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 inquiries. 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 over…….chair…….water……empty….”
WRITE THE PAPER WITH THE QUESTIONS AS GUIDE

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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