Examination for agraphia includes spontaneous writing, writing to dictation (Figure 1), and written naming. If the dominant arm is paralyzed, writing may be attempted with the nondominant arm. A distinction between linguistic and spatial components of agraphia is best made by copying. To compensate for impaired motor abilities, letter or word synthesis using printed material may be used. Testing for kinesthetic reading, letter synthesis using sticks (matches), oral spelling, and reading may also be helpful.
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