The authors induced a transient Wernicke's aphasia in a patient with left f
rontal arteriovenous malformation by superselective Wada injection exclusiv
ely into the lower division of the left middle cerebral artery. The patient
was then asked to recall his experience, which the authors matched against
his language during anesthesia. The patient's account showed that there wa
s a more systematic attempt to respond appropriately than the authors could
infer from his overt behavior. His narrative suggests that a thought proce
ss not measured by aphasia examinations may exist independent of language.