Lisa is a right-handed woman in her mid-fifties who has recently suffered from a
cerebrovascular accident (CVA). This has left her with a right-sided hemiparesis and
significant language issues.
During the first week after her CVA, Lisa was unable to utter more than single words. This was
incredibly frustrating for her, but she was able to communicate using Scrabble tiles (she
could spell out no grammatical and misspelled sentences of three or four words). She
appeared to understand what was being said to her, and her communications did answer
Over the next few weeks, her speech improved slightly. She was able to articulate short
sentences with a few function words, and her prosody was lacking. She could, however,
repeat simple sentences spoken to her.
When Lisa was shown the picture below and asked to describe it, she said “Cookie jar……fall

1. What condition or conditions (there may be more than one possibility) are being described in this case?
2. What brain area or area(s) may be involved (be sure to consider which language functions are
compromised too, and be SPECIFIC as to which hemisphere)? How should they function normally?
What could be causing this dysfunction?
3. What do the assessments and their results tell you about this person’s abilities and condition?

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