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A 55 year old man presented was brought into the ER confused. His exam showed no weakness or sensory loss. He could not follow any commands; his speech was fluent but contained many paraphrasic errors.
Axial flair MRI shows a large lesion in the left temporal lobe, in the distribution of the inferior division of the middle cerebral artery. Lesions in this area result in a fluent aphasia with impaired comprehension (i.e., Wernicke's aphasia).
Revised
04/23/06.
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School of Medicine.