Abstract

The behavioral effects of left thalamic hemorrhage are reported in two living cases, reviewed in four autopsied cases derived from a 15 year retrospective review of 16,000 autopsies, and compared with autopsied cases reported in the literature. An unusual fluctuating state is described. When rendered fully alert, the patients appeared virtually intact in language function, including intact repeating from dictation, but quickly lapsed into a state of unwonted logorrheic paraphasia resembling delirium. The state appeared sufficiently unusual to warrant description as an entity separate from traditional aphasic syndromes.

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