Macrography

Examination of his handwriting shows an alternation of macrography with micrography, and to this much importance is attributed, not only because this state is often present in epileptics, but because it is associated with impulse and with double personality.

Thus, according to various functional and organic abnormalities that can be installed, the writing disorders can be classified into the following categoriesⁱ: writing rhythm (increased rhythm or graphorrhea, vs. low rate); graphic morphology disorders (micrography, macrography, seismic handwriting), impaired semantic graphical forms (Schizophrenia handwriting, hermetic writing, doodles).

In HD patients, the main pathological motor symptoms are involuntary movements (chorea), difficulties with beginning voluntary movements (akinesia), or slowing down of movements (bradykinesia): they cause the patient’s many different problems, inter alia hyperkinetic dysarthria and writing difficulties manifested in shapeless, sharply defined letters, and in macrography (handwriting is too large or gradually increases in the course of writing), which occurs when chorea is stronger than bradykinesia

The handwriting of the study participants was seen to be larger and occupy a larger space in the manic period. […] While a reduced dopamine level leads to micrography (17), we suggest that the increased level of dopamine seen in mania could cause macrography.

We also found that the strokes in the schizophrenia group were in general longer than the strokes in the control group. This result is consistent with previous studies that report the presence of macrography in schizophrenia