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Differential effects of left and right cerebral vascular accidents on language competency

Published online by Cambridge University Press:  25 September 2001

KAREN L. BRYAN
Affiliation:
European Institute of Health and Medical Sciences, University of Surrey, Guilford, Surrey, UK
JAMES B. HALE
Affiliation:
Children's Evaluation and Rehabilitation Center, Albert Einstein College of Medicine, Bronx, NY

Abstract

While language facility was once considered to be the sole province of the “dominant” left hemisphere, clinical and experimental findings suggest the right hemisphere plays an equally important role in many language tasks. To elucidate differential hemispheric language processes, Right Hemisphere Language Battery and Western Aphasia Battery data from left (LHD) and right (RHD) hemisphere cerebral vascular accident (CVA) patients and controls were subjected to multivariate discriminant analysis. The highly significant group differences and overall 95% classification rate obtained confirms the utility of the dependent measures in differential diagnosis. Results suggest CVA patients experience disparate language deficits, with the LHD group experiencing concordant-convergent language deficits and the RHD group displaying discordant–divergent deficits that interfere with the receptive and expressive language skills necessary for successful social discourse. (JINS, 2001, 7, 655–664.)

Type
Research Article
Copyright
© 2001 The International Neuropsychological Society

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