A left-handed Japanese man is reported who presented right-hand agraph
ia and tactile anemia following callosal infarction. Magnetic resonanc
e imaging revealed an ischemic lesion extending from the posterior hal
f of the trunk to the splenium of the corpus callosum. In his right ha
ndwriting, the 'Kana' (phonogram) was more severely impaired than the
'Kanji' (ideogram), and the most frequent typewriting error was morpho
logical followed by neographism. His visuoconstructional ability was a
lso more impaired in the right hand than in the left. Right-hand agrap
hia in our case is readily explained by the right hemisphere dominance
both for language and visuoconstructional ability.