All aspects of speech and language are impaired. Pt cannot read, write, or repeat and has poor auditory comprehension. Speech output is minimal and nonfluent. Hemiplegia, hemisensory loss, and homonymous hemianopia are usually present. Syndrome represents the combined dysfunction of Wernicke's and Broca's areas, usually resulting from proximal occlusion of MCA supplying dominant hemisphere (less commonly hemorrhage, trauma, or tumor).