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Article
July 1991

Broca's Aphasia Following Damage to Wernicke's AreaFor or Against 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.

Arch Neurol. 1991;48(7):766-768. doi:10.1001/archneur.1991.00530190114023
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.

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