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NEUROLOGY 1976;26:455
© 1976 American Academy of Neurology

Alexia without agraphia

DAVID N. COHEN, M.D., VIRGILIO D. SALANGA, M.D., WILLIAM HULLY, M.D., MARTA C. STEINBERG, M.D. and RUSSELL W. HARDY, M.D.

From the Neuro-ophthalmology Service in the Department of Ophthalmology (Dr. Cohen), the Department of Neurology (Drs. Salanga and Hully), the Department of Pathology (Dr. Steinberg), and the Department of Neurosurgery (Dr. Hardy), The Cleveland Clinic Foundation and The Cleveland Clinic Educational Foundation, Cleveland, Ohio.

This typical case of alexia without agraphia, caused by an astrocytoma, is the first recorded case in the literature of alexia without agraphia with a right homonymous hemianopia caused by a tumor. This case differs from previously reported cases of the syndrome by its fluctuating clinical course and its slow progression. All but one of previously reported cases had been of vascular or surgical etiology. This course and the associated radiographic findings should differentiate the neoplastic from the vascular etiology of this most fascinating syndrome.

Requests for reprints should be addressed to Dr. Salanga, Department of Neurology, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44106.

Received for publication July 28, 1975.







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