J Korean Acad Rehabil Med.
2007 Dec;31(6):772-775.
Nonfluent Crossed Aphasia after Right Middle Cerebral Artery Infarction: A case report
- Affiliations
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- 1Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. ywkim1@yuhs.ac
Abstract
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Crossed aphasia refers to language disturbance induced by unilateral right hemisphere (non-language dominant) injury in right-handed people who had no previous history of brain damage. Crossed aphasia occurs in less than 2 percent who developed a aphasia. We report a case of a 49-year-old right handed man with language disturbance after right middle cerebral infarction. He showed nonfluent crossed aphasia with Gerstman syndrome such as right-left disorientation, finger agnosia, acalculia and agraphia, but not with apraxia and neglect. At 7 weeks after onset, language function indicated improvement in spontaneous speech and at 19 weeks after onset, improvement in spontaneous speech, comprehension, repetition, naming and reading.