A case report on crossed aphasia in dextrals

Torrisi, Michele; Pollicino, Patrizia; Corallo, Francesco; Vermiglio, Giuliana; Logiudice, Anna Lisa; Mantarro, Carmela; Calabrò, Cinzia; Bramantı, Placido; Calabrò, Rocco Salvatore; Morabito, Rosa; Marıno, Silvia

doi:10.1097/md.0000000000017660

Cited by 3 publications

(2 citation statements)

References 20 publications

(26 reference statements)

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“…A neurological examination highlighted marked hypotrophy in the lower limbs, motor aphasia, and left hemiplegia, which have been previously described. 15 The patient satisfied the revised Ghent criteria for a diagnosis of MS (aortic root dilatation Z score >2 and the presence of an FBN1 mutation). No neurological involvement related to sarcoidosis was noted.…”

Section: Case Reportmentioning

confidence: 88%

Neurophysiological assessment in a patient affected by Marfan syndrome

et al. 2020

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Background Marfan syndrome (MS) is a hereditary connective tissue disorder characterized by different multiorgan patterns. The guidelines for MS diagnosis do not highlight the usefulness—or even the use—of any neurophysiological techniques for diagnosing this disease. Moreover, few neurophysiological studies assessing the central and peripheral nervous systems in MS subjects have been reported to date. Case presentation: We describe a male patient affected by MS. To assess sensory and nociceptive pathways in this patient, a neurophysiological assessment was performed using electroencephalogram, nerve conduction studies, and somatosensory and laser-evoked potentials. To the best of our knowledge, this is the first published case report to evaluate the role of evoked potential assessments for the study of sensory and nociceptive pathways in MS. Conclusion Future studies should investigate the use of a complete neurophysiological approach for the clinical and therapeutic management of MS patients in a large sample.

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Section: Case Reportmentioning

confidence: 88%

Neurophysiological assessment in a patient affected by Marfan syndrome

et al. 2020

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“…Aphasia occurs in approximately 30% of left-handed patients; however, very unusual in right-handed individuals. 3 Aphasia occurring in right-handed individuals secondary to damage to the right side of the brain is referred to as crossed aphasia (CA). Certainly, it is an extremely rare condition, reporting an average below 3%.…”

Section: Introductionmentioning

confidence: 99%

Reading and Writing Impairment in Persons with Crossed Aphasia: A Comparative Study

Swamy,

Puttanna,

Channabasavegowda

2024

Journal of Health and Allied Sciences NU

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Background Persons with aphasia (PWAs) manifest multifaceted deficits like auditory comprehension, spoken language, reading, and writing to varying degrees. Of these, the most debilitating signs are reading and writing impairment. Of late, PWAs express greater interest to improve their reading and writing skills. The deficits in these skills along with deficits in spoken language limit their participation in the community. Reading and writing may be altered contrarily in various stroke conditions across the left and right hemisphere lesions, just like how linguistic impairments are mutually exclusive. Thus, it must be rational to reconcile the possible role of the right hemisphere to process reading and writing inversely alike spoken abilities. Additionally, investigations on reading and writing deficits in left cerebrovascular atrophy (CVA) aphasics and right CVA aphasics (crossed aphasia) are seldom reported in the literature with relevance to Indian population focusing Indian languages. The study aims to compare reading and writing abilities across PWAs with left CVA and right CVA (crossed aphasia). Methodology The study recruited four native Kannada speaking PWAs (6 months poststroke) aged between 40 and 70 years with impaired linguistic abilities secondary to stroke through convenient sampling. Western Aphasia Battery-Kannada was administered to identify aphasic component, specifically to evaluate the language, reading, and writing aspects in detail and the scores were analyzed based on the scoring. Results Descriptive statistics revealed both left and crossed PWAs performed equipotent on linguistics tasks. However, reading abilities were better in left CVA individuals and writing was better in crossed PWAs on comparing the mean scores. Correlation analysis revealed positive correlation between language and reading-writing abilities of left CVA PWAs. Negative correlation was evinced in crossed PWAs. Hence, reading and writing difficulties in crossed aphasia can be mostly ascribed to impairment in peripheral mechanisms involved in visual and/or kinesthetic information processing as the right hemisphere is most viable to these processes. Conclusion The study highlights the unique pattern of reading and writing abilities in crossed aphasia condition. However, careful examination of dissociations in acquired spoken language and written language abilities across differential neuronal networks through larger samples in the future research is warranted.

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