When mild pure alexia may not be reducible to hemianopic alexia

Autor: Ildebrando Appollonio, Valeria Isella, Tim Shallice, Cristina Rosazza
Přispěvatelé: Rosazza, C, Isella, V, Appollonio, I, Shallice, T
Rok vydání: 2018
Předmět:
Male
medicine.medical_specialty
Cognitive Neuroscience
media_common.quotation_subject
Experimental and Cognitive Psychology
Audiology
M-PSI/02 - PSICOBIOLOGIA E PSICOLOGIA FISIOLOGICA
right homonymous hemianopia
050105 experimental psychology
Dyslexia
03 medical and health sciences
0302 clinical medicine
Reading impairment
Arts and Humanities (miscellaneous)
Reading (process)
80 and over
Developmental and Educational Psychology
medicine
Humans
Pure
0501 psychology and cognitive sciences
Aged
media_common
word-length effect
MED/26 - NEUROLOGIA
Aged
80 and over

05 social sciences
Alexia
Pure

Neuropsychology
split-field reading task
Pure alexia
Middle Aged
medicine.disease
eye diseases
Visual field
MED/34 - MEDICINA FISICA E RIABILITATIVA
Neuropsychology and Physiological Psychology
Hemianopsia
Female
Alexia
Psychology
030217 neurology & neurosurgery
Zdroj: Cognitive Neuropsychology. 35:479-484
ISSN: 1464-0627
0264-3294
Popis: Individuals with pure alexia often have visual field defects such as right homonymous hemianopia. Relatively few attempts have been made to develop criteria to differentiate pure alexia from hemianopic alexia. In this Commentary we provide concrete suggestions to distinguish the two disorders. We also report on additional assessments with two previously reported cases for whom the diagnosis of pure alexia was called into question and an alternative proposal was offered that the reading deficits were instead due to hemianopia. We show that the results of clinical and neuropsychological tests do not support the account that the reading impairment was caused by the visual field defect. In particular, for both cases, the right homonymous hemianopia was not complete, and a split-field reading task demonstrated an inability also to read words presented in the intact left visual field. In conclusion, pure alexics may indeed show fairly modest word-length effects; however, the presence of right homonymous hemianopia and a non-extreme gradient of reading speed alone are not sufficient grounds to put in doubt the diagnosis. We propose that a fuller clinical and neuropsychological examination taking into account the possible confounding effects of the visual field defects will help to distinguish pure alexia from hemianopic alexia.
Databáze: OpenAIRE
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