“…If the patient comes with vague neurological compliant along with a preexisting or concurrent psychiatric illness, it becomes a diagnostic dilemma. [ 2 ] True aphasia is seen in schema of Left MCA-there is difficulty in speech production due to brain injury and sometimes even comprehension is affected. Due to the supply of MCA at the cortex regions-language or speech deficits are also accompanied by contralateral motor or sensory deficits, sometimes visual field deficits are also noticed-as MCA supplies motor, sensory and visual cortex.…”