ABSTRACT

It is always interesting for the early career clinician to discover new categories of neuropsychological disorder. These are phenomena that you have previously read about in textbooks, but which you have never seen in real life. I had seen most of the aphasias, alexias and the like, so it was wonderful to have a referral of an agnosia, having never such a patient before. On assessment, James had an associative visual agnosia, together with several other rare deficits also resulting from damage to the posterior circulation. James was referred to a rehabilitation programme for the visually impaired. A discussion, months later, about his progress, leads to reflection on the rehabilitation referral.