A longitudinal examination of crossed aphasia

Gustavo Rey, Bonnie Levin, R. Rodas, B. C. Bowen, K. Nedd

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Objective: To longitudinaly examine neuropsychological performance in an adult dextral man with crossed aphasia after cerebrovascular accident. Design: Case report using longitudinal neuropsychological, neurological, and radiological examinations performed in close temporal proximity to one another. Setting: The patient was seen on both an inpatient and an outpatient basis by members of the Departments of Neurology and Radiology of the University of Miami (Fla) School of Medicine. Patient: Thirty-four-year-old right-handed monolingual Hispanic man without family history of left- handedness. Results: Initial neuropsychological testing revealed classic Broca's dysphasia, visual neglect, and visuospatial disturbances. The visuospatial disturbance resolved within 6 months whereas expressive language remained severely impaired. There was a dissociation between praxis and language. Mood was jovial with indifference toward his neurologic and cognitive limitations. Serial magnetic resonance imaging studies unequivocally localized the lesions to the right hemisphere, involving the right frontal, anterior parietal, and subcortical white matter. Conclusions: The clinicoanatomic correlation is compatible with the view that crossed aphasia is a 'mirror' representation of that seen in cases of uncrossed aphasia. The course of recovery suggests complete lateralization of language to the right hemisphere with bilateral or crossed representation of nonverbal skills.

Original languageEnglish
Pages (from-to)95-100
Number of pages6
JournalArchives of Neurology
Volume51
Issue number1
StatePublished - Jan 1 1994

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Aphasia
Language
Broca Aphasia
Functional Laterality
Neurologic Examination
Neurology
Hispanic Americans
Radiology
Nervous System
Inpatients
Outpatients
Stroke
Magnetic Resonance Imaging
Medicine
Crossed Aphasia
Right Hemisphere
Expressive Language
Broca
Recovery
Proximity

ASJC Scopus subject areas

  • Neuroscience(all)

Cite this

Rey, G., Levin, B., Rodas, R., Bowen, B. C., & Nedd, K. (1994). A longitudinal examination of crossed aphasia. Archives of Neurology, 51(1), 95-100.

A longitudinal examination of crossed aphasia. / Rey, Gustavo; Levin, Bonnie; Rodas, R.; Bowen, B. C.; Nedd, K.

In: Archives of Neurology, Vol. 51, No. 1, 01.01.1994, p. 95-100.

Research output: Contribution to journalArticle

Rey, G, Levin, B, Rodas, R, Bowen, BC & Nedd, K 1994, 'A longitudinal examination of crossed aphasia', Archives of Neurology, vol. 51, no. 1, pp. 95-100.
Rey G, Levin B, Rodas R, Bowen BC, Nedd K. A longitudinal examination of crossed aphasia. Archives of Neurology. 1994 Jan 1;51(1):95-100.
Rey, Gustavo ; Levin, Bonnie ; Rodas, R. ; Bowen, B. C. ; Nedd, K. / A longitudinal examination of crossed aphasia. In: Archives of Neurology. 1994 ; Vol. 51, No. 1. pp. 95-100.
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