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Abstract
A 11–year-old right-handed boy showed global aphasia after an infarct in the distribution of the left middle cerebral artery involving the whole language area, following an operation for ‘moya-moya disease’. Thus, anatomoclinical correlation between the CT lesion site and the resulting aphasic syndrome in this case was similar to that described in adults. However, he demonstrated rapid recovery of language fluency with poor recovery of language comprehension, in contrast to comparable adult cases. Consequently, his global aphasia resolved into transcortical sensory aphasia. This case seems to support the current view that recovery of fluency in childhood aphasia is quicker and more extensive than in adults.