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

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Summary

Introduction

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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