Case Diagnosis: Expressive aphasia with purely agrammatism and omission of functor words following an acute ischemic stroke.
64-year-old female who presented to the acute care hospital with right hemiplegia, right neglect, and severe fluent aphasia found to have a left M1 occlusion on CT. She was admitted to the Neuro ICU and underwent thrombectomy with later evidence of petechial hemorrhagic conversion, M3 distal occlusion, and mass effect of the lateral ventricle with midline shift. Following her ICU stay she was recommended for acute inpatient rehabilitation. Upon arrival her speech production and comprehension were intact. However, her verbal output was found to be non-fluent with short telegraphic utterances with vowel distortions and predictable omission of functor words. Her resulting speech consisted of short monotone fragmented sentences such as, “man reading books” or “dog walking”. She continued with daily speech therapy for non-fluent verbal output characterized by telegraphic speech without other characteristics consistent with expressive aphasia.