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

Table 1

Literature review of cases with dystextia.

Year, author	Age	Etiology	Text presentation	Type of dystextia	Other deficits	Imaging	Highlights
2006, Cawood et al. [1]	40 years	Stroke	Decreased speed and accuracy	Left arm weakness, loss of dexterity	L sided facial weakness and slurring	Infarction genu of R internal capsule	First reported use of the term “dystextia”
2011, Whitfield and Jayathissa [2]	20 years	Migraine	Inability to compose text message	Aphasia; (expressive)	Headache, nausea/vomiting, expressive dysphasia	Normal imaging
2013, Ravi et al. [3]	25 years	Stroke	Incoherent text message	Aphasia (receptive)	R hemiparesis, R sensory loss, fluent dysphasia	L insula stroke; poor flow in inferior division of L MCA	Aided family in recognizing stroke symptoms
2014, Burns and Randall [5]	18 years	Stroke	Incoherent texts	Aphasia (expressive + receptive)	Severe dysphasia, visual field cut	CT: hyperdensity in R lentiform nucleus and caudate	Aided in obtaining time for thrombolysis
2013, Kaskar et al. (Poster) [4]	40 years	Stroke	Disjointed text messages	Aphasia (expressive)	Slurred speech, R facial weakness
2014, Al Hadidi et al. [6]	61 years	Stroke	Incoherent text messages	Aphasia	R hand clumsiness, inability to read TV, bilateral carotid bruits	Large L MCA stroke; severe L ICA stenosis	Aided family in recognizing symptoms
2014, Hannah et al. [7]	36 years	Meningioma	Frequent, decreased accuracy of text messages	Aphasia (expressive)	Depression, headache, altered mental status	R frontal meningioma