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Aphasia Resulting From Occlusion of the Left Anterior Cerebral ArteryReport of a Case With an Old Infarct in the Left Rolandic Region
Anis Racy, MD;
Frank S. Jannotta, MD;
Leslie H. Lehner, MS
Arch Neurol. 1979;36(4):221-224.
Abstract
A 62-year-old right-handed woman was admitted to the hospital with a cerebrovascular accident in the left hemisphere. She was aphasic as well as hemiplegic on the right. She had had a left cerebrovascular accident 18 years earlier that caused weakness in the right hand, but no grossly detectable speech problems. Autopsy disclosed an old infarct along the left Rolandic area, and a recent infarct in the territory of the left anterior cerebral artery. The clinical picture and pathologic changes are discussed in an attempt to relate the findings at autopsy to the recently developed aphasia.
Author Affiliations
From the Departments of Neurology (Dr Racy) and Pathology (Dr Jannotta) and the Division of Rehabilitation, Department of Medicine (Ms Lehner), George Washington University Medical Center, Washington, DC.
Footnotes
Accepted for publication May 17, 1978.
Reprint requests to Department of Neurology, George Washington University Medical School and Health Center, 2150 Pennsylvania Ave NW, Washington, DC 20037 (Dr Racy).
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