We report the case of Olivia, a 10-year-old developmental dyslexic who
se reading age is 7 years 7 months. Most of her reading errors are vis
ual paralexias and she makes neither sematic errors nor errors of regu
larisation. Her reading error pattern is thus analogous to that previo
usly described in acquired visual dyslexia. Neuropsychological assessm
ent shows that reading accuracy is not affected by variables such as w
ord frequency, word length, spelling regularity, or the lexical dimens
ion of the printed stimuli. The analysis of visual errors reveals the
existence of a frequency bias, direct count word frequency of the prod
uction being on average higher than that of the stimulus. However, per
formance on lexical decision tasks suggests that Olivia's misreadings
reflect an initial word misidentification. Overall, the analysis point
s to a dysfunction ascribed at a relatively peripheral level of proces
sing. Olivia's paralexias are interpreted as reflecting primarily a vi
sual attentional impairment. Such a peripheral dysfunction seems to ha
ve no major consequence on the development of the reading system but p
revents access to an automatic level of word recognition.