We report the case of a patient who, after surgical ablation of an ang
ioma in the depth of the left temporal lobe, developed a highly select
ive impairment of naming. A detailed investigation allowed to exclude
a disorder of visual recognition or of semantic memory, and indicated
the output lexicon as the most probable site of impairment. Grammatica
l class effects, with superior action naming, and a high consistency w
ithin and across output modalities Further characterized the patient's
performance. Together with some other recently reported cases, this p
atient suggests a correlation between temporal lobe lesions outside We
rnicke's area and output lexicon disorders. A relatively spared action
naming seems to be a characteristic Feature of this pattern of impair
ment.