We present a case of multimodal agnosia in the visual and tactile modality
due to an infarction in the territory of the left posterior cerebral artery
. The patient's ability to recognize objects fluctuated depending on his ve
rbal activity. When he misnamed presented objects, he tended to use them an
d to draw them in keeping with the wrong name. We submit: that the mechanis
m causing associative agnosia is more dynamic than it was hitherto consider
ed. It originates from the rivalry between top-down central regulation and
bottom-up peripheral flow.