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Hemianesthesia and Aphasia: An Anatomical and Behavioral Study
Journal article   Peer reviewed

Hemianesthesia and Aphasia: An Anatomical and Behavioral Study

Bradley T Hyman and Daniel Tranel
Archives of neurology (Chicago), Vol.46(7), pp.816-819
07/01/1989
DOI: 10.1001/archneur.1989.00520430112026
PMID: 2742553

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Abstract

A 61-year-old right-handed man with a history of lacunar cerebrovascular disease and hypertension had the sudden onset of right-sided numbness and difficulty speaking. Neurologic evaluation revealed a dense right hemianesthesia that included the face, trunk, arm, and leg. Neuropsychological examination documented a conduction aphasia, which resolved nearly completely several months later. Computed tomographic and magnetic resonance imaging studies showed a lesion in the left hemisphere that involved the posterior insula and disrupted thalamocortical connections but entirely spared the thalamus proper. We suggest that the combination of hemianesthesia and aphasia indicates a white matter lesion subjacent to inferior parietal and posterior temporal cortices.

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