Démonet Jean-François, Taylor Margot J, Chaix Yves
INSERM U455, Hôpital Purpan, IFR 96, Toulouse, France.
Lancet. 2004 May 1;363(9419):1451-60. doi: 10.1016/S0140-6736(04)16106-0.
Developmental dyslexia, or specific reading disability, is a disorder in which children with normal intelligence and sensory abilities show learning deficits for reading. Substantial evidence has established its biological origin and the preponderance of phonological disorders even though important phenotypic variability and comorbidity have been recorded. Diverse theories have been proposed to account for the cognitive and neurological aspects of dyslexia. Findings of genetic studies show that different loci affect specific reading disability although a direct relation has not been established between symptoms and a given genomic locus. In both children and adults with dyslexia, results of neuroimaging studies suggest defective activity and abnormal connectivity between regions crucial for language functions--eg, the left fusiform gyrus for reading--and changes in brain activity associated with performance improvement after various remedial interventions.
发育性阅读障碍,或特定阅读障碍,是一种智力和感觉能力正常的儿童在阅读方面表现出学习缺陷的病症。大量证据已证实其生物学起源以及音韵障碍占主导地位,尽管已记录到重要的表型变异性和共病情况。人们提出了各种理论来解释阅读障碍的认知和神经学方面。基因研究结果表明,不同的基因座会影响特定阅读障碍,尽管尚未在症状与特定基因组位点之间建立直接关系。在患有阅读障碍的儿童和成人中,神经影像学研究结果均表明,对语言功能至关重要的区域(如负责阅读的左侧梭状回)之间存在活动缺陷和连接异常,并且在各种补救干预后,大脑活动会随着表现改善而发生变化。