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Reverse-process sinistral cursive in dextrads: a mirror-writing variant.

A loop executed clockwise in conventional (left to right) cursive writing is performed counterclockwise in classical (right to left) mirror writing. This rotational reversal appears integral to and inseparable from the mirror-writing phenomenon. Yet in Reverse Process Sinistral Cursive, which proceeds left to right, the rotational component escapes its embeddedness in the conventional mirror form and finds individual, overt expression. The product represents a compromise between the competing and often contradictory demands of innate rotational tendencies, legibility, continuity of movement, and conventional writing style. In dextrads, it reflects difficulty in meeting the unaccustomed demands of translating right-sided movement patterns into left-handed writing performance.

Dominance, Cerebral↗

[Correction of left handedness worsened mirror writing in a girl with spastic diplegia].

We experienced a 4-year-11-month old girl with right side dominant spastic diplegia caused by preterm birth and neonatal asphyxia. She tended to use the left hand but showed mirror writing on both hands, which was aggravated by correction of handedness to the right. Magnetic resonance T2-weighted imaging revealed a localized high intensity lesion in the white matter of her left parietal lobe, caused by hypoxic insult and suggested a damage of spatial orientation center. Wechsler Preschool and Primary Scale of Intelligence showed a total IQ of 76, VIQ of 86 and PIQ of 74, revealing borderline intelligence with insufficient visual perception. Frostig visual perception test revealed lower scores of position in space. Spatial confusion caused by a lesion in the left parietal lobe might have induced the mirror writing of this case. Forced correction to use the right hand with damaged left parietal lobe may aggravate spatial confusion and consequently worsen mirror writing.

Cerebral Palsy↗

Hemispatial factors in mirror writing.

The effect of the hemispace in which writing was performed was assessed in two left hemisphere stroke patients who demonstrated left-handed mirror writing. Both patients produced significantly more mirrored words when writing in right, as compared to left (body) hemispace. We suggest that writing in the right hemispace activates the left hemisphere. Further, we propose that mirror writing in the right hemispace is attributable to activation of the damaged left hemisphere spatial system, which fails to assist in the translation of right hand motor programs into those appropriate to the left hand. Writing in left hemispace, in contrast, activates the intact right hemisphere based spatial system which guides the execution or monitoring of motor productions in left hemispace. The result is writing which remains directionally correct when the left hand is used in left hemispace.

Agraphia↗

Sinistrad mirror writing and reading after brain concussion in a bi-systemic (oriento-occidental) polyglot.

The problem of mirror writing and reading is discussed in the light of a clinical case, where this disturbance appeared after an apparently minor head injury. Mirror writing and reading in this polyglot individual affected only the sinistrad (Hebrew) writing and reading system, leaving the dextrad (Latin) system unimpaired. This disturbance appeared together with dyscalculia, left-right disorientation and slight temporal confusion, suggestive of parieto-occipital lobe pathology. The clinical picture also showed apparently "conversional" traits, such as are sometimes seen in incomplete parietal lobe syndromes. The relevant literature is reviewed and patho-physiological mechanisms of mirror reversal are discussed.

Brain Concussion↗

[A further study and discussion on mirror writing and the development of the Chinese written language].

Mirror image writing was done in 72 preschool children, 40 school children, 40 normal adults and 37 stroke patients with or without aphasia. The results showed that total mirror image writing was demonstrated in only one case and partial mirror image writing in 62 (32.8%). The cases of mirror image writing with the left hand in the preschool children, school children, normal adults and patients with stroke were found in 45.8%, 10.0%, 2.5% and 24.3% respectively. The relationship between mirror image writing and left or right hand disorientation and that between mirror image writing and visual aid were observed.

Adult↗

Mirror writing in right-handers and in left-handers.

To determine whether normal left-handers were more adept than were normal right-handers at mirror writing, we tested right-handers and left-handers for their ability to mirror write. Independent of hand used, left-handers wrote mirror words (but not normal words) faster than did right-handers, which suggest that left-handers may be better able to reverse directions (left leads to right to right leads to left). Although when using their preferred hand, left-handers made fewer errors than did right-handers (using their preferred hand), the left hand both in right- and in left-handers was superior to the right hand. That the left hand was superior to the right is compatible with the hypothesis either that the right hemisphere contains mirror engrams or that movements away from the body are more accurate than movements toward the body or both.

Adolescent↗

Leonardo Da Vinci's right-to-left "mirrored" writing revisited.

Leonardo Da Vinci's anatomical drawings continue to attract the attention of the medical community. One of the intriguing aspects of these drawings is Da Vinci's use of right-to-left mirrored writing. Many hypotheses have been proposed to explain his mirrored writing. This article presents a new explanation that takes into consideration the drawing material used and Da Vinci's known innovative ability. A collection of his anatomical drawings is currently on display in Boston at the Museum of Fine Arts.

