A 55 year-old man with a long standing history of hypertension presented with a wernicke's type of aphasia and mild right sided weakness which developed over thirty minutes.

CT scan of the head. Note the large intracerebral hemorrhage originating in the area of the left posterior basal ganglia, with then extends into the deep white of the left temporal lobe. ICHs in this location may result in a Wernicke's aphasia. Otherwise, Wernicke's aphasia is usually caused by an embolus to the inferior division of the left middle cerebral artery.