Austin Health

Title
Reading on the right when there's nothing left? Probabilistic tractography reveals hemispheric asymmetry in pure alexia.
Publication Date
2017-08-09
Author(s)
Veldsman, Michele
Loetscher, Tobias
Wood, Amanda
Brodtmann, Amy
Subject
Reading
alexia
diffusion tractography
Stroke
Type of document
Journal Article
OrcId
0000-0003-2192-378X
DOI
10.1080/13554794.2017.1364775
Abstract
We present a patient with reading inexpertise and right hemianopia following left posterior cerebral artery (PCA) stroke. We examine the extent of disruption to reading performance and the extent of white matter tract damage relative to a patient with more limited PCA infarction and isolated right hemianopia. We show white matter disconnection of the temporal occipital fusiform cortex in our pure alexia patient. Connectivity-based laterality indices revealed right hemisphere laterality in the alexia patient; this was not associated with improved reading function. We speculate that the degree of premorbid laterality may be a critical factor affecting the extent of reading dysfunction in alexia.
Link
Citation
Neurocase 2017; 23(3-4): 201-209
Jornal Title
Neurocase

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