Patients with letter-by-letter alexia may have residual access to lexical or semantic representations of words despite severely impaired overt word recognition (reading). Here, we report a multilingual patient with severe letter-by-letter alexia who rapidly identified the language of written words and sentences in French and English while he had…

A language-levels model was used to analyze written narratives. The results have implications for instruction and for documenting change in the story-writing performance of students with and without special needs in the area of written language development. This study was based on stories written at midyear by 277 students (224 typical learners…