Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Nov 12;13(11):e19495.
doi: 10.7759/cureus.19495. eCollection 2021 Nov.

An Atypical Presentation of Motor Aphasia: A Case Report and Review of Literature

Affiliations
Case Reports

An Atypical Presentation of Motor Aphasia: A Case Report and Review of Literature

Ananth G et al. Cureus. .

Abstract

Broca's aphasia results due to lesions involving the anterior perisylvian speech area. Patients have intact comprehension and writing but have labored, nonfluent speech with decreased linguistic output. We hereby present a case of a 47-year-old female who was operated on for left ventricular trigonal meningioma by a modified middle temporal gyrus approach and developed motor aphasia as a complication. She had intact comprehension and writing but had decreased linguistic, labored output. It could not be labeled as subcortical aphasia as she had no repetition. Eventually, her aphasia improved completely. Our case is the first of its kind and hence we propose that the posterior middle temporal gyrus area has speech output function, the lesion of which could cause motor aphasia.

Keywords: broca's aphasia; craniotomy; inferior temporal gyrus; middle temporal gyrus; motor aphasia.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Preoperative MRI brain contrast - A
Figure 2
Figure 2. Preoperative MRI brain contrast - B
Figure 3
Figure 3. Postoperative CT scan brain - A
Figure 4
Figure 4. Postoperative CT scan brain - B

References

    1. Translation of Broca's 1865 report. Localization of speech in the third left frontal convolution. Berker EA, Berker AH, Smith A. Arch Neurol. 1986;43:1065–1072. - PubMed
    1. The third left frontal convolution plays no special role in the function of language. Marie P. https://www.mpi.nl/publications/item2355644/la-troisieme-circonvolution-... Sem Méd. 1906;26:241–247.
    1. L’aphasie sensorielle: sa localisation et sa physiologie pathologique. Dejerine J. Presse Med. 1906;55:437–439.
    1. L’aphasie motrice: sa localisation et sa physiologie pathologique. Dejerine J. https://www.mpi.nl/publications/item2310109/laphasie-motrice-sa-localisa... Presse Med. 1906;57:453–457.
    1. New case of aphasia of Broca without lesion of the third left frontal. Marie P. Bull Mém Soc Méd Hôp Paris. 1906;3:1180–1183.

Publication types

LinkOut - more resources