Case Study of a Thai Transcortical Motor Aphasic

Abstract

This paper presents a case study of a 52-year-old right-handed Thai patient with clinical and pathoanatomic evidence of major infarction in the left frontal lobe. He was studied at 4½ years poststroke with a Thai adaptation of the Boston Diagnostic Aphasia Exam and supplementary tests. His language characteristics included nonfluent spontaneous speech, good repetition and near-normal auditory language comprehension, similar to the syndrome called "transcortical motor aphasia." The underlying mechanism of this particular language disturbance is reviewed. It is suggested that this patient's case profile matches one of Goldstein's (1948) two types of transcortical motor aphasia.