Transcortical sensory aphasia due to a left frontal subcortical haemorrhage

Shinichiro Maeshima*, Toshikazu Kuwata, Osamu Masuo, Hiroo Yamaga, Ryuji Okita, Fuminori Ozaki, Hiroshi Moriwaki, Peter Roger

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    1 Citation (Scopus)


    A case of transcortical sensory aphasia caused by a cerebral haemorrhage in the left frontal lobe is presented. A 72-year-old right-handed woman was admitted to the hospital, with a history of acute onset of speech disturbance and headache. On initial assessment, her spontaneous speech was fluent. She had no difficulty initiating speech, articulated normally, and did not exhibit logorrhea. Her ability to repeat phonemes and short sentences (5-6 words) was fully preserved, however she had severe difficulty with visual recognition of words, and with aural comprehension at the word level, although she was able to read words aloud. Computed tomography and magnetic resonance imaging showed cerebral haemorrhage in the left frontal lobe, involving the superior and middle frontal gyrus. Single photon emission CT revealed a wider area of low perfusion over the entire left frontal lobe, including the superior, middle and inferior frontal gyrus. The aphasia symptoms, mainly poor comprehension, disappeared quickly several weeks after the event. This may have been due to a reduction in the size of the haematoma and a resolution of the oedema around the haematoma. Clinically, the transcortical sensory aphasia in this case was indistinguishable from that caused by damage to the posterior language areas. Further case reports of transcortical sensory aphasia associated with frontal lobe lesions would help to confirm whether a relatively rapid recovery is characteristic in cases such as this.

    Original languageEnglish
    Pages (from-to)927-933
    Number of pages7
    JournalBrain Injury
    Issue number11
    Publication statusPublished - Nov 1999


    Dive into the research topics of 'Transcortical sensory aphasia due to a left frontal subcortical haemorrhage'. Together they form a unique fingerprint.

    Cite this