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NEUROLOGY 1993;43:1768
© 1993 American Academy of Neurology

Disruption of automatic speech following a right basal ganglia lesion

Lynn J. Speedie, PhD, Eliahu Wertman, MD, Judy Ta'ir, MA and Kenneth M. Heilman, MD

Herzog Memorial Hospital (Drs. Speedie and Wertman and J. Ta'ir) and the Department of Neurology (Dr. Wertman), Hadassah Medical School, Hebrew University, Jerusalem, Israel; and the Center for Neurological Studies and the Department of Neurology (Dr. Heilman), the University of Florida, College of Medicine and the Veterans Affairs Medical Center, Gainesville, FL.

Following a right basal ganglia lesion, a right-handed man, age 75, was unable to recite familiar verses. Serial automatic speech, singing, recitation of rhymes, and swearing were impaired, and only idioms and social greetings were preserved. Speech no longer contained overused phrases and he could comprehend automatic speech. In contrast, propositional speech was preserved in both French and Hebrew. Right basal ganglia lesions may impair production but not comprehension of automatic speech.

Address correspondence and reprint requests to Dr. Kenneth M. Heilman, P.O. Box 100236, JHMHC, University of Florida, Gainesville, FL 32610-0236.

Supported in part by the Medical Research Service of the Department of Veterans Affairs.

Presented in part at the 19th annual meeting of the International Neuropsycholgical Society, San Antonio, TX, February 16, 1991.

Received August 24, 1992. Accepted for publication in final form January 22, 1993.




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