This paper presents a case study of a 52-year-old right-handed Thai patient with clinical and pathoanatomic evidence of major infarction in the left frontal lobe. He was studied at 4½ years poststroke with a Thai adaptation of the Boston Diagnostic Aphasia Exam and supplementary tests. His language characteristics included nonfluent spontaneous speech, good repetition and near-normal auditory language comprehension, similar to the syndrome called "transcortical motor aphasia." The underlying mechanism of this particular language disturbance is reviewed. It is suggested that this patient's case profile matches one of Goldstein's (1948) two types of transcortical motor aphasia.
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References
1.
Alajouanine, T., Castaigne, P., Sabouraud, O. and Contamin, F. ( 1959). Palilalie paroxystique et vocalisations itératives au cours de crises épileptiques par lésion intéressant l'aire motrice supplementaire. Revue Neurologique, 101,685-697.
2.
Albert, M.L., Goodglass, H., Helm, N.A., Rubens, A.B. and Alexander, M.P. ( 1981). Clinical Aspects of Dysphasia (New York).
3.
Alexander, M.P. and Schmitt, M.A. ( 1980). The aphasia syndrome of stroke in the left anterior cerebral artery territory. Archives of Neurology, 37, 97-100.
4.
Benson, D.F. ( 1979). Aphasia, Alexia, and Agraphia (New York).
5.
Benson, D.F. and Geschwind N. (1971). The aphasias and related disturbances. In A.B. Baker and L.H. Baker (eds.), Clinical Neurology (New York), pp. 1-25.
6.
Botez, M.I. and Barbeau, A. ( 1971). Role of subcortical structures, and particularly of the thalamus, in the mechanism of speech and language. International Journal of Neurology, 8, 300-320.
7.
Brickner, R.M. ( 1940). A human cortical area producing repetitive phenomena when stimulated. Journal of Neurophysiology, 3, 128-130.
8.
Buckingham, Jr., H.W., Whitaker,H. and Whitaker, H.A. ( 1979). On linguistic perseveration. In H. Whitaker and H.A. Whitaker (eds.), Studies in Neurolinguistics, voL 4 (New York) , pp. 329-352.
9.
Critchley, M. ( 1930). The anterior cerebral artery and its syndromes . Brain, 53, 120-165.
10.
Fischer, C.M. ( 1975). The anatomy and pathology of the cerebral vasculature . In J.S. Meyer (ed.), Modern Concepts of Cerebrovascular Disease (New York).
11.
Gandour, J. ( 1981). A diagnostic aphasia examination for Thai. Siriraj Hospital Gazette (Bangkok), 33.6, 403-408. Reprinted in Linguistics of the Tibeto-Burman Area (in press).
12.
Gandour, J., Dardarananda, R., Buckingham, Jr., H.W. and Viriyavejakul, A. (forthcoming). A Thai Adaptation of the Boston Diagnostic Aphasia Exam, Current Inquiry into Language and Linguistics Monograph Series (Edmonton, Alberta) .
13.
Goldstein, K. ( 1948). Language and Language Disorders (New York).
14.
Goodglass, H. and Kaplan, E. ( 1972). The Assessment of Aphasia and Related Disorders (Philadelphia) .
15.
Hudson, A. ( 1968). Perseveration. Brain, 91, 571-582.
16.
Kertesz, A. ( 1979). Aphasia and Associated Disorders: Taxonomy, Localization, and Recovery (New York).
17.
KERTESZ, A. and MCCABE, P. (1977). Recovery patterns and prognosis in aphasia. Brain, 100, 1-18. KINSBOURNE, M. (1972). Behavioral analysis of the repetition deficit in conduction aphasia. Neurology, 22, 1126-1132.
18.
Lichtheim, L. ( 1885). On aphasia. Brain, 7, 433-484.
19.
Luria, A.R. and Tsvetkova, L.S. ( 1968). The mechanism of "dynamic aphasia." Foundations of Language, 4, 296-307.
20.
Masdeu, J.C., Schoene, W.C. and Funkenstein, H. ( 1978). Aphasia following infarction of the left supplementary motor area, a clinicopathologic study. Neurology, 28, 1220-1223.
21.
Milner, B. ( 1967). Brain mechanisms suggested by studies of temporal lobes . In C.H. Millikan and F.A. Darley (eds.), Brain Mechanisms Underlying Speech and Language (New York), pp. 122-145.
22.
Rubens, A.B. ( 1975). Aphasia with infarction in the territory of the anterior cerebral artery. Cortex, 11, 239-250.
23.
Rubens, A.B. ( 1976). Transcortical motor aphasia. In H. Whitaker and H.A. Whitaker (eds.), Studies in Neurolinguistics, vol. 1 (New York) , pp. 293-303.
24.
Strub, R.L. and Gardner, H. ( 1974). The repetition deficit in conduction aphasia: mnestic or linguistic? Brain and Language, 1, 241-255.
25.
Von Stockert, T.R. ( 1974). Aphasia sine aphasia. Brain and Language , 1, 277-282.
26.
Warrington, E.K. and Shallice, T. ( 1969). The selective impairment of auditory verbal short-term memory. Brain, 92, 885-896.
