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This study evaluates spelling errors in the three subtypes of primary progressive aphasia (PPA): agrammatic (PPA-G), logopenic (PPA-L), and semantic (PPA-S). Forty-one PPA patients and 36 age-matched healthy controls were administered a test of spelling. The total number of errors and types of errors in spelling to dictation of regular words, exception words and nonwords, were recorded. Error types were classified based on phonetic plausibility. In the first analysis, scores were evaluated by clinical diagnosis. Errors in spelling exception words and phonetically plausible errors were seen in PPA-S. Conversely, PPA-G was associated with errors in nonword spelling and phonetically implausible errors. In the next analysis, spelling scores were correlated to other neuropsychological language test scores. Significant correlations were found between exception word spelling and measures of naming and single word comprehension. Nonword spelling correlated with tests of grammar and repetition. Global language measures did not correlate significantly with spelling scores, however. Cortical thickness analysis based on MRI showed that atrophy in several language regions of interest were correlated with spelling errors. Atrophy in the left supramarginal gyrus and inferior frontal gyrus (IFG) pars orbitalis correlated with errors in nonword spelling, while thinning in the left temporal pole and fusiform gyrus correlated with errors in exception word spelling. Additionally, phonetically implausible errors in regular word spelling correlated with thinning in the left IFG pars triangularis and pars opercularis. Together, these findings suggest two independent systems for spelling to dictation, one phonetic (phoneme to grapheme conversion), and one lexical (whole word retrieval). (Contains 3 tables and 3 figures.)

One of the components of abnormal social functioning in autism is an impaired ability to direct eye gaze onto other people's faces in social situations. Here, we investigated the relationship between gaze onto the eye and mouth regions of faces, and the visual information that was present within those regions. We used the "Bubbles" method to vary the facial information available on any given trial by revealing only small parts of the face, and measured the eye movements made as participants viewed these stimuli. Compared to ten IQ- and age-matched healthy controls, eight participants with autism showed less fixation specificity to the eyes and mouth, a greater tendency to saccade away from the eyes when information was present in those regions, and abnormal directionality of saccades. The findings provide novel detail to the abnormal way in which people with autism look at faces, an impairment that likely influences all subsequent face processing.

One of the components of abnormal social functioning in autism is an impaired ability to direct eye gaze onto other people's faces in social situations. Here, we investigated the relationship between gaze onto the eye and mouth regions of faces, and the visual information that was present within those regions. We used the "Bubbles" method to vary the facial information available on any given trial by revealing only small parts of the face, and measured the eye movements made as participants viewed these stimuli. Compared to ten IQ- and age-matched healthy controls, eight participants with autism showed less fixation specificity to the eyes and mouth, a greater tendency to saccade away from the eyes when information was present in those regions, and abnormal directionality of saccades. The findings provide novel detail to the abnormal way in which people with autism look at faces, an impairment that likely influences all subsequent face processing.