{Reference Type}: Journal Article
{Title}: Post-stroke Chinese pure alexia: linguistic features and neuropsychological profiles.
{Author}: Kuang SY;Xu Y;Wang YY;Wang ZG;Dong Q;Han X;Yang SL;
{Journal}: Acta Neurol Belg
{Volume}: 124
{Issue}: 2
{Year}: 2024 Apr 23
{Factor}: 2.471
{DOI}: 10.1007/s13760-024-02479-z
{Abstract}: <B>OBJECTIVE: </B>Very few cases of Chinese pure alexia have been reported to date. We aim to summarize the linguistic features and neuropsychological profiles of Chinese pure alexia through a case series study.<BR><B>METHODS: </B>11 consecutive patients with post-stroke Chinese pure alexia and 11 healthy controls were included. The Aphasia Battery of Chinese (ABC) and 68-Chinese character oral reading test (68-character test) were used to evaluate the reading and writing ability. Reading errors were classified based on the performance of 68-character test. Neuropsychological profiles were evaluated with corresponding scales. The possible correlation between the reading ability and the writing ability or neuropsychological performance was analyzed.<BR><B>RESULTS: </B>The patients had a correct rate of 43.7 ± 23.2% in the 68-character test, significantly lower (P < 0.001) than that of controls. Shape-similar error was the most common type of reading error (101/209, 48.3%). The ABC total writing score rate of the patients ranged from 68.9% to 98.7% (median, 90.5%), significantly lower (P < 0.001) than that of the controls. The patients also showed worse performance in MMSE, auditory verbal learning test, Boston naming test, intersecting pentagons copying and clock-drawing test (all P < 0.05). In the patient group, the correct rate of 68-character test was significantly correlated with the ABC total writing score rate (P = 0.008), the score rate of Boston naming test (P = 0.017), and the clock-drawing test score (P = 0.010).<BR><B>CONCLUSIONS: </B>Shape-similar errors may be a characteristic of Chinese pure alexia. The correlation between visuospatial dysfunction and pure alexia might explain the frequent occurrence of shape-similar errors in Chinese pure alexia.