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From the Aphasia Research Center, Departments of Neurology and Audiology/Speech Pathology, Boston University Medical School and Boston Veterans Administration Medical Canter, Boston, MA.
Selected features of aphasia may reflect disruption of specific neurotransmitter systems. Pharmacotherapy focused on these aphasic symptoms may improve language performance following stroke. We attempted to restore speech fluency in a patient with long-standing transcortical motor aphasia by treating his symptoms of hesitancy and impaired initiation of speech with bromocriptine. During therapy his language performance improved substantially, due to reduced latency of response, decreased paraphasias, and increased naming ability. After cessation of drug therapy his language returned to baseline.
Address correspondence and reprint requests to Dr. Albert, Boston VA Medical Center, 150 South Huntington Avenue, Boston, MA 02130.
Supported in part by the Veterans Administration Medical Research Service, NIH Program Project #NS06209, and the Seidel Fund for Research on Dementia.
Received July 22, 1987. Accepted for publication in final form October 13, 1987.
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