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It is theorized that alien hand syndrome results when disconnection occurs between different parts of the brain that are engaged in different aspects of the control of bodily movement.
As a result, different regions of the brain are able to command bodily movements, but cannot generate a conscious feeling of self-control over these movements.
As a result, the " sense of agency " that is normally associated with voluntary movement is impaired or lost.
There is a dissociation between the process associated with the actual execution of the physical movements of the limb and the process that produces an internal sense of voluntary control over the movements, with this latter process thus normally creating the internal conscious sensation that the movements are being internally initiated, controlled and produced by an active self.

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