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Neurology 2002;59:441-442
© 2002 American Academy of Neurology
Brief Communications

Dissociated crossed aphasia: A challenging language representation disorder

Konstantinos Paparounas, MD, PhD, Dimitrios Eftaxias, MD and Nikolaos Akritidis, MD

From the Departments of Neurology (Dr. Paparounas) and Internal Medicine (Drs. Eftaxias, and Akritidis), Hatzikosta General Hospital of Ioannina, Ioannina, Greece.

Address correspondence and reprint requests to Dr. Konstantinos E. Paparounas, Department of Internal Medicine, Hatzikosta General Hospital of Ioannina, Makrygianni Avenue 45001, Ioannina, Greece; e-mail: kostpap{at}otenet.gr

A monolingual strongly right-handed woman developed a left hemiparesis and severe motor aphasia following a right middle cerebral artery infraction, whereas comprehension was entirely intact. She had a history of a transient cerebrovascular event characterized by right hemiparesis and fluent sensory aphasia. This case suggests a transhemispheric pattern of language organization in which the Broca area resides in the right hemisphere, whereas the Wernicke area is in the left.




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