Bimanual co-ordination in callosal agenesis and partial commissurotomy.

Studies [Preilowski, B.F.B. in Cerebral Localization, pp. 116-131, Springer, Berlin, 1975; Reynolds, D.M. and Jeeves, M.A. Neuropsychologia 12, 287-290, 1974] of bilateral motor coordination in commissurotomy patients pointed to the importance of direct interhemispheric integration for the fine regulation of the lower motor system within each hemisphere. When external visual feedback was withdrawn in the performance of a bimanual tracking task, partial commissurotomy patients, in whom the anterior portions of the callosum were cut, deviated significantly when drawing lines which required asymmetrical input from the two hands. The task devised by Preilowski was given to two adult acallosals, an 11 yr old acallosal boy, and an 11 yr old girl in whom the centre one-third of the corpus callosum had been sectioned. The acallosals performed in a manner similar to Preilowski's partial commissurotomy patients. The results were interpreted as confirming the interhemispheric integrative function of the corpus callosum. It is argued that they constitute further evidence for the existence of hemispheric dominance for motor control in acallosals. The partial commissurotomy patient did not differ in performance from normals. Her results were consistent with the view that it is the anterior parts of the callosum which are crucial for the interhemispheric integration of the lower motor system in each hemisphere.