Introduction. Alexia without agraphia is an impairment of reading ability.
Speech, auditory comprehension, repetition and writing are relatively
intact. Due to a damage of the splenium of corpus callosum, alexia without
agraphia is considered to be an interhemispheric disconnection syndrome.
Case Report. We presented a 71-year-old male, with chronic hypertension,
diabetes mellitus and dyslipidemia. The magnetic resonance imaging showed a
lesion in the left medial temporal region, including the equilateral
thalamus, posterior cingulate gyrus, splenium of corpus callosum, lingual
occipital gyrus, and the tail of the hippocampus. Lacunar ischemia was found
on the right side of cerebellum. The neuro-linguistic diagnostic protocol
included the Mini Mental State Examination, Boston Diagnostic Aphasia
Examination, Boston Naming Test and phonemic and category fluency tests. We
have also designed a clinical protocol for color recognition assessment. The
results showed a mild cognitive impairment related to the time and space
orientation, delayed memory and reading. On the speech and language levels,
a severe acquired alexia without agraphia was registered which was not
associated with other language modalities. Conclusion. The neuro-linguistic
tests and clinical techniques provide a rather reliable diagnostic criteria,
which is the basis for neuro-rehabilitation. The rehabilitation protocol
refers to training techniques: tactile-kinesthetic recognition of graphemes
and application of various reading techniques, such as letter-by-letter
reading, Multiple Oral Re-reading, melodic intonation therapy and oral
reading technique in order to facilitate rehabilitation of reading.
Intracranial Hemorrhage in the Corpus Callosum Presenting as Callosal Disconnection Syndrome: FDG-PET and Tractography: A Case Report