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Preserved oral reading in Wernicke's aphasia

Veterans Administration Medical Center and the Department of Neurology, University of Miami School of Medicine (Dr. Sevush), Miami, FL, Department of Medicine/Neurology, Milton S. Hershey Medical Center (Dr. Roeltgen), Hershey, PA, Veterans Administration Medical Center (MS. Campanella), Minneapolis, MN, and the Department of Neurology, College of Medicine, University of Florida, and Veterans Administration Medical Center (Dr. Heilman), Gainesvitle. FL.

In two patients with Wernicke's aphasia, both oral reading and reading comprehension were relatively preserved despite total destruction of Wernicke's area. The pattern of oral reading suggested an intact ability to derive phonology directly from print; the pattern of reading comprehension implied at least partial ability to interpret syntactic constructions. These features are not readily compatible with current notions of right hemisphere function and may suggest that undamaged left hemisphere structures mediated residual reading in these patients.

Address correspondence and reprint requests to Dr. Sevush, Neurology Service (127A), Veterans Administration Medical Center, 1201 NW 16th St., Miami, FL 33125.

Supported by the Medical Research Service of the Veterans Administration and by the National Institutes of Health, Grants Nos. NS-06646 and NS-15229.

This study was presented in part at the thirty-fourth annual meeting of the American Academy of Neurology, Washington, DC, April 1982.

Accepted for publication November 8, 1982.

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