Alexia

alexia

loss of reading proficiency or impaired reading proficiency due to recent brain damage

2 models to alexia

dual route models
connectionist models

dual route models

lexical vs nonlexical reading routes

connectionist models

connections between orthography, meaning, and phonology units

peripheral alexias

affect early stages of reading process and involve difficulty perceiving the written word

central alexias

affect later stages of reading process and involve impairments in lexical and sublexical processing

Peripheral Alexia Subtypes

pure, neglect, attentional, visual

pure alexia

impairment in the simultaneous, parallel identification and processing pf letters in written word
letter by letter reading

what happens in pure alexia?

disconnection between visual info from LH word-recognition system

neglect alexia

impairment in correctly identifying initial or final letters in words
influenced by nature of letter string

attentional alexia

Incorrect productions of letters in a word as the result of interference from other letters in the word.

visual alexia

production of a word that is visually similar to target word

Central Alexia Subtypes

surface, deep, phonological

surface alexia

impaired reading of irregularly spelled words with relatively intact reading of regularly spelled real words and pseudowords

deep alexia

impaired pseudoword reading in conjunction with the production of semantic and visual errors in oral reading

phonological alexia

impaired pseudoword reading in conjunction with the absence of semantic reading errors

lesion site of peripheral alexias

areas of the brain associated with visual processing

lesion site of surface alexia

left temporal or temporoparietal lesions

lesion site of deep alexia

extensive left hemisphere lesions

lesion site of phonological alexia

left perisylvian or left superior temporal lesions

which type of alexia is associated with aphasia?

central alexia

alexia associated with fluent aphasia

surface

alexia associated with nonfluent aphasia

deep

treatment of alexia

reading at single-word level
training of phonological aspects of reading

increasing reading fluency through

multiple oral reading
oral reading for language in aphasia

strategies for summarizing information

attentive reading and constrained summarization
read aloud, silent reading, oral summary

strategies for identifying key words and main ideas

proposition identification and constrained summarization
identify key words before summarizing