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We reported a right-handed patient without aphasia after infarction of a large area in the left hemisphere. She exhibited severe agraphia and limb apraxia . Although she could comprehend the meaning of speech prosody, her speech was flat and monotonal in all modalities of oral output. The dysprosody seemed to be similar to aprosodia . These results suggest that in this case, while the left hemisphere plays a dominant role in writing and higher motor functions, the right hemisphere plays a dominant role in oral language functions. In addition, she is likely to represent a case in which language functions exist separately in both hemispheres.

A Case without Aphasia after Large Infarction of the Left Hemisphere.