The recovery process of spoken language was investigated in twenty-three aphasics who had been under speech therapy for the period of eleven to fifty-eight months. SLTA was applied to all the subjects at three months post-onset and three more times at a three months interval. At the same time their severity of auditory comprehension and oral speech was evaluated with the Seven Graded Aphasia Scale (S. G. A. S.). The results were as follows. (l) While the severely impaired and the moderately impaired aphasics showed improvement, the mildly impaired aphasics did not change significantly. (2) According to the S. G. A. S., expressive ability showed more improvement in long term and significance than comprehensive ability. (3) Those who showed significant improvement in oral speech were all in their thirties or forties except one case.

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     A case of alien sign of the right foot was reported. The patient was a 34-year-old right-handed male who suffered from left anterior cerebral artery territory infarction. Ischemic cerebral lesions confirmed by MRI were located in the left supplementary motor cortex, the central portion of the left cingulate cortex and the middle portion of the corpus callosum. Right hemiparesis, grasp reflex, instinctive grasp reaction, alien hand sign and compulsive manipulation of tools with the right hand were observed. We further observed the following characteristics in addition to hand behavior : (1) The patient manifested uncooperative behavior of the right foot against his will ; (2) The left hand and left foot inhibited behavior of the right foot We considered this phenomenon to be “alien sign” of the foot as well as the hand.

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     A prolonged dysphasic seizure was recorded using chronic intracranial EEG ⁄ CCTV in a 30 year old right-handed patient with temporal lobe epilepsy, who was a candidate for surgery because of intractable seizures. The spike discharges began in the right temporal lobe, spread then through left occipital lobe into left temporal lobe, without involving frontal and mesial temporal structures. The right temporal lobe discharges elicited no clinical manifestations. When the discharges spread to the left temporal lobe, the patient uttered an irrelevant context (speech automatism) followed by mutism and neologism. While the right temporal lobe discharges disappeared but the left temporal lobe discharges were persisting, anomia and comprehension disturbance were the prominent features. After 14 min. 20 sec. all the spike discharges disappeared to result in a gradual recovery of speech.
    This rare condition demonstrated that the different dysphasic symptoms could correspond to the ictal discharges in different localization.

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