The Fractionation of Arithmetical Skills: A Single Case Study

A single case study of a patient with a selective impairment of arithmetical calculation is reported. DRC became severely acalculic after sustaining a left parietal intra-cerebral haematoma. His numeracy skills were documented as fully as possible. It was found that his knowledge of the significance of individual numbers and his concept of quantity appeared to be intact, but simple addition, subtraction and multiplication were all performed laboriously and inaccurately and his performance was inconsistent from trial to trial. Further it was shown that it was his knowledge of arithmetical facts not his knowledge of arithmetical operations which was impaired. The findings are discussed in relation to models of arithmetical calculation and it is concluded that for DRC there was a deficit in accessing one category of verbal semantic knowledge systems, namely arithmetical facts.