Objective: The semantic variant of primary progressive aphasia (svPPA) is associated with deficient language abilities and atrophy of the left anterior temporal lobe (Mummery et al., 2000). Monolinguals outperform bilinguals on language measures (i.e., the “weaker link hypothesis,” Gollan, Montoya, Fennema-Notestine, & Morris, 2005), suggesting that older bilinguals may be at greater risk for svPPA. Preferential sparing of one language has been documented in surgical resection (Gomeztortosa, Martin, Gaviria, Charbel, & Ausman, 1995). Therefore, these factors must be ruled out prior to svPPA diagnosis. This case elucidates the bilingual assessment of svPPA in the context of high IQ in balanced English and German. Method: A 70-year old white male with 20 years of education complained of difficulties with word finding of nouns at age 63 in both languages. A comprehensive neuropsychological battery was administered in English. Language functioning was also assessed with the Bilingual Aphasia Screening Test in both English...

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