Neurology

Functional MRI provides insights into language organization of bilingual aphasia

An Italian 40-year-old right-handed woman, with late, consecutive, and balanced bilingualism (English), presented with comprehension aphasia of ischemic etiology (figure, A) in the primary language, but not in the second one. After a 3-month logopedic rehabilitation, speech–language improved dramatically. Later, fMRI was performed with task of verbal fluency–verb generation1 on both languages. The Italian task showed activation of left Broca and Wernicke areas (figure, B and C), while prominent activation was evident on right superior temporal gyrus in the English task. Broca area was represented bilaterally (figure, D–F). The fMRI provides insights into language organization in bilingual patients.2

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