Forgetting How to Read

A sign, symptom and consequence of brain injury can be the loss of ability to read.
Scanning these words takes less than a minute, but it also sparks a complex chain of neurological processes. So what happens when the mind’s circuitry goes haywire? As Kurt Kleiner reports, reading disorders like those of Toronto novelist Howard Engel are helping scientists decode the mystery of the literate brain.
Someone who views words as jumbled, can write but not read, or forgets how to read a foreign language, but not English, is said to suffer from pure alexia or alexia without agraphia.
The condition was first described in 1892 by French neurologist, Joseph Jules Dejeine. His patient could no longer read, name colors or make out musical notes. At death and after autopsy, Dr. Dejeine’s patient was found with a lesion in the left occipital region of the brain – used for vision – and also at the back of the corpus callosum, which connects the right and left hemispheres of the brain.
In The Man Who Forgot How to Read, Howard Engel, 76, describes his battle with the condition known as pure alexia. Interestingly, though Engel can no longer read fluently, he still manages to write as he did before and understands spoken language.

Better Care for Iraq Vets

Doctors treating blast victims at a field hospital in Iraq have found that ruptured eardrums may help reveal which troops are at risk of hidden brain injury as reported in a letter in Thursday's issue of the New England Journal of Medicine.  The finding is important because many such brain injuries have been missed in the past, especially when more severe or obvious wounds demanded attention.

Diagnosing brain injury, especially mild damage, is based largely on subjective symptoms like irritability and forgetfulness. Imaging tests like CAT scans do not help, and neurological function tests are not very useful without baseline information.

When we stop to consider how many brain injuries were "missed" in veterans of other wars, this new information gives cause and hope for better care and outcome for Iraq vets.