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Global aphasia without hemiparesis following prerolandic infarction

From Service de Neurologic (Ms. Deleval, Ms. Leonard, and Dr. Mavroudakis), and Département de Neuroradiologie (Dr. Rodesch), Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium.

Acute global aphasia without hemiparesis (GAWH) is said to result from the association of 2 separate lesions in the anterior and posterior left hemisphere language areas. We present 2 unusual cases of GAWH whose CTs revealed only a single lesion of the posterior part of F2 and F3. There was good recovery of verbal communicative abilities. Functional disconnection of posterior language areas seems responsible for this syndrome in such cases.

Address correspondence and reprint requests to Ms. Deleval, Service de Neurologie, Hopital Erasme, U.L.B., 808 route de Lennik, B-1070 Bruxelles, Belgique.

Received December 21, 1988. Accepted for publication in final form May 9, 1989.

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