A patient with an extremely long-standing low grade glioma affecting t
he left temporal lobe is described. The patient was almost entirely un
able to retrieve the names of current personalities, although in other
respects identification was unimpaired and nominal functions were onl
y mildly inefficient. In particular geographical features and historic
al figures were generally appropriately named. The problem was equally
severe whether naming was to confrontation, from description or by ge
neration. A similarly severe impairment was also found for the retriev
al of new words that had come into the language in the last twenty yea
rs (eg. aids). The impairment of retrieving people's names was interpr
eted in terms of a long-standing inability to form new associations be
tween meaning and phonological word-forms.