Multiple system atrophy presenting with language impairment

Autor: J. L. Cummings, Yuri Bronstein, Harry V. Vinters, Liana G. Apostolova, Ivan A. Klement
Rok vydání: 2006
Předmět:
Zdroj: Neurology. 67(4)
ISSN: 1526-632X
Popis: Multiple system atrophy (MSA) typically presents with parkinsonism, cerebellar ataxia, corticospinal dysfunction, and autonomic failure.1 We describe a case of pathologically confirmed MSA with semantic language impairment. A 55-year-old right-handed psychiatrist presented with language difficulties since age 50. He had shrinking vocabulary, spelling, and reading difficulties, loss of foreign language skills, and difficulty with comprehension of complex conversations. His speech was fluent, grammatically correct, with occasional anomic pauses and substitution of low-frequency words with general words (e.g., “thing” and “it”). He had hyperreflexia in the right arm and leg, right-sided Babinski, writer's cramp, and mildly impaired fine motor skills in the right hand. Neuropsychological evaluation revealed anomia (Boston Naming Test [BNT] score 35/60
Databáze: OpenAIRE