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. 2025 Sep 4;19:1664803. doi: 10.3389/fnhum.2025.1664803

Table 5.

Comparison of the fusiform-type and posterior occipital-type pure alexia.

Symptoms Fusiform type Posterior occipital type
Alexia Kanji > kanaa
Words > letters
Kana
Letters
Impaired function Whole-word reading Letter identification
Kinesthetic reading Kana words Kana words
Lexical effects Complexity, imageability (kanji) Lexicality (kana)
Letter-by-letter reading Kana nonwords Kana nonwords
Word-length effect Kana words Kana words
Word-by-word readingb Five-character kana words None
Writing impairment Kanji Kanji
Visual discrimination Normal Mildly impaired
a

Kanji reading is more impaired than kana reading.

b

Compound words or sentences are read word by word or phrase by phrase.

Revised with permission from Sakurai et al. (2006b).