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Case Reports in Neurological Medicine
Volume 2016 (2016), Article ID 3406038, 3 pages
Case Report

Aphasic Dystextia as Presenting Feature of Ischemic Stroke in a Pediatric Patient

1Rainbow Babies and Children’s Hospital, 11100 Euclid Avenue, Cleveland, OH 44106, USA
2University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH 44106, USA

Received 2 June 2016; Accepted 4 July 2016

Academic Editor: Tapas Kumar Banerjee

Copyright © 2016 Arpita Lakhotia et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Aphasia is an important presenting symptom of acute stroke. With increasing reliance on electronic communication, incoherent texting or “dystextia,” which is a subset of aphasia that is reflected in text messages, can be a useful tool for symptom recognition and analysis. It can be a red flag for the family and therefore can help in early identification of an acute neurological deficit. It is also useful for providers to reliably analyze the deficit as well as establish a timeline of evolution of symptoms. There have been case reports where dystextia has been the presenting feature of stroke or complicated migraine and in one case of meningioma. We present the case of a teenage patient that in our knowledge is the youngest reported case of dystextia, whose aphasia recorded in a text message assisted with stroke localization. This also adds to the literature of dystextia which so far has only seven other cases reported.