Fluent Aphasia From Herpes Simplex Encephalitis

The present case report introduces a patient with fluent aphasia , anterograde amnesia and anosmia due to herpes simplex encephalitis after her first delivery. The left medial temporal lobe was one of the main areas involved . On aphasia testing she showed severe anomia on both confrontation and free recall, agraphia , alexia , repetition disorder and some auditory comprehension impairments. Therapy was focused on the following issues : phonological output lexicon , using graphemes as a source of reestablishing phonological representation ; describing pictures to reinforce free recall and self - cuing word retrieval strategies ; sequencing the events for language memory reinforcement , etc. Results showed improvement in confrontational naming , free recall , correct responses without priming , writing on dictation , spontaneous writing and reading comprehension .