The Japanese journal of neuropsychology

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ArticleTitle	Kana paragraphias and their repetition in a patient with pure agraphia due to left-parietal lobe lesions
Language	J
AuthorList	Asako Kashiwagi¹⁾, Nami Ihori¹⁾²⁾, Toshihiro Kashiwagi³⁾, Yoshitsugu Nakagawa⁴⁾, Hirotaka Tanabe⁵⁾
Affiliation	1) Department of Rehabilitation, Kyoritsu Rehabilitation Hospital 2) Department of Rehabilitation, Kawasaki Cooperative Hospital 3) Department of Rehabilitation, Kyowakai Hospital 4) Department of Clinical Neurosciences, Neuropsychiatry, Osaka University Graduate School of Medicine 5) Department of Neuropsychiatry, Ehime University School of Medicine
Publication	Japanese Journal of Neuropsychology: 16 (4), 239-247, 2000
Received	Mar 10, 2000
Accepted	Jun 9, 2000
Abstract	Repetitive kana paragraphias during efforts to correct them were observed in a 69-year-old, right-handed, pure-agraphic patient with a subcortical haemorrhage in the left parietal lobe. His penmanship and written forms in writing and copying characters were intact. However, this patient produced phonemic paragraphias when writing kana. He would instantly notice a paragraphia and produce another paragraphia until he wrote the correct kana. Because auditory, visual and kinesthetic images of characters as well as the motor realization process seem to be intact, we consider his production of paragraphias to be a disorder of character selection resulting from free-running of the intact images of characters due to intra-hemispheric disconnection. Repetition of paragraphias are considered to be conduite d'approche in writing.
Keywords	pure agraphia, paragraphia, left-parietal lobe, cross-modal association, intra-hemispheric disconnection