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December 1985, Vol 42, No. 12 >
Article | December 1985

Lesion Localization in Broca's Aphasia: Title and subTitle BreakImplications From Broca's Aphasia Without Hemiparesis

Victor W. Henderson, MD
[+] Author Affiliations

Accepted for publication July 20, 1984.

Reprint requests to Department of Neurology, Unit 1, Room 5641, University of Southern California School of Medicine, 1200 N State St, Los Angeles, CA 90033 (Dr Henderson).


Arch Neurol. 1985;42(12):1210-1212. doi:10.1001/archneur.1985.04060110092027
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References
Comments

• The recent hypothesis that injury of the left precentral gyrus (PCG) is critical in causing Broca's aphasia implies that right hemiparesis is an inevitable accompaniment of Broca's aphasia and not merely a coincidental neighborhood sign of PCG damage. A right-handed man was evaluated for posttraumatic Broca's aphasia. The absence in this case of limb or central facial weakness strongly suggests that language impairments of Broca's aphasia need not be associated with PCG damage.

REFERENCES

1 +
Broca P:  Localisation des fonctions cérébrales: Siège du langage articulé . Bull Soc Anthropol Paris 1863;;4:200-204.
2 +
Mohr JP:  Broca's area and Broca's aphasia , in Whitaker H, Whitaker HA (eds): Studies in Neurolinguistics . New York, Academic Press Ine, 1976;, vol 1, pp 201-236.
3 +
Levine JJN, Sweet E:  The neuropathological basis of Broca's aphasia and its implications for the cerebral control of speech , in Arbib MA, Caplan D, Marshall JC (eds): Neural Models of Language Processes . New York, Academic Press Ine, 1982;, pp 299-326.
4 +
Levine DN, Mohr JP:  Language after bilateral cerebral infarctions: Role of the minor hemisphere in speech . Neurology 1979;;29:927-938.
5 +
Oldfield RC:  The assessment and analysis of handedness: The Edinburgh Inventory . Neuropsychologia 1971;;9:97-113.
6 +
Goodglass H, Kaplan E: The Assessment of Aphasia and Related Disorders . Philadelphia, Lea & Febiger, 1976;.
7 +
Kertesz A: Western Aphasia Battery New York, Crune & Stratton Ine, 1982;.
8 +
Schenkenberg T, Bradford DC, Ajax ET:  Line bisection and unilateral visual neglect in patients with neurologic impairment . Neurology 1980;;30:509-517.
9 +
Wechsler D: Wechsler Adult Intelligence Scale-Revised . New York, Psychological Corp, 1982;.
10 +
Albert ML, Goodglass H, Helm NA, et al: Clinical Aspects of Dysphasia . New York, Springer-Verlag, 1981;, pp 69-76.
11 +
Goodglass H:  Agrammatism , in Whitaker H, Whitaker HA (eds): Studies in Neurolinguistics . New York, Academic Press Ine, 1976;, vol 1, pp 237-260.
12 +
Mohr JP, Pessin MS, Finkelstein S, et al:  Broca aphp.äia: Pathologie and clinical . Neurology 1978;;28:311-324.
13 +
Masdeu JC, O'Hara RJ:  Motor aphasia unaccompanied by faciobrachial weakness . Neurology 1983;;33:519-521.
14 +
Marie P:  Revision de la question de l'aphasie: L'aphasie de 1801 à 1866; essai de critique historique sur la genèse de la doctrine de Broca . Semaine Méd 1906;;26:565-571.
15 +
Castaigne P, Lhermitte F, Signoret JL, et al:  Discription et étude scannographique du cerveau de Leborgne: La découverte de Broca . Rev Neurol 1980;;136:563-583.
16 +
Broca P:  Perte de la parole, ramollissment chronique et destruction partielle du lobe antérieur gauche du cerveau . Bull Soc Anthropol Paris 1861;;2:235-238.
17 +
Broca P:  Remarques sur le siège de la faculté du langage articulé, suives d'une observation d'aphemie (perte de la parole) . Bull Soc Anat Paris 1861;;6:330-357.
18 +
Trojanowski JQ, Green RC, Levine DN:  Crossed aphasia in a dextral: A clinicopathological study . Neurology 1980;;30:709-713.
19 +
Knopman DS, Seines OA, Niccum N, et al:  A longitudinal study of speech fluency in aphasia: CT correlates of recovery and persistent nonfluency . Neurology 1983;;33:1170-1178.
20 +
Tonkonogy J, Goodglass H:  Language function, foot of the third frontal gyrus, and Rolandic operculum . Arch Neurol 1981;;38:486-490.
21 +
Penfield W, Roberts L: Speech and Brain Mechanisms . Princeton, NJ, Princeton University Press, 1959;, pp 119-137.
22 +
Ojemann GA, Whitaker HA:  Language localization and variability . Brain Lang 1978;;6:239-260.
23 +
Falzi G, Perrone P, Vignolo LA:  Right-left asymmetry in anterior speech region . Arch Neurol 1982;;39:239-240.
24 +
Braak H:  The pigment architecture of the human frontal lobe: I. Precentrai, subcentral and frontal region . Anat Embryol 1979;;157:35-68.
25 +
Galaburda AM, Pandya DN:  Role of architectonics and connections in the study of primate brain evolution , in Armstrong E, Falk D (eds): Primate Brain Evolution: Methods and Concepts . New York, Plenum Publishing Co, 1982;, pp 203216.
26 +
Schiff HB, Alexander MP, Naeser MA, et al:  Aphemia: Clinical-anatomic correlations . Arch Neurol 1983;;40:720-727.

