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000136208 0247_ $$2doi$$a10.1093/brain/122.2.351
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000136208 1001_ $$0P:(DE-Juel1)VDB1580$$aStephan, K. M.$$b0
000136208 245__ $$aThe role of ventral medial wall motor areas in bimanual co-ordination.   A combined lesion and activation study
000136208 260__ $$bOxford University Press
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000136208 520__ $$aTwo patients with midline tumours and disturbances of bimanual co-ordination as the presenting symptoms were examined. Both reported difficulties whenever the two hands had to act together simultaneously, whereas they had no problems with unimanual dexterity or the use of both hands sequentially. In the first patient the lesion was confined to the cingulate gyrus; in the second it also invaded the corpus callosum and the supplementary motor area. Kinematic analysis of bimanual in-phase and anti-phase movements revealed an impairment of both the temporal adjustment between the hands and the independence of movements between the two hands. A functional imaging study in six volunteers, who performed the same bimanual in-phase and anti-phase tasks, showed strong activations of midline areas including the cingulate and ventral supplementary motor area. The prominent activation of the ventral medial wall motor areas in the volunteers in conjunction with the bimanual co-ordination disorder in the two patients with lesions compromising their function is evidence for their pivotal role in bimanual co-ordination.
000136208 542__ $$lCopyright:  Oxford University Press 
This is an electronic version of an article published in  Brain (1999) 122, 351-368.
The final publication is available at http://brain.oxfordjournals.org/content/vol122/issue2/index.dtl
000136208 650_7 $$amedial wall motor areas
000136208 650_7 $$acingulate motor areas
000136208 650_7 $$asupplementary motor area
000136208 650_7 $$aneuroimaging
000136208 7001_ $$aBinkofski, F.$$b1
000136208 7001_ $$0P:(DE-Juel1)VDB3937$$aHalsband, U.$$b2
000136208 7001_ $$aDohle, C.$$b3
000136208 7001_ $$0P:(DE-Juel1)VDB1817$$aWunderlich, G.$$b4
000136208 7001_ $$aSchnitzler, A.$$b5
000136208 7001_ $$0P:(DE-Juel1)131884$$aTass, P.$$b6
000136208 7001_ $$0P:(DE-Juel1)VDB1280$$aPosse, S.$$b7
000136208 7001_ $$aHerzog, H.$$b8
000136208 7001_ $$0P:(DE-Juel1)VDB1606$$aSturm, V.$$b9
000136208 7001_ $$0P:(DE-Juel1)131714$$aZilles, K.$$b10
000136208 7001_ $$0P:(DE-Juel1)VDB1506$$aSeitz, R. J.$$b11
000136208 7001_ $$aFreund, H. -J.$$b12
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