Crossed aphasia with left spatial neglect and visual imperception: a case report View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2003-02

AUTHORS

B. Paghera, P. Mariën, L.A. Vignolo

ABSTRACT

A 64-year-old right-handed woman with no left-handers in the family developed aphasia associated with moderate left hemiparesis and dense left homonymous hemianopia following rupture of a right middle cerebral artery aneurysm and subsequent selective surgery confined to the right hemisphere. Severe left spatial neglect and constructional apraxia were also present. The patient was an achondroplasic dwarf whose previous medical and neurological history was otherwise unremarkable. Computed tomography of the brain showed a large right temporo-insulofrontoparietal lesion. Language and nonverbal cognitive functions were assessed after 2 and 6 months, and then four years later. A reportedly overall language disruption in the acute period evolved into Wernicke's aphasia and then into a mild form of conduction aphasia. The associated left spatial neglect eventually shrank to a minimum. The patient never had clinically detectable visual agnosia, but on specific tests of visual recognition and perception some impairment was found four years after onset. The left hemiparesis disappeared in time while the left hemianopia persisted. This case is a convincing example of an entirely righthanded person in whom both linguistic and visuospatial functions are represented in the right hemisphere. More... »

PAGES

317-322

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s100720300008

DOI

http://dx.doi.org/10.1007/s100720300008

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1033384431

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/12624720


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