Hoei Takashi, Etoh Seiji, Kawamura Kentaro, Hanaya Ryosuke, Shimodozono Megumi
Division of Rehabilitation, Kagoshima University Hospital, Japan.
Department of Rehabilitation and Physical Medicine, Kagoshima University Graduate School of Medical and Dental Sciences, Japan.
Intern Med. 2025 Aug 7. doi: 10.2169/internalmedicine.4981-24.
We herein report a 16-year-old boy who presented with limb-kinetic apraxia, which was presumed to be an impairment of sensorimotor integration due to brain damage localized to the central region after head trauma. The patient's basic sensory and motor functions were also preserved. However, deficits were noted in two-point discrimination (a higher-order sensory function), material identification, and three-dimensional geometric figure identification: sensorimotor tests that include active touch (a function of sensorimotor integration). The present case suggests that a thorough neurological examination from the perspective of sensorimotor integration is important to understand the pathology of limb-kinetic apraxia.
