{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T17:06:11Z","timestamp":1787504771941,"version":"build-2736575974"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T00:00:00Z","timestamp":1729468800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Institutes of Health, Bethesda","award":["NINDS #R01 NS39422"],"award-info":[{"award-number":["NINDS #R01 NS39422"]}]},{"DOI":"10.13039\/501100000780","name":"the European Commission","doi-asserted-by":"crossref","award":["ICT-2011-287739"],"award-info":[{"award-number":["ICT-2011-287739"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"crossref"}]},{"name":"The Recovery, Transformation, and Resilience Plan at the Ministry of Science and Innovation","award":["TED2021-130174B-C33"],"award-info":[{"award-number":["TED2021-130174B-C33"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Neurohospitalist"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Crossed Wernicke\u2019s aphasia (CWA) following a stroke is a rare clinical phenomenon, particularly when associated with seizures. This case report presents a unique instance of crossed CWA accompanied by focal clonic cluster seizures affecting the left arm and face, with secondary generalization, in a monolingual Bengali-speaking patient following a right middle cerebral artery ischemic stroke. The patient, a 70-year-old male from rural India, presented with acute behavioral abnormalities and language impairment. He experienced left-sided focal motor-onset clonic seizures with impaired awareness, followed by fluent yet unintelligible speech, characterized by phonemic and semantic paraphasias, as well as neologistic jargon. Neuroimaging revealed a right parieto-occipital infarct. Although initially misdiagnosed and treated for acute psychosis, thorough clinical evaluation ultimately led to the diagnosis of CWA\u2014a rare form of aphasia in a right-handed individual after a right hemisphere stroke. This case underscores the diagnostic challenges associated with stroke-related language disorders and highlights the importance of recognizing variations in language lateralization. Furthermore, the occurrence of CWA in a Bengali-speaking individual emphasizes the potential impact of linguistic and cultural factors on brain organization and language processing. This case also adds to the limited body of literature regarding the co-occurrence of post-stroke seizures and aphasia, particularly in atypical presentations such as CWA.<\/jats:p>","DOI":"10.1177\/19418744241295418","type":"journal-article","created":{"date-parts":[[2024,10,21]],"date-time":"2024-10-21T10:29:11Z","timestamp":1729506551000},"page":"211-215","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Crossed Wernicke\u2019s Aphasia With Focal Clonic Cluster Seizures With Secondary Generalization Mimicking Faciobrachial Seizures Following a Right Middle-Cerebral-Artery Ischemic Stroke: A Novel Phenotypic Presentation"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8192-0807","authenticated-orcid":false,"given":"Ritwik","family":"Ghosh","sequence":"first","affiliation":[{"name":"Department of General Medicine, Burdwan Medical College and Hospital, Burdwan, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1766-4183","authenticated-orcid":false,"given":"Mois\u00e9s","family":"Le\u00f3n-Ruiz","sequence":"additional","affiliation":[{"name":"Section of Clinical Neurophysiology, Department of Neurology, University Hospital \u201cLa Paz\u201d, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1769-4809","authenticated-orcid":false,"given":"Juli\u00e1n","family":"Benito-Le\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Neurology, University Hospital \u201c12 de Octubre\u201d, Madrid, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria Hospital 12 de Octubre (i+12), Madrid, Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red Sobre Enfermedades Neurodegenerativas (CIBERNED), Madrid, Spain"},{"name":"Department of Medicine, Complutense University, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1733-3429","authenticated-orcid":false,"given":"Souvik","family":"Dubey","sequence":"additional","affiliation":[{"name":"Department of Neuromedicine, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research & SSKM Hospital, Kolkata, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,21]]},"reference":[{"key":"bibr1-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1016\/j.neurol.2018.02.088"},{"key":"bibr2-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-79948-3_877"},{"key":"bibr3-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1016\/S0093-934X(03)00365-1"},{"key":"bibr4-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-79948-3_877"},{"key":"bibr5-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1016\/j.seizure.2018.05.013"},{"key":"bibr6-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1097\/WNN.0000000000000210"},{"key":"bibr7-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1097\/10.1016\/j.neuroimage.2022.119001"},{"key":"bibr8-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/112.4.953"},{"key":"bibr9-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1016\/s0010-9452(85)80014-9"},{"key":"bibr10-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1159\/000117436"},{"key":"bibr11-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1016\/s0093-934x(02)00510-2"},{"key":"bibr12-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1155\/2008\/905187"},{"key":"bibr13-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.120.031162"},{"key":"bibr14-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1097\/WNN.0000000000000212"},{"key":"bibr15-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2015.03.020"},{"key":"bibr16-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1016\/j.seizure.2023.04.015"},{"key":"bibr17-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1177\/2396987317705536"},{"key":"bibr18-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1016\/j.ebcr.2016.06.001"},{"key":"bibr19-19418744241295418","doi-asserted-by":"publisher","DOI":"10.1016\/s0010-9452(08)70570-7"}],"container-title":["The Neurohospitalist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19418744241295418","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19418744241295418","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19418744241295418","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:57:42Z","timestamp":1777589862000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19418744241295418"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,21]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/19418744241295418"],"URL":"https:\/\/doi.org\/10.1177\/19418744241295418","relation":{},"ISSN":["1941-8744","1941-8752"],"issn-type":[{"value":"1941-8744","type":"print"},{"value":"1941-8752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,21]]}}}