Crossed aphasia in multilinguals

Reports of crossed aphasia in single case studies of bilinguals have led to incidence studies of crossed aphasia among larger groups of stroke patients. Among a few others, studies carried out in India (K. R. Nair & Virmani, 1973 Indian Journal of Medical Research, 61, 9; P. Chary, 1986, In Language processing in bilinguals: Psycholinguistic and neuropsychological perspectives) have lent support to the notion of a higher incidence of crossed aphasia among bi- and multilinguals and form major citations in support of the hypothesis that bilingualism could lead to a greater bilateral cerebral representation of languages. This paper reports on the incidence of crossed aphasia in a large unselected population of stroke patients in monolingual and multilingual speakers of South India, which is in agreement with the previous reports of a higher incidence of crossed aphasia in multilinguals. However, along with this high incidence of crossed aphasia a low incidence of sinistrality was also seen. In order to confirm these findings and their significance two further studies were carried out-an incidence study of crossed aphasia in a population of mono- and multilingual aphasics and an incidence study of hand dominance in a normal population. The results and their significance to the issue of crossed aphasia in multilinguals are presented.