Transcranial direct current stimulation with multiple oral re-reading therapy for pure alexia without agraphia: a case report

Pure alexia without agraphia is characterized by impaired reading due to damage to the occipitotemporal cortex with preserved writing skills. In this case report, we investigate the effect of multiple oral re-reading (MOR) therapy adjunct with transcranial direct current stimulation (tDCS) in improv...

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Main Authors: Mohamad, Nur Afiqah, Che Adinana, Siti Nadia, Yusof Khan, Abdul Hanif Khan, Nik Abdul Ghani, Nik Nor Haramaini, Al-Khafiz Kamis, Mohammad Fandi, Wan Sulaiman, Wan Aliaa, Salim, Mazatulfazura Sf, Basri, Hamidon
Format: Article
Published: Taylor and Francis Group 2021
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author Mohamad, Nur Afiqah
Che Adinana, Siti Nadia
Yusof Khan, Abdul Hanif Khan
Nik Abdul Ghani, Nik Nor Haramaini
Al-Khafiz Kamis, Mohammad Fandi
Wan Sulaiman, Wan Aliaa
Salim, Mazatulfazura Sf
Basri, Hamidon
author_facet Mohamad, Nur Afiqah
Che Adinana, Siti Nadia
Yusof Khan, Abdul Hanif Khan
Nik Abdul Ghani, Nik Nor Haramaini
Al-Khafiz Kamis, Mohammad Fandi
Wan Sulaiman, Wan Aliaa
Salim, Mazatulfazura Sf
Basri, Hamidon
author_sort Mohamad, Nur Afiqah
collection UPM
description Pure alexia without agraphia is characterized by impaired reading due to damage to the occipitotemporal cortex with preserved writing skills. In this case report, we investigate the effect of multiple oral re-reading (MOR) therapy adjunct with transcranial direct current stimulation (tDCS) in improving reading recovery of a 64-year-old patient with pure alexia without agraphia following a stroke. His MRI revealed an area of infarct with microhemorrhages at the left occipitotemporal region. The patient was blinded to each therapy and underwent seven consecutive sessions of sham tDCS followed by seven consecutive sessions of real tDCS, coupled with 1-hour MOR therapy during each session. Western Aphasia Battery (WAB) was performed at baseline, before sham and real-tDCS, and 6 weeks after completing tDCS therapy. The patient showed improvement using both sham and real-tDCS with better reading comprehension, average reading time, and word per minute after real-tDCS. This study suggests that MOR, coupled with tDCS therapy may accelerate the reading recovery in patients with pure alexia.
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spelling upm.eprints-934122023-01-12T04:48:05Z http://psasir.upm.edu.my/id/eprint/93412/ Transcranial direct current stimulation with multiple oral re-reading therapy for pure alexia without agraphia: a case report Mohamad, Nur Afiqah Che Adinana, Siti Nadia Yusof Khan, Abdul Hanif Khan Nik Abdul Ghani, Nik Nor Haramaini Al-Khafiz Kamis, Mohammad Fandi Wan Sulaiman, Wan Aliaa Salim, Mazatulfazura Sf Basri, Hamidon Pure alexia without agraphia is characterized by impaired reading due to damage to the occipitotemporal cortex with preserved writing skills. In this case report, we investigate the effect of multiple oral re-reading (MOR) therapy adjunct with transcranial direct current stimulation (tDCS) in improving reading recovery of a 64-year-old patient with pure alexia without agraphia following a stroke. His MRI revealed an area of infarct with microhemorrhages at the left occipitotemporal region. The patient was blinded to each therapy and underwent seven consecutive sessions of sham tDCS followed by seven consecutive sessions of real tDCS, coupled with 1-hour MOR therapy during each session. Western Aphasia Battery (WAB) was performed at baseline, before sham and real-tDCS, and 6 weeks after completing tDCS therapy. The patient showed improvement using both sham and real-tDCS with better reading comprehension, average reading time, and word per minute after real-tDCS. This study suggests that MOR, coupled with tDCS therapy may accelerate the reading recovery in patients with pure alexia. Taylor and Francis Group 2021-09-03 Article PeerReviewed Mohamad, Nur Afiqah and Che Adinana, Siti Nadia and Yusof Khan, Abdul Hanif Khan and Nik Abdul Ghani, Nik Nor Haramaini and Al-Khafiz Kamis, Mohammad Fandi and Wan Sulaiman, Wan Aliaa and Salim, Mazatulfazura Sf and Basri, Hamidon (2021) Transcranial direct current stimulation with multiple oral re-reading therapy for pure alexia without agraphia: a case report. Neurocase, 27 (5). 391 - 395. ISSN 1355-4794; ESSN: 1465-3656 https://www.tandfonline.com/doi/abs/10.1080/13554794.2021.1974487 10.1080/13554794.2021.1974487
spellingShingle Mohamad, Nur Afiqah
Che Adinana, Siti Nadia
Yusof Khan, Abdul Hanif Khan
Nik Abdul Ghani, Nik Nor Haramaini
Al-Khafiz Kamis, Mohammad Fandi
Wan Sulaiman, Wan Aliaa
Salim, Mazatulfazura Sf
Basri, Hamidon
Transcranial direct current stimulation with multiple oral re-reading therapy for pure alexia without agraphia: a case report
title Transcranial direct current stimulation with multiple oral re-reading therapy for pure alexia without agraphia: a case report
title_full Transcranial direct current stimulation with multiple oral re-reading therapy for pure alexia without agraphia: a case report
title_fullStr Transcranial direct current stimulation with multiple oral re-reading therapy for pure alexia without agraphia: a case report
title_full_unstemmed Transcranial direct current stimulation with multiple oral re-reading therapy for pure alexia without agraphia: a case report
title_short Transcranial direct current stimulation with multiple oral re-reading therapy for pure alexia without agraphia: a case report
title_sort transcranial direct current stimulation with multiple oral re reading therapy for pure alexia without agraphia a case report
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