Alexia may be accompanied by expressive and/or receptive aphasia (the inability to produce or comprehend spoken language). Alexia can also co-occur with agraphia, the specific loss of the ability to produce written language even when other manual motor abilities are intact. In other cases, damage is restricted to areas responsible for input processing. The result is known as pure alexia. In this scenario, an individual's ability to produce written language is spared even though they are unable to understand written text.
Alexia without agraphia results from a left occipital splenium of the corpus callosum lesion.