Abstract
We report on a right-handed bilingual patient with a left perisylvian arteriovenous malformation that caused a mild naming deficit evident only on formal language testing in both languages. Sodium amytal injected in the left carotid artery (Wada test) before surgery resulted in speech arrest for both languages. Following surgery for removal of the lesion she developed additional deficits in her native language without alteration in her second language. Selective impairment in one language after surgery demonstrates that each language has different anatomical representation within the perisylvian dominant area.
Publication types
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Case Reports
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Research Support, Non-U.S. Gov't
MeSH terms
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Adult
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Amobarbital
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Arteriovenous Malformations / complications
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Arteriovenous Malformations / diagnosis
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Bolivia / ethnology
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Dominance, Cerebral
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Epilepsy, Generalized / etiology
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Epilepsy, Generalized / physiopathology
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Female
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Hematoma / complications
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Hematoma / physiopathology*
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Humans
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Language Disorders / diagnosis
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Language Disorders / etiology*
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Language Disorders / physiopathology
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Magnetic Resonance Imaging
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Neuropsychological Tests
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Parietal Lobe / physiopathology*
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Postoperative Complications*
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Temporal Lobe / physiopathology*
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Temporal Lobe / surgery*
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United States