We report a longitudinal investigation of the development of reading in a c
hild (DB) who suffered a left-hemisphere stroke in the early stages of read
ing acquisition. Reading development was monitored over a 4-year period usi
ng tests given on three occasions. Standardised reading tests showed that D
B's reading problems became more pronounced with age and a specific reading
disorder evolved. Her performance on orthographic and phonological reading
tests revealed a complex pattern of development over time, consistent with
a phonological reading disorder, that was principally characterised by def
icient nonword reading. Her segmentation skills were initially impaired but
improved to a normal level over time. Furthermore, she showed a marked red
uction in the effects of spelling-sound regularity on word reading that wer
e typical for her reading age and she produced significantly more lexical e
rrors than reading-age controls, suggesting that she used mainly lexical st
rategies for word reading. Her sublexical processes were primitive and were
generally applied only to stimuli that were stated to be nonwords. We sugg
est that DB has established an acquired form of developmental phonological
dyslexia; the first such case to be reported.