Cases reported "Dyslexia"

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1/69. Cross-modal priming evidence for phonology-to-orthography activation in visual word recognition.

    Subjects were asked to indicate which item of a word/nonword pair was a word. On critical trials the nonword was a pseudohomophone of the word. RTs of dyslexics were shorter in blocks of trials in which a congruent auditory prime was simultaneously presented with the visual stimuli. RTs of normal readers were longer for high frequency words when there was auditory priming. This provides evidence that phonology can activate orthographic representations; the size and direction of the effect of auditory priming on visual lexical decision appear to be a function of the relative speeds with which sight and hearing activate orthography.
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2/69. A modality-specific mapping impairment: spoken versus written production.

    A 29 year-old dysphasic woman (AF) presented with superior ability in written over spoken sentences. In contrast, her comprehension showed the reverse trend. Cognitive neuropsychological investigations revealed that her double dissociation was more apparent than real. AF's superior auditory comprehension was attributed to suspected dyslexic factors impeding written comprehension. However, an account of a strong dissociation between her written and spoken production was less obvious. The evidence suggested AF suffered from a procedural mapping deficit which had a disproportionate effect on spoken production. AF's performance challenge current models of lexical access which consider syntactic knowledge to be amodal. An alternative account is considered within Caramazza's (1997) Independent Network model of lexical access.
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3/69. A case study of an English-Japanese bilingual with monolingual dyslexia.

    We report the case of AS, a 16 year-old English/Japanese bilingual boy, whose reading/writing difficulties are confined to English only. AS was born in japan to a highly literate Australian father and English mother, and goes to a Japanese selective senior high school in japan. His spoken language at home is English. AS's reading in logographic Japanese Kanji and syllabic Kana is equivalent to that of Japanese undergraduates or graduates. In contrast, his performance in various reading and writing tests in English as well as tasks involving phonological processing was very poor, even when compared to his Japanese contemporaries. Yet he has no problem with letter names or letter sounds, and his phoneme categorisation is well within the normal range of English native speakers. In order to account for our data that show a clear dissociation between AS's ability to read English and Japanese, we put forward the 'hypothesis of granularity and transparency'. It is postulated that any language where orthography-to-phonology mapping is transparent, or even opaque, or any language whose orthographic unit representing sound is coarse (i.e. at a whole character or word level) should not produce a high incidence of developmental phonological dyslexia.
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4/69. A school-aged child with delayed reading skills.

    During a health supervision visit, the father of a 7.5-year-old African American second-grader asked about his son's progress in reading. He was concerned when, at a recent teacher-parent conference to review Darren's progress, the teacher remarked that Darren was not keeping up with reading skills compared with others in his class. She said that he had difficulty sounding out some words correctly. In addition, he could not recall words he had read the day before. The teacher commented that Darren was a gregarious, friendly child with better-than-average verbal communication skills. His achievement at math was age-appropriate; spelling, however, was difficult for Darren, with many deleted letters and reversals of written letters. A focused history did not reveal any risk factors for a learning problem in the prenatal or perinatal periods. Early motor, language, and social milestones were achieved on time. Darren had not experienced any head injury, loss of consciousness, or chronic medical illness. He had several friends, and his father denied any behavioral problems at home or at school. His teacher completed a DSM-IV-specific behavioral survey for attention-deficit/hyperactivity disorder (ADHD). It did not show any evidence of ADHD. Darren's father completed 1 year of college and is currently the manager of a neighborhood convenience store. His mother had a high school education; she recalled that she found it difficult to complete assignments that required reading or writing. She is employed as a waitress. Darren does not have any siblings. The pediatrician performed a complete physical examination, the results of which were normal, including visual acuity, audiometry, and a neurological examination. It was noted that Darren seemed to pause several times in response to questions or commands. On two occasions, during finger-nose testing and a request to assess tandem gait, directions required repetition. overall, he was pleasant and seemed to enjoy the visit. His pediatrician concluded that he had a learning problem but she was uncertain about the next step. She asked herself, "Is there anything else I can do in the office to evaluate Darren's problem with learning? Should I quickly refer him for educational testing or encourage a reading tutor? What questions can I ask his teacher that would be helpful? Am I missing a medical disorder?"
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keywords = visual
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5/69. Converging evidence for the role of occipital regions in orthographic processing: a case of developmental surface dyslexia.

