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April 1979

Crossed Aphasia in a Chinese Bilingual Dextral

Author Affiliations

New York Med Coll
Hosp Roosevelt Island New York, NY 10017
150-27 78th Rd Flushing, NY 11367

Arch Neurol. 1979;36(4):253. doi:10.1001/archneur.1979.00500400107023

To the Editor.—  With reference to our article, "Crossed Aphasia in a Chinese Bilingual Dextral" (Arch Neurol 34:766, 1977), we have recently examined a second case. We believe that a preliminary description at this time would be of interest to the readership of the Archives.

Report of a Case.—  A 72-year-old righthanded bilingual Chinese man had an ictus on March 25, 1978. After regaining consciousness 45 minutes later, he had leftsided hemiparesis, including face and anarthria. This neurologic deficit has persisted until the present time, 55 days later. Sensorimotor and reflex testing showed no abnormalities in the right upper and lower limbs. Electroencephalogram showed right frontotemporal delta focus with normal rhythms from left leads. Computerized tomography scan showed a localized hemorrhagic infarction in the right frontotemporal area. Dynamic and static isotope scans confirmed the presence of a lesion in the distribution of right middle cerebral artery.Speech-language testing in Chinese

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