Cortical Anarthria in An Arabic Speaking Unilingual: A Case Report

Authors

  • Yousef Mowahed Alsawwaf House Officer, Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia Author

DOI:

https://doi.org/10.21276/f0zqw298

Keywords:

Anarthria, dysarthria, aphemia, aphasia, stroke

Abstract

A 59-year-old, Arabic, right handed female with history of hypertension and ischemic heart disease presented with sudden onset anarthria associated with right arm weakness. Language examination showed Anarthira with inability to produce more than rare unintelligible single syllables. Comprehension was intact. She correctly wrote but could not verbalize object names nor read aloud. She wrote easily but made spelling mistakes with long sentences. Motor exam only revealed slight hyper-reflexia and weakness of right upper extremity. Imaging showed a lesion in the left corona radiata and bilateral subcortical white matter hyper intensities. She was diagnosed with acute ischemic stroke and received routine antithrombotic treatment. Within two days, she started producing single words, with slow, effortful and abnormal long vowels. This report describes the clinical and radiological aspects of a case of cortical anarthria in an Arabic-speaking subject.

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References

Marie P. Revision de la question de l'aphasie: la troisième circonvolution frontale gauche ne joue aucun rôle spécial dans la fonction du langage. Semaine Méd (Paris). 1906;26:241-7.

Dejerine J. Sémiologie des affections du système nerveux: Masson et cie.; 1914.

Okuda B, Kawabata K, Tachibana H, Sugita M. Cerebral blood flow in pure dysarthria: role of frontal cortical hypoperfusion. Stroke. 1999;30(1):109-13.

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Published

02.04.2024

Issue

Section

CASE REPORT