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  <title>NITRC News Group Forum: what-letters-can--learn--from-arabic-digits---fmri-controlled-single-case-therapy-study-of-peripheral-agraphia.</title>
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        &lt;p&gt;&lt;b&gt;What letters can &quot;learn&quot; from Arabic digits - fMRI-controlled single case therapy study of peripheral agraphia.&lt;/b&gt;&lt;/p&gt;          
        &lt;p&gt;Brain Lang. 2015 Jul 14;149:13-26&lt;/p&gt;
        &lt;p&gt;Authors:  Jung S, Halm K, Huber W, Willmes K, Klein E&lt;/p&gt;
        &lt;p&gt;Abstract&lt;br/&gt;
        Research on (hand-)writing has revealed that Exner's area subserves transferring linguistic impulses into writing programmes. We report on a patient with a lesion affecting Broca's and Exner's area suffering from severe peripheral agraphia for letters but not for Arabic digits. Analogous to semantic (magnitude) information in numbers, we developed a specifically tailored writing training: additional mental imagery based semantic information was attached to letters. The training resulted in significant improvements. Imaging data revealed stronger fronto-parietal network activity including perilesional activation around Exner's area and precuneus for writing letters to dictation than for writing letters corresponding to their mental image expressions. Follow-up testing showed not only stable training effects but also an activation shift into the left angular gyrus. Results document neuronal correlates of a successful intervention by attaching additional meanings to letters in order to retrieve their grapho-motor patterns. These findings contribute to understanding the impact of Exner's area.&lt;br/&gt;
        &lt;/p&gt;&lt;p&gt;PMID: 26186229 [PubMed - as supplied by publisher]&lt;/p&gt;
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