Crossed anomic aphasia: mild naming deficits following right brain damage in a dextral patient

Cortex. 1991 Sep;27(3):459-68. doi: 10.1016/s0010-9452(13)80042-1.

Abstract

A detailed case study is reported of crossed aphasia (CA) in a dextral patient, bearing upon such controversial issues as intrahemispheric localisation of language function and hemispheric reversal of nonverbal function. DA, a man aged 37, developed a mild naming problem due to right temporal lobe haematoma. Apart from a mild acquired stutter, his continuous speech was fluent and had a normal proportion of open to closed class lexical items. His naming deficit appears to originate in the 'blocking' or 'disconnection' of the phonological lexicon: he could usually give a functional definition of un-named items and retrieve them with the help of a phonemic cue. Lexical retrieval appears his only language deficit, as he had no comprehension or phonological discrimination deficits. DA showed no visuo-spatial or auditory-nonverbal deficits, suggesting the complete reversal of hemispheric specialisation.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anomia / diagnosis
  • Anomia / physiopathology*
  • Anomia / psychology
  • Aphasia / diagnosis
  • Aphasia / physiopathology*
  • Aphasia / psychology
  • Attention / physiology
  • Brain Damage, Chronic / diagnosis
  • Brain Damage, Chronic / physiopathology*
  • Brain Damage, Chronic / psychology
  • Brain Mapping
  • Cerebral Hemorrhage / physiopathology
  • Cerebral Hemorrhage / surgery
  • Dominance, Cerebral / physiology*
  • Functional Laterality / physiology*
  • Humans
  • Intracranial Arteriovenous Malformations / physiopathology
  • Intracranial Arteriovenous Malformations / surgery
  • Male
  • Neuropsychological Tests
  • Paired-Associate Learning / physiology
  • Postoperative Complications / diagnosis
  • Postoperative Complications / physiopathology
  • Postoperative Complications / psychology
  • Psychomotor Performance / physiology
  • Verbal Learning / physiology