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For or Against Traditional Aphasiology?

Kirk R. Daffner, MD; Donald L. Schomer, MD; G. Rees Cosgrove, MD; Nan Rubin, MS; M. Marsel Mesulam, MD

Arch Neurol. 1991;48(7):766-768.

Abstract
• Classic aphasiology has been challenged by studies that have employed cranial computed tomography to test predicted anatomic-behavioral correlations. We treated a patient who developed a classic Broca's aphasia but whose computed tomographic scan revealed damage to Wernicke's area, thus seeming to contradict the principles of traditional aphasiology. However, subsequent information obtained by magnetic resonance imaging, intracarotid amobarbital (Amytal) testing, and electrophysiologic studies, including cortical stimulation, demonstrated that the brain-behavior correlations in this patient can be understood in terms of the formulations of traditional aphasiology.

Author Affiliations
From the Behavioral Neurology Unit (Drs Daffner and Mesulam and Ms Rubin), the Department of Neurology (Dr Schomer), and the Department of Neurosurgery (Dr Cosgrove), Beth Israel Hospital, Boston, Mass. Dr Cosgrove is now with the University of Virginia Health Sciences Center, Charlottesville.

Footnotes
Accepted for publication December21, 1991.

Reprint requests to the Behavioral Neurology Unit, Beth Israel Hospital, 330 Brookline Ave, Boston, MA 02215 (Dr Daffner).

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