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1 +
Broca P:  Localisation des fonctions cérébrales: Siège du langage articulé . Bull Soc Anthropol Paris 1863;;4:200-204.
2 +
Mohr JP:  Broca's area and Broca's aphasia , in Whitaker H, Whitaker HA (eds): Studies in Neurolinguistics . New York, Academic Press Ine, 1976;, vol 1, pp 201-236.
3 +
Levine JJN, Sweet E:  The neuropathological basis of Broca's aphasia and its implications for the cerebral control of speech , in Arbib MA, Caplan D, Marshall JC (eds): Neural Models of Language Processes . New York, Academic Press Ine, 1982;, pp 299-326.
4 +
Levine DN, Mohr JP:  Language after bilateral cerebral infarctions: Role of the minor hemisphere in speech . Neurology 1979;;29:927-938.
5 +
Oldfield RC:  The assessment and analysis of handedness: The Edinburgh Inventory . Neuropsychologia 1971;;9:97-113.
6 +
Goodglass H, Kaplan E: The Assessment of Aphasia and Related Disorders . Philadelphia, Lea & Febiger, 1976;.
7 +
Kertesz A: Western Aphasia Battery New York, Crune & Stratton Ine, 1982;.
8 +
Schenkenberg T, Bradford DC, Ajax ET:  Line bisection and unilateral visual neglect in patients with neurologic impairment . Neurology 1980;;30:509-517.
9 +
Wechsler D: Wechsler Adult Intelligence Scale-Revised . New York, Psychological Corp, 1982;.
10 +
Albert ML, Goodglass H, Helm NA, et al: Clinical Aspects of Dysphasia . New York, Springer-Verlag, 1981;, pp 69-76.
11 +
Goodglass H:  Agrammatism , in Whitaker H, Whitaker HA (eds): Studies in Neurolinguistics . New York, Academic Press Ine, 1976;, vol 1, pp 237-260.
12 +
Mohr JP, Pessin MS, Finkelstein S, et al:  Broca aphp.äia: Pathologie and clinical . Neurology 1978;;28:311-324.
13 +
Masdeu JC, O'Hara RJ:  Motor aphasia unaccompanied by faciobrachial weakness . Neurology 1983;;33:519-521.
14 +
Marie P:  Revision de la question de l'aphasie: L'aphasie de 1801 à 1866; essai de critique historique sur la genèse de la doctrine de Broca . Semaine Méd 1906;;26:565-571.
15 +
Castaigne P, Lhermitte F, Signoret JL, et al:  Discription et étude scannographique du cerveau de Leborgne: La découverte de Broca . Rev Neurol 1980;;136:563-583.
16 +
Broca P:  Perte de la parole, ramollissment chronique et destruction partielle du lobe antérieur gauche du cerveau . Bull Soc Anthropol Paris 1861;;2:235-238.
17 +
Broca P:  Remarques sur le siège de la faculté du langage articulé, suives d'une observation d'aphemie (perte de la parole) . Bull Soc Anat Paris 1861;;6:330-357.
18 +
Trojanowski JQ, Green RC, Levine DN:  Crossed aphasia in a dextral: A clinicopathological study . Neurology 1980;;30:709-713.
19 +
Knopman DS, Seines OA, Niccum N, et al:  A longitudinal study of speech fluency in aphasia: CT correlates of recovery and persistent nonfluency . Neurology 1983;;33:1170-1178.
20 +
Tonkonogy J, Goodglass H:  Language function, foot of the third frontal gyrus, and Rolandic operculum . Arch Neurol 1981;;38:486-490.
21 +
Penfield W, Roberts L: Speech and Brain Mechanisms . Princeton, NJ, Princeton University Press, 1959;, pp 119-137.
22 +
Ojemann GA, Whitaker HA:  Language localization and variability . Brain Lang 1978;;6:239-260.
23 +
Falzi G, Perrone P, Vignolo LA:  Right-left asymmetry in anterior speech region . Arch Neurol 1982;;39:239-240.
24 +
Braak H:  The pigment architecture of the human frontal lobe: I. Precentrai, subcentral and frontal region . Anat Embryol 1979;;157:35-68.
25 +
Galaburda AM, Pandya DN:  Role of architectonics and connections in the study of primate brain evolution , in Armstrong E, Falk D (eds): Primate Brain Evolution: Methods and Concepts . New York, Plenum Publishing Co, 1982;, pp 203216.
26 +
Schiff HB, Alexander MP, Naeser MA, et al:  Aphemia: Clinical-anatomic correlations . Arch Neurol 1983;;40:720-727.

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