Unidirectional dyslexia in a polyglot

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Alexia is usually seen after ischaemic insults to the dominant parietal lobe.A patient is described with a particular alexia to reading Hebrew (right to left), whereas no alexia was noted when reading in English. This deficit evolved after a hypertensive right occipitoparietal intracerebral haemorrhage, and resolved gradually over the ensuing year as the haematoma was resorbed. The deficit suggests the existence of a separate, language associated, neuronal network within the right hemisphere important to different language reading modes.

(J Neurol Neurosurg Psychiatry 1999;66:517-519)

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