Wernicke's aphasia after putaminal hemorrhage: Unusual clinical and SPECT findings

Sandra L. Schneider, Eelco F M Wijdicks, Joseph R. Duffy, Terence J. O'Brien

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We present a case of a man with a putaminal hemorrhage who presented in the acute stage with a 'classic' Wernicke's aphasia. CT and MRI scans showed a large left basal ganglia hemorrhage involving the posterior putamen. A SPECT scan performed acutely demonstrated decreased perfusion in the left temporal cortex, frontal cortex and white matter and to the left basal ganglia from the hemorrhage itself. Within live days his language abilities improved dramatically, with complete resolution of his aphasia over the course of six weeks. Repeat SPECT scans continued to show the structural changes to the left putamen and left hemisphere hypoperfusion, suggesting that the resolution of the language symptoms did not correlate with the structural and perfusion changes. Various theories advanced in the Literature regarding the pathophysiological mechanisms causing aphasia due to subcortical lesions cannot completely explain the findings of our case. These hypotheses are reviewed and discussed.

Original languageEnglish (US)
Pages (from-to)755-765
Number of pages11
JournalAphasiology
Volume13
Issue number9-11
DOIs
StatePublished - Sep 1999

Fingerprint

Basal Ganglia Hemorrhage
Putaminal Hemorrhage
Wernicke Aphasia
Putamen
Aphasia
speech disorder
Single-Photon Emission-Computed Tomography
Language
Perfusion
Aptitude
Frontal Lobe
Temporal Lobe
Magnetic Resonance Imaging
language
structural change
ability
Basal Ganglia
Cortex
Wernicke's Aphasia

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

Cite this

Schneider, S. L., Wijdicks, E. F. M., Duffy, J. R., & O'Brien, T. J. (1999). Wernicke's aphasia after putaminal hemorrhage: Unusual clinical and SPECT findings. Aphasiology, 13(9-11), 755-765. https://doi.org/10.1080/026870399401858

Wernicke's aphasia after putaminal hemorrhage : Unusual clinical and SPECT findings. / Schneider, Sandra L.; Wijdicks, Eelco F M; Duffy, Joseph R.; O'Brien, Terence J.

In: Aphasiology, Vol. 13, No. 9-11, 09.1999, p. 755-765.

Research output: Contribution to journalArticle

Schneider, SL, Wijdicks, EFM, Duffy, JR & O'Brien, TJ 1999, 'Wernicke's aphasia after putaminal hemorrhage: Unusual clinical and SPECT findings', Aphasiology, vol. 13, no. 9-11, pp. 755-765. https://doi.org/10.1080/026870399401858
Schneider, Sandra L. ; Wijdicks, Eelco F M ; Duffy, Joseph R. ; O'Brien, Terence J. / Wernicke's aphasia after putaminal hemorrhage : Unusual clinical and SPECT findings. In: Aphasiology. 1999 ; Vol. 13, No. 9-11. pp. 755-765.
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