Pure motor aphasia: An uncommon presentation of left middle cerebral artery territory infarct

Abstract

Middle cerebral artery (MCA) occlusion commonly causes sensory and motor deficits on contralateral side of the body. Aphasia is a common consequence of left hemispheric lesion with a prevalence of one-third of all stroke patients in acute phase. The course and outcome of aphasia depend greatly on the type of aphasia and as in present case, the conservative management including early intensive speech therapy results in spontaneous recovery in speech functions. We report a 35 year old male patient presented with sudden onset of speech abnormality in the form of lack of clarity three days without any improvement or deterioration.