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NEUROLOGY 1986;36:1015
© 1986 American Academy of Neurology

Infarcts of the inferior division of the right middle cerebral artery

Mirror image of Wernicke's aphasia

L. R. Caplan, M. Kelly, C. S. Kase, D. B. Hier, J. L. White, T. Tatemichi, J. Mohr, T. Price and P. Wolf

Department of Neurology, Michael Reese Hospital (Drs. Caplan, Kelly, and Hier); the Department of Neurology, Boston University School of Medicine (Drs. Kase and Wolf); the Department of Neurology, University of Southern Alabama (Dr. White); the Department of Neurology, Columbia University (Drs. Tatemichi and Mohr); and the Department of Neurology, University of Maryland, and the Stroke Data Bank (Dr. Price).

We searched the Stroke Data Bank and personal files to find patients with CT-documented infarcts in the territory of the inferior division of the right middle cerebral artery. The most common findings among the 10 patients were left hemianopia (9), left visual neglect (9), and constructional apraxia (4 of 5 tested). Five patients had an agitated confusional state that was characterized by hyperactivity, restlessness, and easy distractibility. Motor and sensory abnormalities were not severe or persistent. The most common cause was cardiogenic embolism.

Address correspondence and reprint requests to Dr. Caplan, New England Medical Center Hospital, Box 314, 171 Harrison Avenue, Boston, MA 02111.

Supported by NIH Contract No. N01-NS-2-2399.

Accepted for publication December 18, 1985.




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