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KMID : 0828520010050030265
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Journal of the Korean Geriatrics Society
2001 Volume.5 No. 3 p.265 ~ p.269
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A Case of Global Aphasia Without Other Focal Neurologic Lateralizing Signs
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송운욱/Song IU
정두신/양광익/이태경/박형국/안무영/Jeong DS/Yang KI/Lee TK/Park HK/Ahn MY
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Abstract
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Global aphasia without other focal neurologic lateralizing signs(GWLS) is an uncommon stroke syndrome. The pathogenesis of GWLS has been thought as the result of multilpe cardioembolism. However, a few cases of GWLS with a single lesion have been reported. We report an unusual case of GWLS with a single left superior temporal infarction. A 73-year-old right handed man was admitted with receptive and expressive language impairment without other focal neurologic lateralizingsigns. The patient´s global aphasia symptom has being 4weeks after symptom onset. Brain CT showde only one lesion of left superior temporal lobe. Our case notes that the multiple lesions of the speech area are not only necessary to produce GWLS, and it is not necessarily imply a double lesion or an embolic causes.
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KEYWORD
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