An unusual case of dyslexia with dysgraphia

A 63 year old lady suffered dense right homonymous hemianopia, severe dyslexia and dysmorphic and dysphasic dysgraphia for single letters, short words and text. By contrast, she matched these same words from dictation to visually presented word and picture choices, spelled aloud words dictated to her, and named aloud words dictated to her in spelled form.The findings bear on the unsettled issue of lesion site in the syndrome, and prove exception to the ‘bi-directional’ disconnection hypothesis. The use of such tests in other cases may prove these findings common in the syndrome of dyslexia and dysgraphia.