BMJ Case Reports 2017; doi:10.1136/bcr-2017-221642
  • Images in…

Global aphasia in a case of bilateral frontal lobe infarcts involving both caudate nuclei

  1. Anirudda Deshpande4
  1. 1Department of Radiology, Surya Diagnostics, Warangal, Telangana, India
  2. 2Department of Medicine, Miraj Medical College, Miraj, Maharashtra, India
  3. 3Department of Medicine, Maharashtra Institute of Medical Education and Research, Pune, Maharashtra, India
  4. 4Department of Neurology, Vinayaka Neuro Multispecialty Clinic, Warangal, Telangana, India
  1. Correspondence to Anirudda Deshpande, dr.anirudda.deshpande{at}
  • Accepted 17 October 2017
  • Published 12 November 2017


We report a 50-year-old man with history of systemic hypertension, nicotine addiction and a folk singer by profession was brought to the hospital with history of abrupt onset of speech arrest at the peak of a high note during his stage performance. His co-performer friend noticed that he was unable to restart his song performance despite back stage prompting. He appeared clueless and unresponsive with expressionless face all of a sudden. His relatives were certain that there was a dramatic change in patient’s personality (from an extrovert to an introvert). The patient …

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