Abstract
Mirror writing, its occurrence in famous people, mechanisms, and pathophysiology, are discussed by a neurologist at the National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Highlights
Writing movements of the right hand, when switched to the left, result in mirror writing, a normal but suppressed phenomenon that is released by certain lesions
One unifying feature of mirror writing is the fact that it is almost always executed with the left hand
The following case report summarized from a book on dyslexia is an unusual example of mirror writing with sudden and unexplained onset in a right-handed schoolboy, its persistence for approximately 6 months, association with subtle neurologic abnormalities, dyscalculia, reading and spelling disabilities, and a sudden and complete remission immediately following recovery from head trauma with symptoms of concussion
Summary
Acquired mirror writing occurs most commonly following cerebrovascular lesions, usually in the left hemisphere and accompanying a right hemiplegia. Writing movements of the right hand, when switched to the left, result in mirror writing, a normal but suppressed phenomenon that is released by certain lesions. A neurologist specializing in reading disabilities, emphasized the tendency to mirror writing in children with dyslexia. Other hypotheses include a right-left spatial disorientation, and the implication of thalamic mechanisms in patients with essential tremor and Parkinsonism, and cerebellar disease.
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