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April 1982

Vision-Specific Anomia and Total Involvement of Splenium in Alexia Without Agraphia

Arch Neurol. 1982;39(4):258. doi:10.1001/archneur.1982.00510160064021

To the Editor.—  Trouble with object naming has been associated with alexia without agraphia,1 but has received only limited attention.2 We report a typical case of alexia without agraphia but with transient anomia for visually presented objects.

Report of a Case.—  A 58-year-old, righthanded, diabetic man was admitted to the hospital because of blurred vision and difficulty in reading. There was dense, rightsided hemianopsia of the left eye. Visual acuity was 10/20 OS with blindness in the right eye because of traumatic cataract. His conversational speech was almost normal. Reading ability was completely impaired. His writing was substantially superior to reading. Kinesthetic reading was considerably better. Half of all visually presented objects were semantically misnamed, but periphrased and appropriately defined. Once objects were handled, he could name almost all. Six months later, object naming greatly improved, but the alexia remained. The patient died a year later of pontine