报道一例左顶枕梗塞后纯失读病人。失语检查显示：除抄写外、其言语，听理解及书写基本正常；阅读存在明显困难，其中视读完成３０％；听字辨认完成９０％；字画匹配完成５５％；读指令并执行及读句选答案填空完全不能。补充阅读检查发现有关动物范畴词汇的阅读能力被保留。结合本例情况讨论了其发生机理。 Reported a case of pure left after the left top of the occipital infarction patients. Aphasia examination showed that except for copying, the speech, listening comprehension and writing were basically normal. There were obvious difficulties in reading, of which 30% of reading was completed, 90% of hearing reading was completed, 55% of matching of calligraphy and painting was completed, and reading and executing instructions and reading sentences Fill in the blank answer can not be completed. Additional reading tests revealed that the reading ability of animal-related terms was preserved. Combined with the situation in this case discussed its mechanism.