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• W294560000 abstract "OBJECTIVE: To describe a unique manifestation of acute stroke where the repeated use of an emotionally charged expletive accompanied expressive dysphasia. BACKGROUND: Expressive dysphasia often results from a lesion to the left cerebral hemisphere, usually in the inferior frontal lobe or insula. Frequent expletive use may occur in peri-sylvian neurological conditions including frontotemporal dementia and left hemispheric stroke, but isolated exclusive use the “F word” expletive has not been well described as an acute stroke phenomenon. DESIGN/METHODS: Case report from a tertiary medical center. RESULTS: A 39-year-old woman with a history of hypertension underwent ascending aortic aneurysm and aortic valve repair, and on the third post-operative day she was noted to have marked expressive dysphasia. On the following day she improved, able to follow lateralized and crossed requests, but had mild anomia and dysfluency. She remarkably included the “F word” in nearly every sentence, including its use in all grammatical modalities (verb, adjective, noun), and superfluous addition of the “F word” to the repetition task. She used no other expletives and did not exhibit inappropriate behavior. Magnetic resonance imaging of the brain revealed scattered areas of punctate supra- and infratentorial diffusion-weighted hyperintensities, most notably in the left peri-sylvian region. Her dysphasia and expletive use resolved over the next day. CONCLUSIONS: More so than other expletives, the “F word” may have strong limbic connections correlating to the emotional attributes of language. These are more right hemisphere mediated, suggesting preferential retrieval of this expletive as a compensatory mechanism for an acute left peri-sylvian lesion affecting language output. This phenomenon may be observed in the recovery phase from ischemic stroke featuring dysphasia. Disclosure: Dr. Hainline has nothing to disclose. Dr. Lahiri has nothing to disclose. Dr. Robbins has nothing to disclose." @default.
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• W294560000 date "2013-02-12" @default.
• W294560000 modified "2023-09-23" @default.
• W294560000 title "Singular Expletive Use Accompanying Expressive Dysphasia in Acute Embolic Stroke (P06.075)" @default.
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