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07 September 2020: Articles

Persistent Idiopathic Mirror Writing in a Right-Handed Healthy Young Woman: A Case Report

Challenging differential diagnosis, Unusual setting of medical care, Rare disease

Naheel A. AlAmer A* , Nouf A. AlShamlan A*

DOI: 10.12659/AJCR.926438

Am J Case Rep 2020; 21:e926438

Figure 1. Initial assessment of the patient with right and left hands’ writing in both English and Arabic languages (left and right panels, respectively), showing (top-to-bottom) copying and dictation of a paragraph with a mirror-reversed with both hands and both languages as well. Figures A and B showed dictating tasks in the right hand with normal writing directions, performed with efforts, and took 8 and 6 minutes, respectively. Figures C and D showed dictating tasks in the right hand with mirror writing, performed effortlessly, and took 2 and 1 minutes, respectively. Figures E and F demonstrated dictating tasks performed by the left hand with mirror writing and took 3 and 2 minutes, respectively. Figures G and H showed copying tasks by her right hand and took 1 minute in both with mirror writing. Figures I and J showed copying tasks by her left hand with mirror writing appearance and took 2 minutes in both.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923