    Recently, there have been several reports focusing on the neural basis for word recognition. Two different views have emerged: one emphasizing the role of the left angular gyrus in recognizing printed words, and the second view suggesting that visual word processing activates the left extrastriate cortex. This paper describes the case of EBON, a 14-year-old girl with an extensive early (most likely congenital) brain lesion in the left occipital lobe. She demonstrates a clear pattern of developmental surface dyslexia in that she is more successful at reading and spelling regular words than irregular words and makes frequent regularization errors. Thus, EBON is the first case reported with the potential to establish converging evidence for the role of extrastriate regions in the left hemisphere in the acquisition of orthographic representations.
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keywords = visual
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6/69. Selective uppercase dysgraphia with loss of visual imagery of letter forms: a window on the organization of graphomotor patterns.

    We report a patient who, after a left parieto-occipital lesion, showed alexia and selective dysgraphia for uppercase letters. He showed preserved oral spelling, associated with handwriting impairment in all written production; spontaneous writing, writing to dictation, real words, pseudowords, and single letters were affected. The great majority of errors were well-formed letter substitutions: most of them were located on the first position of each word, which the patient always wrote in uppercase (as he used to do before his illness). The patient also showed a complete inability to access the visual representation of letters. As demonstrated by a stroke segmentation analysis, letter substitutions followed a rule of graphomotor similarity. We propose that the patient's impairment was at the stage where selection of the specific graphomotor pattern for each letter is made and that the apparent selective disruption of capital case was due to a greater stroke similarity among letters belonging to the same case. We conclude that a visual format is necessary neither for spelling nor for handwriting.
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7/69. The interaction of multiple routes in oral reading: evidence from dissociations in naming and oral reading in phonological dyslexia.

    During oral reading we hypothesized that lexical representations are activated and selected for output by the simultaneous activation of the semantic, the direct lexical orthography to phonology, and the sublexical grapheme-to-phoneme conversion (GPC) routes (Southwood & Chatterjee, 1999). Serial models of reading argue that the semantic route governs oral reading with minimal influence from the nonlexical direct route and the sublexical GPC route. These models predict that semantic errors should occur in reading when the semantic route and GPC are both impaired. The Simultaneous Activation Hypothesis predicts few semantic errors in oral reading but many during picture naming. Semantic errors are infrequent in reading because information from all three reading routes constrains activation of a phonological entry. By contrast phonological selection in picture naming is constrained primarily by the semantic route and if damaged additional information is unavailable to select the appropriate phonological code. In agreement with the Simultaneous Activation Hypothesis five phonological dyslexics produced semantic errors during picture naming but not when reading aloud. Phonological errors were present during oral reading and minimal during picture naming.
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8/69. Rapid word identification in pure alexia is lexical but not semantic.

    Following the notion that patients with pure alexia have access to two distinct reading strategies-letter-by-letter reading and semantic reading-a training program was devised to facilitate reading via semantics in a patient with pure alexia. Training utilized brief stimulus presentations and required category judgments rather than explicit word identification. The training was successful for trained words, but generalized poorly to untrained words. Additional studies involving oral reading of nouns and of functors also resulted in improved reading of trained words. Pseudowords could not be trained to criterion. The results suggest that improved reading can be achieved in pure alexia by pairing rapidly presented words with feedback. Focusing on semantic processing is not essential to this process. It is proposed that the training strengthens connections between the output of visual processing and preexisting orthographic representations.
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keywords = visual
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9/69. Atypical cognitive disorders in a man with developmental surface dyslexia.

    The neuropsychological profile of a man with a developmental surface dyslexia is presented here. This case study is of interest because J.C. exhibited a pattern of cognitive disorders rarely documented in previous data. Results showed that JC's difficulties in reading comprehension were closely related to complex memory disorders and were also associated with cognitive slowness. The present observations do not support the visual memory failure hypothesis. The data rather suggest that the core difficulty primarily lies with the nonautomatization of grapheme-phoneme correspondence rules, which in turn dramatically contributed to lexicon weaknesses. The hypothesis of a timing mechanism in reading disorders is discussed.
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ranking = 0.16666666666667
keywords = visual
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10/69. Visual implicit memory deficit and developmental surface dyslexia: a case of early occipital damage.

    This study reports the case of EBON, a fifteen-year-old right-handed female Swedish student, who suffered an early medial/dorsal occipital brain lesion and showed a clearly defined pattern of developmental surface dyslexia. EBON and 17 controls were examined with within and cross-modality (visual and auditory) word stem completion tasks together with tasks requiring free-recall and recognition for visually and auditory presented words. Compared to age-matched controls, EBON was found to show a significant deficit of visual priming following visual presentation, and a deficit approaching significance following auditory presentation. Explicit memory and visual and spatial abilities were not significantly different from controls. Therefore, EBON represents the first childhood case establishing the role of occipital regions in visual priming, as well as illustrating a profile of surface reading difficulty as a developmental consequence of this locus of lesion.
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