[Alexia without agraphia - not being able to read what one has written]

Area of Science:

• Neurology
• Neuroscience
• Medical Case Reports

Background:

• Alexia without agraphia is a rare neurological condition characterized by the inability to read despite preserved writing ability.
• This condition is typically associated with lesions in the left occipital lobe and/or the splenium of the corpus callosum.

Purpose of the Study:

• To present a case study of alexia without agraphia in an elderly male patient.
• To correlate neuroimaging findings with the clinical presentation of alexia without agraphia.

Main Methods:

• A case report of an elderly male patient presenting with acute neurological deficits.
• Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) of the brain were performed.
• Neurological examination by a neurologist was conducted to assess reading and writing abilities.

Main Results:

• The patient presented with mild confusion and expressive aphasia.
• CT scan revealed a 5 cm infarction in the left occipital lobe with P2 occlusion.
• Neurological examination confirmed the inability to read while writing ability, including spelling and handwriting, remained intact.
• MRI findings were consistent with previously reported cases of alexia without agraphia.

Conclusions:

• The case demonstrates a classic presentation of alexia without agraphia.
• Neuroimaging confirmed the lesion location in the left occipital lobe, correlating with the observed clinical symptoms.
• This case reinforces the understanding of the neuroanatomical basis of reading and writing.