Recurrent Wernicke’s Aphasia: Migraine and Not Stroke!

from Headache: The Journal of Head and Face Pain

We report the clinical findings of a 40-year-old woman with recurrent migraine presenting with Wernicke’s aphasia in accordance with the results of a standardized battery for language assessment (Boston Aphasia Diagnostic Examination). The patient had no evidence of parenchymal or vascular lesions on MRI and showed delta and theta slowing over the left posterior temporal leads on the EEG. Although the acute onset of a fluent aphasia suggested stroke as a likely etiology, the recurrence of aphasia as the initial symptom of migraine was related to cortical spreading depression and not to stroke.

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Housed at the internationally renowned Callier Center for Communication Disorders, Callier Library a branch facility of the McDermott Library at The University of Texas at Dallas.

Posted on October 16, 2008, in Uncategorized and tagged , , , . Bookmark the permalink. 1 Comment.

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