Abstract
According to the traditional model of language organization, repetition deficits arise following damage to the arcuate fasciculus of the dominant hemisphere (conduction aphasia). Conduction aphasia may result from lesions that spare the arcuate fasciculus. However, these patients have atypical language organization. We describe a man with normal language architecture who underwent a resection of the anterior portion of his arcuate fasciculus and retained his ability to repeat words and sentences. We propose that the arcuate fasciculus is not necessary for speech repetition by the lexical route.
Similar content being viewed by others
References
Benson DF, Sheremata WA, Bouchard R, Segarra JM, Price D, Geschwind N (1973) Conduction aphasia. Arch Neurol 28: 339–346
Berthier ML, Starkstein SE, Leiguarda R, Ruiz A, Mayberg HS, Wagner H, Price TR, Robinson RG (1991) Transcortical aphasia: importance of the nonspeech dominant hemisphere in language repetition. Brain 114: 1409–1427
Brown JW, Wilson FR (1973) Crossed aphasia in a dextral. Neurology 23: 907–911
Coslett HB, Roeltgen DP, Rothi LG, Heilman KM (1987) Transcortical sensory aphasia: evidence for subtypes. Brain Lang 32: 362–378
Damasio H, Damasio AR (1980) The anatomical basis of conduction aphasia. Brain 103: 337–350
Damasio H, Damasio AR (1989) Lesion analysis in neuropsychology. Oxford University Press, Oxford
Davis L, Foldi NS, Gardner H, Zurif E (1978) Repetition in transcortical aphasia. Brain Lang 6: 226–238
Geschwind N (1965) Disconnection syndromes in animals and man. Brain 88: 237–294, 585–644
Goldstein K, Marmor J (1938) A case of aphasia with special reference to the problems of repetition and word-finding. J Neurol Neurosurg Psychiatry 1: 329–339
Green E, Howes DH (1978) The nature of conduction aphasia: a study of anatomic and clinical features and of underlying mechanisms. In: Whitaker H, Whitaker HA (eds) Studies in neurolinguistics, vol 3. Academic Press, New York, pp 123–156
Hécaen H, Mazars G, Ramier AM, Goldblum MC, Mérienne L (1971) Aphasie croisé chez un sujet droitier bilingue. Rev Neurol (Paris) 124: 319–323
Henderson VW, Oken B, Alexander MP (1981) Fluent crossed aphasia with crossed Gerstmann syndrome in a right-handed man. Ann Neurol 10: 102
Hoeft H (1957) Klinisch-anatomischer Beitrag zur Kenntnis der Nachsprechaphasie (Leitungsaphasie). Dtsch Z Nervenheilk 175: 560–594
Kleist K (1934) Gehirnpathologie. Barth, Leipzig
Kleist K (1962) Sensory aphasia and amusia. Pergamon Press, New York
Kohn S (1992) Conduction aphasia. Lawrence Erlbaum, Hillsdale, NJ
Levine DN, Calvanio R (1982) Conduction aphasia. In: Kirshner HS, Freemon FR (eds) The neurology of aphasia: neurolinguistics. Swets & Zeitlinger, Lisse, pp 79–112
Liepmann H, Pappenheim M (1914) Über einem Fall von sogenannter Leitungsaphasie mit anatomischem Befund. Z Gesamte Neurol Psychiatr 27: 1–41
Mendez MF, Benson DF (1985) Atypical conduction aphasia: a disconnection syndrome. Arch Neurol 42: 886–891
Michel F, Andreewsky E (1983) Deep dysphasia: an analog of deep dyslexia in the auditory modality. Brain Lang 18: 212–223
Petrides M, Pandya DN (1988) Association fiber pathways to the frontal cortex from the superior temporal region in the rhesus monkey. J Comp Neurol 273: 52–66
Stengel E, Lodge-Patch IC (1955) ‘Central’ aphasia associated with parietal symptoms. Brain 78: 401–416
Strub RL, Gardner H (1974) The repetition defect in conduction aphasia: mnestic or linguistic? Brain Lang 1: 241–255
Wernicke C (1874) Der aphasiche Symptomen-Complex. Cohn & Weigert, Breslau
Yarnell PR (1981) Crossed dextral aphasia: a clinical radiological correlation. Brain Lang 12: 128–139
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Shuren, J.E., Schefft, B.K., Yeh, HS. et al. Repetition and the arcuate fasciculus. J Neurol 242, 596–598 (1995). https://doi.org/10.1007/BF00868813
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00868813