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Crossed aphasia. I: A case-study with purely deep lesion
M Laiacona1, C Stangalino1, L Lorenzi1
1Neuropsychology Unit, Neurology Department, Salvatore Maugeri Clinica del Lavoro Foundation, Medical Centre of Rehabilitation, Veruno (NO), Italy.
A right thalamic hemorrhage caused subcortical aphasia in a patient, leading to acalculia and impaired affective language. This case highlights right hemisphere involvement in language processing.
Area of Science:
- Neuroscience
- Neurology
- Cognitive Science
Background:
- Right thalamic hemorrhage is a rare cause of neurological deficits.
- Understanding the role of the right hemisphere in language is crucial.
Purpose of the Study:
- To report a unique case of subcortical aphasia following a right thalamic hemorrhage.
- To investigate the specific language and cognitive deficits associated with right thalamic lesions.
Main Methods:
- Case study of a right-handed male patient (MR) with right thalamic hemorrhage.
- Clinical assessment of language, calculation, praxis, and visuospatial functions.
Main Results:
- The patient presented with subcortical aphasia, characterized by acalculia but not apraxia.
- Impairments in affective language, unilateral neglect, and a strong position preference were observed, functions typically associated with the right hemisphere.
Conclusions:
- This case suggests a significant role of the right thalamus and associated structures in subcortical aphasia.
- The findings challenge traditional models of hemispheric lateralization for language functions, indicating right hemisphere contributions to aspects of language processing and spatial cognition.
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