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Visual agnosia without alexia

From the Section of Neurology, Department of Medicine (Dr. Gomori), and Section of Behavioral Science and Rehabilitation Medicine (Dr. Hawryluk), University of Manitoba, Winnipeg, Manitoba, Canada.

A 41-year-old man presented with bilateral posterior cerebral artery infarcts. He had visual object agnosia and prosopagnosia with preservation of reading abilities. There was also defective visual memory, topographic orientation, and color perception, as well as simultanagnosia. From the clinical facts and CT findings, it was postulated that bilateral visual-limbic disconnection accounted for the patient's visual agnosia and related disturbances.

Address correspondence and reprint requests to Dr. Gomori, 1516 Medical Arts Building, 233 Kennedy Street, Winnipeg, Manitoba, Canada R3C 3J5.

Presented in part at the 35th annual meeting of the American Academy of Neurology, San Diego, CA, April 1983.

Accepted for publication October 18, 1983.

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