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KMID : 0359720230410030210
Journal of the Korean Neurological Association
2023 Volume.41 No. 3 p.210 ~ p.215
Lexical-semantic Deficit without Semantic Impairment in a Patient with Left Anterior Choroidal Artery Infarction: Neural Correlates Based on Diffusion-tensor Tractography
Na Han-Kyu

Sun Ye-Eun
Joe Sang-Won
Lee Chung-Seok
Kim Seok-Hyun
Choi Yun-Jung
Joo Ha-Ram
KIm Deog-Young
Nam Hyo-Suk
Abstract
A 35-year-old male presented with atypical aphasia following left anterior choroidal artery infarction associated with distal internal carotid artery dissection. He presented with 1) lexical-semantic deficit without semantic impairment, 2) frequent surface errors (both surface dyslexia and dysgraphia), and 3) intact non-word reading/repetition (preserved sub-lexical route), suggesting deficit in the phonological output lexicon. Diffusion-tensor tractography analysis revealed disruption in the inferior fronto-occipital fasciculus and inferior longitudinal fasciculus, which might serve as potential subcortical neural correlates for phonological output lexicon.
KEYWORD
Anomia, Cerebral infarction, Diffusion tensor imaging
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