Strength for Today and Bright Hope for Tomorrow

Volume 12 : 9 September 2012
ISSN 1930-2940

Managing Editor: M. S. Thirumalai, Ph.D.
Editors: B. Mallikarjun, Ph.D.
         Sam Mohanlal, Ph.D.
         B. A. Sharada, Ph.D.
         A. R. Fatihi, Ph.D.
         Lakhan Gusain, Ph.D.
         Jennifer Marie Bayer, Ph.D.
         S. M. Ravichandran, Ph.D.
         G. Baskaran, Ph.D.
         L. Ramamoorthy, Ph.D.
Assistant Managing Editor: Swarna Thirumalai, M.A.


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M. S. Thirumalai

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Agraphia and Anomia in Bilingual Individual with Left Temporal Lobe Lesion –
A Case Report

Swapna Sebastian, Ph.D., Shyamala Chengappa, Ph.D.,
Sunil Kumar R, M.Sc. (SLP)., and Achamma Ballraj, MS., DLO


The present study reveals the case report of a 39 year old man with intracerebral hemorrhage in the left temporal lobe. He is a bilingual anomic aphasic patient with Malayalam as mother tongue and English as second language. There was a discrepancy in the scores between the tasks of automatic writing vs word retrieval writing in Malayalam and English. Lexical interference (borrowing of entire word from Malayalam) was found while writing English words in the subtest of written word retrieval of function words (grammatical words). Deficits in writing in the two different languages, i.e., English and Malayalam were definitely different. The scores for the subtest of written word retrieval of function words (grammatical words) was better for English language whereas the scores were better in Malayalam for other writing tasks associated with semantics. This difference in scores raises the question whether deficits can differ between syntax and semantics in different languages. Comparison need to be done in future research studies regarding the performance on oral production across languages so that a better understanding will be available whether the difference in the script is accountable to the difference in the scores or the language as such.

Key words: bilingual aphasia, lexical agraphia, anomic aphasia


Agraphia, loss of ability to write and spell while writing, is seen as one of the major disturbances along with other comprehension, naming deficits in patients with stroke and aphasia. Although these disturbances are seen in all types of aphasic individuals, the severity of these deficits varies with types of aphasia and lesion sites. These deficits again vary from language to language in individuals with bilingual aphasia depending upon several factors like age of acquisition, manner of acquisition and proficiency levels of both languages.

This is only the beginning part of the article. PLEASE CLICK HERE TO READ THE ARTICLE IN PRINTER-FRIENDLY VERSION.

Swapna Sebastian, Ph.D.
Associate Professor
Audio Vestibular Unit, Department of ENT
Christian Medical College
Vellore- 632004, Tamil Nadu, India

Shyamala K Chengappa, Ph.D.
Professor & Head
Department of Speech Language Pathology
All India Institute of Speech and Hearing
Manasagangothri, Mysore 570 006
Karnataka, India

Sunil Kumar. R. M.Sc. (SLP)
Junior Research Fellow
Department of Speech Language Pathology
All India Institute of Speech and Hearing
Manasagangothri, Mysore 570 006
Karnataka, India

Achamma Ballraj, MS., DLO
Professor and Head
Department of ENT
Christian Medical College
Vellore 632004, Tamilnadu

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