HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Correspondence: Submit a response Alert me when this article is cited Alert me when Correspondence are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Legatt, A. D. Articles by Brust, J.C.M. Search for Related Content PubMed PubMed Citation Articles by Legatt, A. D. Articles by Brust, J.C.M.

Global aphasia without hemiparesis

Multiple etiologies

Department of Neurology, Neurological Institute, Columbia University College of Physicians and Surgeons, and the Department of Neurology, Harlem Hospital Center, New York, NY.

Acute global aphasia without hemiparesis has been considered pathognomonic of embolic stroke. During 1 year, we encountered six patients with this syndrome. Two had multiple strokes, probably embolic. One had atrial fibrillation; at autopsy, there were metastases as well as multiple infarcts in the left hemisphere. One had a single large infarct in the territory of an anterior branch of the middle cerebral artery (MCA), one had subarachnoid hemorrhage of unknown origin, and one had a sylvian fissure hematoma with intraparenchymal extension from a ruptured MCA aneurysm. Nonembolic etiologies are therefore also possible and include conditions that bar anticoagulation.

Address correspondence to Dr. Legatt, Department of Neurology NW-7, Montefiore Medical Center, 111 East 210 Street, Bronx, NY 10467. Address reprint requests to Dr. Brust, Department of Neurology, Harlem Hospital Center, 506 Lenox Avenue, New York. NY 10037.

Received April 9, 1986. Accepted for publication June 6, 1986.

This article has been cited by other articles:

				S. T. Engelter, M. Gostynski, S. Papa, M. Frei, C. Born, V. Ajdacic-Gross, F. Gutzwiller, and P. A. Lyrer Epidemiology of Aphasia Attributable to First Ischemic Stroke: Incidence, Severity, Fluency, Etiology, and Thrombolysis Stroke, June 1, 2006; 37(6): 1379 - 1384. [Abstract] [Full Text] [PDF]

				R. E Hanlon, W. E Lux, and A. W Dromerick Global aphasia without hemiparesis: language profiles and lesion distribution J. Neurol. Neurosurg. Psychiatry, March 1, 1999; 66(3): 365 - 369. [Abstract] [Full Text]

				N. Nagaratnam, R. Barnes, and S. Nagaratnam Speech Recovery Following Global Aphasia Without Hemiparesis Neurorehabil Neural Repair, January 1, 1996; 10(2): 115 - 119. [Abstract] [PDF]