numbers in a patient with impaired digit-to-word conversion

We describe a patient who cannot read aloud two-digit numbers He has a selective syntactic deficit in digit-to-verbal transcoding Yet he can add two-digit numbers and encode them as holistic quantities Some syntactic number comprehension processes do not depend on verbal representations Can the meaning of two-digit Arabic numbers be accessed independently of their verbal-phonological representations? To answer this question we explored the number processing of ZN, an aphasic patient with a syntactic deficit in digit-to-verbal transcoding, who could hardly read aloud two-digit numbers, but could read them as single digits (“four, two”). Neuropsychological examination showed that ZN’s deficit was neither in digit input nor in phonological output processes, as he could copy and repeat two-digit numbers. His deficit thus lied in a central process that converts digits to abstract number words and sends this information to phonological retrieval processes. Crucially, in spite of this deficit in number transcoding, ZN’s two-digit comprehension was spared in several ways: (1) he could calculate two-digit additions; (2) he showed good performance in a two-digit compariso