Sixty-one inpatients manifesting chronic aphasic syndromes were
reviewed. Most aphasic patients with behavioral abnormalities sufficiently
severe to require hospitalization had posterior hemispheric lesions and
fluent disorders. Thirty-eight (62%) had fluent aphasia, eight (13%) had
nonfluent aphasia, and 15 (25%) had anomic, global, or transcortical
aphasic syndromes. Delusions were more common among patients with fluent
aphasias (58%), whereas depression was the most common psychiatric disorder
among patients with anterior lesions (63%). Elation occurred in 12
patients, 11 with posterior lesions and 1 with a nonlocalizing syndrome.
Neuropsychiatric disturbances in patients with chronic aphasia syndromes
correlate with the type of language disorder and with the location of the
associated lesion.Abstract Teaser