Aphasia resulting from occlusion of the left anterior cerebral artery. Report of a case with an old infarct in the left Rolandic region
A. Racy, F. S. Jannotta and L. H. Lehner
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.