02/28/2026
Case Study: Visual Agnosia
We love being back in the world of complex speech language pathology cases. We recently evaluated with a patient with visual agnosia following a stroke, highlighting the intricate role of perception in accessing language and functional communication.
Auditory comprehension, verbal expression, and fluency were intact. He could follow complex commands and generate spoken language without difficulty. We could spell words aloud and he’d state them immediately. He could write out his name and address without error, and even state words written with a finger on his back. However, when shown language or objects, he couldn’t name letters, numbers, written words, names, or dates. He could not name basic pictures. Despite all of his other strengths, this visual-linguistic disruption greatly affects his daily functioning: no reading text messages, navigating signs, paying bills, driving, etc.
SLPs play a critical role in rehabilitating individuals with visual agnosia by distinguishing whether communication breakdowns arise from visual‑perceptual access issues versus core language impairment, while providing strategies to support functional communication and maximize quality of life. In this case, challenge accepted, and we are excited to support this patient’s journey.
Thank you to the wonderful physicians and medical personnel who trust Cortex Initiative with their patients!