Romani A, Conte S, Callieco R, Bergamaschi R, Versino M, Lanzi G, Zambrino C A, Cosi V
Department of Neurology, IRCCS C. Mondino Institute of Neurology, Pavia, Italy.
Funct Neurol. 2001 Jul-Sep;16(3):219-29.
Developmental reading disability (dyslexia) has traditionally been attributed to impaired linguistic skills. Recent psychophysical data suggest that dyslexia may be related to a visual perceptual deficit. A few visual evoked potential (VEP) studies have addressed this hypothesis, but their results are far from consistent. We submitted 9 dyslexic subjects and 9 age- and sex-matched normal controls to checkerboard pattern reversal VEPs. The main experimental variables were: large (0.5 cycles per degree; cpd) and small (2 cpd) checks and two reversal frequencies (2.1 Hz and 8 Hz); mean luminance and contrast (60 cd/m2 and 50%, respectively) were kept constant in all four conditions. Transient VEP (2.1 Hz) parameters did not differ between controls and dyslexics at 2 cpd. At 0.5 cpd, N70 amplitude was significantly smaller and N70 latency significantly shorter in dyslexics. Amplitudes for the fundamental frequency (8 Hz), as well as for the second and third harmonics of the steady-state VEPs were smaller in dyslexics for both stimulus sizes. A discriminant analysis correctly classified each subject. Our data confirm the hypothesis of a perceptual deficit in dyslexic subjects. The abnormalities are related to spatial and temporal stimulus frequencies: they appear when large stimuli are presented, or when the stimulation frequency is high. These data support the hypothesis of selective magnocellular dysfunction in dyslexia.
发育性阅读障碍(诵读困难)传统上被归因于语言技能受损。最近的心理物理学数据表明,诵读困难可能与视觉感知缺陷有关。一些视觉诱发电位(VEP)研究探讨了这一假设,但其结果远未一致。我们让9名诵读困难受试者以及9名年龄和性别匹配的正常对照接受棋盘格图案翻转VEP测试。主要实验变量为:大(0.5周/度;cpd)和小(2 cpd)方格以及两种翻转频率(2.1 Hz和8 Hz);在所有四种条件下,平均亮度和对比度(分别为60 cd/m²和50%)保持恒定。在2 cpd时,对照组和诵读困难组之间的瞬态VEP(2.1 Hz)参数没有差异。在0.5 cpd时,诵读困难组的N70波幅显著较小,N70潜伏期显著较短。对于两种刺激大小,诵读困难组的基频(8 Hz)以及稳态VEP的二次和三次谐波的波幅均较小。判别分析正确地对每个受试者进行了分类。我们的数据证实了诵读困难受试者存在感知缺陷的假设。这些异常与空间和时间刺激频率有关:当呈现大刺激或刺激频率较高时出现。这些数据支持了诵读困难中选择性大细胞功能障碍的假设。