T he ability to read and write is associated with a widely distributed cortical or subcortical neuronetwork. Brain lesions in cases of acquired alexia or agraphia are distributed throughout the dominant network of the frontal to occipital lobes. These lesions are thought to be related to various subcortical fibers.40 Previous reports of alexia and agraphia have localized the disorders to a restricted area, the left inferior parietal lobule and, more specifically, the angular and supramarginal gyri. 1,2,9,10,33,40 These findings imply that lesions resulting in alexia with agraphia may be related to damage in common subcortical pathways necessary for reading and writing, including cerebral white matter tracts.Recent noninvasive diagnostic techniques such as functional MRI (fMRI) and diffusion tensor imaging (DTI) have enabled characterization of the neuroanatomical distribution of various functions within the brain.Regarding reading and alexia, previous fMRI studies have revealed that reading is performed by a dominanthemisphere network of inferior frontal and temporoparietal areas that constitute a dorsal phonological route and occipitotemporal cortical regions that form a ventral orthographic reading route. 18,46,47 The arcuate fasciculus (AF), which is part of the superior longitudinal fasciculus (SLF), may subserve the dorsal phonological route, while the inferior frontooccipital fasciculus (IFOF) and the inferior longitudinal fasciculus (ILF) may subserve the ventral orthographic route. However, DTI fiber tracking studies for reading are relatively sparse, and most prior studies have made assumptions regarding the specific white matter tracts that may be involved. 29,46,50 In terms of functional and structural aspects, the writing process has been associated with the lateral posterior parietal cortex in the dominant hemisphere. 8,16 Within the lateral posterior parietal cortex, lesions inAssociation of dorsal inferior frontooccipital fasciculus fibers in the deep parietal lobe with both reading and writing processes: a brain mapping study Alexia and agraphia are disorders common to the left inferior parietal lobule, including the angular and supramarginal gyri. However, it is still unclear how these cortical regions interact with other cortical sites and what the most important white matter tracts are in relation to reading and writing processes.Here, the authors present the case of a patient who underwent an awake craniotomy for a left inferior parietal lobule glioma using direct cortical and subcortical electrostimulation. The use of subcortical stimulation allowed identification of the specific white matter tracts associated with reading and writing. These tracts were found as portions of the dorsal inferior frontooccipital fasciculus (IFOF) fibers in the deep parietal lobe that are responsible for connecting the frontal lobe to the superior parietal lobule. These findings are consistent with previous diffusion tensor imaging tractography and functional MRI studies, which suggest that the IFOF may play a r...