontal-lobe damage.

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“…Whereas monkeys with hyperorality never eat non-food items but instead discard them after examining them by mouth, patients with pica do eat non-food items. Human hyperorality has also been described in patients with focal frontal lobe lesions and in the context of frontal release signs [19,20]; it also has a remarkable dependency on external stimuli, e.g. utilization behavior [21].…”

Section: Introductionmentioning

confidence: 98%

Pica after Acquired Brain Injury and in Degenerative Diseases is Associated with Temporal Lobe Dysfunction and its Related Semantic Memory Deficits

Funayama¹

2017

J Alzheimers Dis Parkinsonism

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A Case Of Utilization Behavior and Hyperorality Following Bilateral Anterior Cerebral Artery Infarct Partially Responsive to Carbamazepine: Can Both Behaviors Be Attributed To Lesions In Different Frontal Lobe Circuits?

Cited by 9 publications

References 21 publications

Utilization Behavior: What Is Known and What Has to Be Known?

Utilization Behavior: What Is Known and What Has to Be Known?

Forced Gazing: A Stimulus-bound Behavior

Pica after Acquired Brain Injury and in Degenerative Diseases is Associated with Temporal Lobe Dysfunction and its Related Semantic Memory Deficits

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