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10. Brain damage from a stroke, a tumor, or a degenerative disease may produce a lasting alexia, but there can also be a transient alexia, due to a temporary disturbance in the brain’s visual recognition systems, as can happen, for instance, with migraine. (This has been described by Fleishman et al. and Bigley and Sharp, among others.) I had such an experience driving to an appointment one morning, when I suddenly found myself unable to read the names of streets; they seemed to be written in a strange archaic script—Phoenician, perhaps—that I could not decipher. My first thought was of some external change. New York City is a popular location for filming, and the “altered” street signs, I presumed, were part of some elaborate cinematic setup. Then a sort of shimmering or scintillation around the letters gave me a clue—my alexia, I realized, was part of a migraine aura.
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