A case report on crossed aphasia in dextrals: Consideration about clinical features and neural network

We described a case of a patient affected by an aphasic syndrome following cerebral hemorrhage located in right hemisphere. Diagnosis: Considering the correlation between clinical data and instrumental investigations such as magnetic resonance imaging, we diagnose the patient with non-fluent aphasia. Specifically, the patient came to our attention showing a trans-cortical mixed aphasia that, later, developed in a trans-cortical motor aphasia. Contrary to most cases of CAD, our patient does not show apraxia and visuo-spatial neglect. Interventions language and visual attention when latter functions are related to right hemisphere. Interventions: The rehabilitation program consisted in exercises stimulating verbal fluency, comprehension, reading, and writing. Outcomes: After 5 months of rehabilitation patient showed significant improvement in comprehension and absence of echolalia. Lessons: At present there is no agreement about pathogenesis of CAD and neural mechanism is still unclear. Considering the clinical symptomatology, we can argue that we observed a non-fluent aphasia. However, a more large sample should be studied to asses the role of brain circuits.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research