Thalamic aphasia. A conceptional critique.

Abstract:

:Four patients with aphasia due to small circumscribed thalamic lesions are presented. A review of the literature on thalamic aphasia revealed 16 similar cases. While the general consensus that only left-sided thalmic lesions are associated with aphasia is confirmed, analysis of the sites of the thalamic infarctions and the dysphasia elements did not reveal an unequivocal correlation. The explanation of this finding is that (a) disruption of any circuit, whether taking place in the connections or in the nuclei, leads to dysfunction and (b) thalamofrontal connections are not topographically arranged according to the thalamic nuclei, but show a frontal rostrocaudal/thalamic mediolateral interrelationship irrespective of thalamic nuclear masses.

journal_name

J Neurol

journal_title

Journal of neurology

authors

Bruyn RP

doi

10.1007/BF00314212

subject

Has Abstract

pub_date

1989-01-01 00:00:00

pages

21-5

issue

1

eissn

0340-5354

issn

1432-1459

journal_volume

236

pub_type

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