Brain Neurorehabil.  2009 Mar;2(1):85-90. 10.12786/bn.2009.2.1.85.

Brain Lesions in Conduction Aphasia

Affiliations
  • 1Department of Physical Medicine and Rehabilitaion, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. yunkim@skku.edu
  • 2Department of Physical Medicine and Rehabilitation, Sacred Heart Hospital, Hallym University School of Medicine, Korea.

Abstract

OBJECTIVE: To investigate the neuroanatomical correlation of conduction aphasia by analyzing neuroimage data of patients who were diagnosed as conduction aphasia after stroke. METHOD: Nine patients with conduction aphasia after stroke were retrospectively reviewed with their medical records. Language functions of patients were assessed by Korean-version Western Aphasia Battery (K-WAB). Stroke lesions were assessed by brain computed tomography or magnetic resonance images taken within 1 month after onset of stroke.
RESULTS
The stroke subtypes were cerebral infarction in 5 patients and intracranial hemorrhage in 4 patients. The lesions were located in left hemisphere in 8 subjects and right hemisphere in 1 subject. The left hemispheric lesion were located in the insula and superior temporal lobe in 3, the inferior parietal lobe in 2, the corona radiate in 1, the basal ganglia in 1 patient and both corona radiata and basal ganglia in 1. The right hemispheric lesion was located in the inferior parietal and superior temporal lobe.
CONCLUSION
6 of 9 patients with conduction aphasia had brain lesions in the path of arcuate fasciculus in the left hemisphere, however, 3 of 9 patients showed other brain lesions. These findings suggested that conduction aphasia could be caused by heterogeneous brain lesions. The characteristic features of conduction aphasia according to diverse brain lesions may need further investigation.

Keyword

arcuate fasciculus; brain lesion; conduction aphasia; K-WAB; stroke
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