The present case study of MM, who acquired both sign language and spoken la
nguage in her early preschool years-and then reached the normal milestones
Of development in each language-revealed that her speechreading expertise i
s associated with cognitive Functions such as high working memory capacity
and phonological skills. Her cognitive profile is in accord with previous c
ase studies of extremely good speechreading skill. MM's enhanced right pref
rontal/frontal cerebral blood Flow activation during speechreading seems to
be indicative of efficient visual scanning, but it is also possibly due to
her strategy for phonological decoding of visual speech.