Anosognosia and confabulation during the Wada test

L. H. Lu, A. M. Barrett, R. L. Schwartz, J. E. Cibula, R. L. Gilmore, B. M. Uthman, Kenneth M. Heilman

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

Feinberg et al. proposed that right-hemisphere-damaged stroke patients with anosognosia for hemiplegia (AHP) confabulate seeing stimuli on the left side but those without AHP admit to having inadequate visual information. This study examines the relationship between AHP and confabulation using selective anesthesia of the cerebral hemispheres. Seventeen patients with intractable epilepsy were tested during intracarotid methohexital infusion. For half of the trials, subjects were stimulated on their paretic hand with a material (sandpaper, metal, or cloth), and for the remaining trials they were not stimulated. The subjects were trained to use a pointing response to indicate if they been stimulated and the type of material they had felt. Admission of uncertainty was defined as pointing to a question mark. Confabulation was defined as any material response to a no-touch trial. During anesthesia of either hemisphere, subjects with and without AHP confabulated responses. The AHP and non-AHP groups did not differ in admission of uncertainty. Our results support the postulate that confabulation and AHP are independent disorders, and therefore confabulation cannot fully account for AHP.

Original languageEnglish (US)
Pages (from-to)1316-1322
Number of pages7
JournalNeurology
Volume49
Issue number5
DOIs
StatePublished - Nov 1997
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Neurology

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