Anatomy↗

Left-handed mirror writing following right anterior cerebral artery infarction: evidence for nonmirror transformation of motor programs by right supplementary motor area.

A patient with acquired, pathologic left-handed mirror writing and mirror movements during bimanual coordination is reported. CT demonstrated an ischemic infarction involving the right supplementary motor area, medial prefrontal cortex, and anterior cingulate gyrus with nearly total sparing of the corpus callosum. This case, together with recent experimental findings in monkeys, supports the hypothesis that the supplementary motor area may be responsible for nonmirror transformation of motor programs originating in the left hemisphere prior to execution by the primary motor area in the right hemisphere.

Cerebral Infarction↗

Left non-dominant hand mirror writing.

A 38-year-old right-handed woman, who had suffered a left cerebral hemisphere infarction, was studied. She developed right hemiparesis, motor and sensory aphasia, and left hand mirror writing. All possible brain mechanisms involved in writing, either perceptual or motor, were investigated in search of the one responsible for her mirror writing; however, no abnormality was detected. On examination of the left handwriting, in the directionality of writing tracings as related to the body midline, we detected a lack of inversion of the right handwriting motor patterns--at the moment they are transmitted from the left to the right cerebral hemisphere--implicating a motor rather than a perceptual mechanism.

Adult↗

The aetiology of mirror writing: a new hypothesis.

Twenty-eight cases of mirror writing were seen during a period of three and a half years. These consisted of 12 patients with essential tremor, nine with Parkinson's disease, three with spino-cerebellar degeneration and four other cases. There were no cases of hemiparesis, aphasia, apraxia, agnosia or confusion. Fragmentary reversals were excluded from this study. Since essential tremor, Parkinsonian tremor and cerebellar tremor can be abolished by a stereotaxic produce applied to the thalamus, a common neural pathway via the thalamic nuclei may exist in these disorders. The existence is therefore proposed of some neural mechanism that controls the higher cerebral function of writing via the thalamus.

Dominance, Cerebral↗

[Mirror writing in a child].

The authors analysed the causes of mirror writing and its evolution in a girl aged 7-9 years. Among the possible causes they consider changing lateralization of extremities, absence of evident predominance of a hemisphere, acquiring of this writing by exercise through imitation with the left hand of the writing movements performed by the right hand, and the possibility of microtrauma of the central nervous system. It is stressed that the mental development was normal and there were on features of developmental dyslexia.

Child↗

Left alien hand sign and mirror writing after left anterior cerebral artery infarction.

A 43-year-old, right-handed man was admitted complaining of peculiar movements of his left hand. Computed tomography scan and magnetic resonance imaging showed an infarct area in the territory of the left anterior cerebral artery. The abnormal movements of the left hand were diagnosed as so-called alien hand sign. This patient also exhibited mirror writing with his left hand. The clinical manifestations and neuroradiological findings of this case are described in detail, and the possible mechanisms of these extremely rare combinations of alien hand sign and mirror writing are discussed.

Adult↗

[Origin of mirror writing in children].

In left-handedness it is not the right hemisphere which usually dominates, as previously assumed but rather the left, as recent studies show. The development of right- and left-handedness is considered here in the light of the findings of Eccles, who substantiated the hypothesis of a relationship between the brain and a consciousness which is to be seen as basically independent of this organ. Right- and left-handedness are engendered by the interplay between consciousness and certain liasion areas in the brain. When the subject's will dictates a movement, consciousness exercises a strong influence on the impulse pattern of the modules. In genetically conditioned left-handedness it is not primarily motoric, but rather neuronal factors which are responsible for the reversal in the direction of writing and mirror-image script. Left-handed children who produce mirror-handwriting can be retrained to write normally by exercises and by assimilating conscious experience.

Aged↗

Hand motor patterns after the correction of left-nondominant-hand mirror writing.

In a previous report, the author studied a left-nondominant-hand mirror writer, postulating that her mirror writing resulted from the failure to reverse the right-hand writing motor patterns when transmitted from the left to the right cerebral hemisphere. In this study, the patient was asked to write in normal fashion with the left hand; the result was a mixture of handwriting motor patterns which included normal letters, letters with reversed direction tracings, letters with one or more than one loop-tracings and illegible letters. The author considers this result to be a further support for the above-proposed hypothesis.

Adult↗

Mirror Writing: Learning, Transfer, and Implications for Internal Inverse Models.

In a study of the effects of practicing mirror writing, the effects of transfer to the nonpracticed hand and to nonpracticed phrases were assessed in 185 students. Large transfer effects were observed. An interpretation of those effects is based on a suggestion that the learning led to the creation of a new internal inverse model (or a modification of a pre-existent model) mapping the space of task variables onto the space of internal variables.

Journal Article↗

[Mirror writing].

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Dominance, Cerebral↗

[Mirror writing].

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Dominance, Cerebral↗