Infarcts of the inferior division of the right middle cerebral artery: mirror image of Wernicke's aphasia
Caplan, L.R.; Kelly, M.; Kase, C.S.; Hier, D.B.; White, J.L.; Tatemichi, T.; Mohr, J.; Price, T.; Wolf, P.
Neurology 36(8): 1015-1020
1986
ISSN/ISBN: 0028-3878 PMID: 3736866 Document Number: 277064
We searched the Stroke Data Bank and personal files to find patients with CT-documented infarcts in the territory of the inferior division of the right middle cerebral artery. The most common findings among the 10 patients were left hemianopia (9), left visual neglect (9),and constructional apraxia (4 of 5 tested). Five patients had an agitated confusional state that was characterized by hyperactivity, restlessness, and easy distractibility. Motor and sensory abnormalities were not severe or presistent. The most common cause was cardiogenic embolism.