Abstract
Expressive (non-fluent) aphasia is commonly attributed lesions involving the dominant posterior inferior frontal cortex which includes the Broca’s area. Horizontal gaze palsies are mainly due to lesions either in the contralateral frontal cortex or the ipsilateral pons. A gaze palsy with ipsilateral paraparesis is usually due to a lesion in the frontal eye field. Gaze palsies are not described in subcortical infarcts whereas subcortical aphasia is a field under evaluation. We describe a case of acute ischaemic stroke involving the right internal capsule and the globus pallidum which resulted in left hemiparesis, left gaze palsy and expressive aphasia.
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