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Respiratory Inhibitory Apraxia

Published online by Cambridge University Press:  18 September 2015

E.A. Atack  and
Leslie Suranyi
E.A. Atack*
Affiliation:
Ottawa Civic Hospital
Leslie Suranyi
Affiliation:
Ottawa Civic Hospital
*
303-1081 Carling Ave., Ottawa, Canada K1Y 4G2
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Summary:

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Ten patients have been described showing inability to stop breathing on command, spontaneous respiration and voluntary respiratory stimulation being unaffected. This abnormality not previously described in the literature, we feel should be named respiratory inhibitory apraxia (R.I.A.). The anatomical organization of respiration is briefly reviewed. R.I.A. is often associated with other forms of apraxia or motor impersistence. It is thought that the urinary and bowel incontinence present in some of these cases might also represent a form of inhibitory apraxia. Information is presented which supports the view that respiratory inhibitory apraxia is due to a minor hemisphere lesion, usually deepseated. Our one autopsied case showed a lesion in the descending motor pathways in the internal capsule, in middle cerebral artery branch territory, disconnecting the voluntary respiratory inhibitory center in the cortex in anterior and middle cerebral cortical branch territories.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 2 , Issue 1 , February 1975 , pp. 37 - 43
Copyright
Copyright © Canadian Neurological Sciences Federation 1975

References

Andrew, T. and Nathan, P.W. (1964). Lesions of the Anterior Frontal Lobes and Disturbances of Micturition and Defecation. Brain, 87: 233.Google Scholar
Hebertson, W.M.Richardson, E.P. and Currens, J.H.etal (1959). Cheyne-Stokes Respiration, in Proceedings of the 6th International Conference, Brussels. London Perganon Press, pages 445–446.Google Scholar
Hebertson, W.M.Talbert, O.R.Cohen, M.C. (1959). Respiratory Apraxia and Anosognosia. Transactions of the American Neurological Association, pg. 176–179.Google Scholar
Kaada, B.A. (1971 reprint), Cingulate, Posterior Orbital Anterior Insular and Temporal Pole Cortex. Chapter LV in Neurophysiology, Volume 2. The Williams & Wilkans Co., John Field, Editor. Baltimore.Google Scholar
Mitchell, R.A. (1972). Control of Respiration. Chapter 6 in Pathophysiology. Frolich, E.D.Lippincott Company.Google Scholar
Oberholzer, R.T.H.Togani, W.O. (1971 reprint). The Neural Control of Respiration. Chapter XLIII in Neurophysiology, Volume 2. The Williams & Wilkans Co., John Field, Editor. Baltimore.Google Scholar
Ojemann, G.A. and Van Buren, J.M. (1967). Respiratory, Heart Rate and GSR responses from Human Diencephalon. Archives of Neurology 16: 74–88.Google Scholar
Plum, F. (1970). Neurologic Integration of Behavioural and Metabolic Control of Respiration. Hering-Brewer Centenary Symposium, Breathing. page 150–181. Edited by Porter, R., Churchill, London.Google Scholar
Severinphaus, T.W.Mitchell, R.A. (1962). Ondine’s Curse. Clinical Research 10: 122.Google Scholar
Siegfield, T.Weisendanger, M. (1967). Respiratory Alterations produced by Thalamic Stimulation during Stereotaxic Operation. Confinia Neurologica, 29, 220–223.Google Scholar
Wang, S.C.Ngai, S.H. (1964). General Organization of Central Respiratory Mechanisms. Handbook of Physiology, Respiration Volume 1.Google Scholar