According to the traditional model of language organization, repetitio
n deficits arise following damage to the arcuate fasciculus of the dom
inant hemisphere (conduction aphasia). Conduction aphasia may result f
rom lesions that spare the arcuate fasciculus. However, these patients
have atypical language organization. We describe a man with normal la
nguage architecture who underwent a resection of the anterior portion
of his arcuate fasciculus and retained his ability to repeat words and
sentences. We propose that the arcuate fasciculus is not necessary fo
r speech repetition by the lexical route.