This paper is a single case study of a professional musician, PKC, with a s
elective impairment in reading, writing and understanding musical notation.
After sustaining a left posterior temporal robe lesion and a small right o
ccipitotemporal lesion in an episode of haemorrhagic encephalitis, the pati
ent showed a specific deficit in reading music. She retained the ability to
read aloud letters, words, numbers and symbols, including the musical ones
, but was quite unable to read aloud musical notes on the staff, either by
naming with the conventional letter or by singing or playing them. On the o
ther hand, PKC was still able to remember and play both familiar and new me
lodies, indicating that the musical reading deficit was not part of a more
general musical impairment. The implication for the processing of symbolic
notations is discussed.