Abstract

Callosal lesions, associated or not to internal frontal lesions, may produce different types of complex gestual behaviors. Four signs can be identified, each of which has been generally reported separately: the 'alien hand' sign, the 'diagonistic apraxia', the 'wayward hand' and the 'callosal apraxia'. Some authors justify considering these signs as different entities, while others propose regrouping them either in an unique syndrome the 'alien hand'- or as two syndromes the 'frontal alien hand' and the 'callosal alien hand'. We present the observation of a patient who presented with the four mentioned syndromes in association. In this context, we review the clinical features of each of the four signs and the arguments supporting their individualization.