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Patient With Crossed Aphasia Undergoing Long-Term Speech Therapy: A Case Report.
Tae-Hwan Kim1, Myeong-Kwon Yoon1, Seung-Gue Choi1
1Department of Physical Medicine and Rehabilitation and Medical Device Clinical Trial Center, Presbyterian Medical Center, Jeonju, Korea.
Brain & Neurorehabilitation
|December 4, 2023
Summary
Crossed aphasia (CA) is a rare condition affecting the same side of the brain as the dominant hand. This report details a 6-year speech therapy case, the first in Korea, showing initial language recovery followed by a plateau.
Area of Science:
- Neurology
- Speech-Language Pathology
Background:
- Crossed aphasia (CA) is a rare neurological condition resulting from lesions affecting the cerebral hemisphere contralateral to the dominant hand.
- The etiology involves damage to brain regions typically not associated with language processing in right-handed individuals.
Observation:
- A 57-year-old right-handed male presented with global aphasia, right-left disorientation, and agraphia following an acute infarction in the right middle cerebral artery territory.
- This case represents the first documented instance of a 6-year long-term speech therapy intervention for crossed aphasia in Korea.
Findings:
- The patient exhibited initial language function recovery within the first six months of speech therapy.
- Following this initial improvement, the patient's language function reached a plateau, indicating limited long-term gains beyond the initial recovery phase.
Implications:
- This case highlights the potential for early language recovery in crossed aphasia, even with atypical lesion locations.
- The observed plateau suggests the need for further research into sustained therapeutic strategies and prognostic factors for crossed aphasia.
- This long-term case study provides valuable insights for clinicians managing rare aphasia subtypes and contributes to the understanding of neuroplasticity in crossed aphasia.
