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Aphasia after left hemispheric intracerebral hemorrhage

Department of Neurology, Boston University School of Medicine and Boston Veterans Administration Medical Center (Drs. Alexander and LoVerme) and Braintree Rehabilitation Hospital (Dr. Alexander), Boston, MA.

The function of subcortical nuclear structures in language is uncertain, and language disorders after injury to these structures are described incompletely. We report 15 patients with left putaminal or thalamic hemorrhage, describe the range of language and behavioral disorders produced, and review the potential mechanisms of these disorders. Clinicoanatomic correlations revealed no definite differences between aphasia after hemorrhage in putamen or in thalamus.

Address correspondence and reprint requests to Dr. Alexander, Aphasia Research Center, Boston VAMC, 150 S. Huntington Avenue, Boston, MA 02130.

Accepted for publication January 7, 1980.

Presented at the thirty-first annual meeting of the American Academy of Neurology, Chicago, IL, April 1979.

Supported in part by PHS Research Fellowship Award No. 1 F32 AA05077–01 (Dr. LoVerme).

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