The acquired alexia with agraphia syndrome is a conspicuous disorder of reading and writing in the absence of significant other language impairments that has mainly been recorded in adults. Pure cases are rare, most patients displaying mild aphasic deficits. In children, acquired reading and writing disorders are generally reported as part of more encompassing aphasic syndromes affecting oral and written language equally, e.g., Broca's or Wernicke's aphasia. Documented instances of predominant acquired reading and writing disorders in childhood are exceptional. We report an 11-year-old, right-handed boy who sustained a left temporo-parieto-occipital hematoma following rupture of an arteriovenous malformation, and who consecutively presented with the acquired alexia with agraphia syndrome associated with word-finding difficulties. Neuropsychological and neurolinguistic data showed that there was no concomitant Gerstmann and/or angular gyrus syndrome. The recovery from the anomia was quite favorable, but recovery of written language was more protracted and acted on the patient's further scholastic achievement. This case is reminiscent of a historical childhood case reported in 1939, and is consonant with adult cases in terms of lesion location and semiological picture.
|Number of pages||7|
|Journal||Journal of Child Neurology|
|Publication status||Published - 2006|