Abstract

The neuropsychological assessments of a patient with language disturbance following left thalamic-putaminal hemorrhage over a 2 1 2 - year period are presented together with premorbid measures of performance. Findings indicate that behavioral deficits which are both linguistic and nonlinguistic in nature differ from cortical aphasic syndromes in symptomatology and recovery course. The deficit pattern is also unlike that in other reported cases of left-subcortical lesions. Persistent dysarthria with fluent speech, limitation of verbal span and repetition, agraphia and anomia, and disturbances in self-regulation of behavior were noted, in addition to recovery of an initially severe auditory comprehension deficit. A distinguishing feature of this case was the relative preservation of reading comprehension in all four assessments.

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