Transient crossed aphasia and persistent amnesia after right thalamic haemorrhage

Shinichiro Maeshima*, Fuminori Ozaki, Ryuji Okita, Hiroo Yamaga, Hideo Okada, Kozo Kakishita, Hiroshi Moriwaki, Peter Roger

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    9 Citations (Scopus)

    Abstract

    A 45-year-old right-handed woman suffered transient aphasia and persistent amnesia after a right thalamic haemorrhage. This patient appeared to have crossed aphasia, although it disappeared within 8 weeks. It is noteworthy that the patient had a unilateral right thalamic lesion but exhibited both verbal and non-verbal memory impairment. Computed tomography and magnetic resonance imaging revealed cerebral haemorrhage in the right thalamus involving the ventral anterior nucleus, medio-ventral nucleus, mamillothalamic tract, internal medullary lamina, and mediodorsal nucleus. An amytal test was performed and suggested that the right hemisphere was dominant for language functions and the left hemisphere was dominant for visuospatial functions. Single photon emission CT revealed a low perfusion area only in the right thalamus. These findings suggest that the right hemisphere might be dominant for both verbal and non-verbal memory function in this patient, although visuospatial function was lateralized in the left hemisphere.

    Original languageEnglish
    Pages (from-to)927-933
    Number of pages7
    JournalBrain Injury
    Volume15
    Issue number10
    DOIs
    Publication statusPublished - 2001

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