Diagnosis and rehabilitation attempt of a patient with acquired deep dyslexia

This study presents a patient (JH) suffering from acquired deep dyslexia. According to a cognitive model of reading, JH exhibited a significant impairment in both the phonological and lexical routes to reading. A rehabilitation program was proposed. We decided to focus on the lexical route using a priming paradigm. The written words were associated with a picture and the patient was invited to construct a mental association between the written word and the image. During five sessions, JH was trained to read 50 words. A pre-test, a post-test, and an 8-month follow-up session consisted of reading 140 written words including the 50 trained words. At the post-test, 90% of the trained words were accurately read. At the follow-up session, JH's reading performance for the trained words was still highly accurate at 84%. This strong effect is discussed and ways of increasing the patient's abilities to read are proposed.