Transcortical sensory aphasia is characterized by impaired auditory comprehension, with intact repetition and uent
speech. A 44-year-old right-handed patient with a history of hypertension on amlodipine and ischemic heart disease on
aspirin was admitted to the neurology department for sudden onset of language impairment that started 2 days ago. The patient had features of
transcortical sensory aphasia. Brain MRI showed an infarct in the territory of the left middle cerebral artery involving the tempo-parietal region.
An apical thrombus was observed in the left ventricle on transthoracic echocardiography. This language impairment is thought to be caused by a
disconnection between sensory language processes and semantic knowledge of objects. The prognosis is generally guarded and depends on the
etiology and severity of the presentation