Severe Communication Difficulties After a Hemorrhagic Stroke in the Basal Ganglia: Case Report

Purpose: This clinical case report examines the case of a 52-year-old man who experienced a hemorrhagic stroke in the basal ganglia, resulting in severe aphasia as well as motor speech and cognitive-communication difficulties. The speech-language pathology services provided in this complex case are reviewed, including the assessment and management of this case that incorporate a life participation approach to speech and language intervention. A quality assessment of services is provided, along with recommendations for alternative interventions. Conclusion: This clinical case highlights the important role subcortical areas of the brain play in communication and provides information and evidence-based direction for future clinical management of similar cases.