Rumsey J M
Child Psychiatry Branch, National Institute of Mental Health, Bethesda, Md. 20892.
JAMA. 1992 Aug 19;268(7):912-5.
Dyslexia is a relatively common disorder that, when severe, persists into adulthood. New evidence suggests that females are affected nearly as frequently as males. Neuropsychological studies characterize dyslexia as a language disorder that involves phonological deficits in particular. Educational therapies aimed at direct improvement of reading skill constitute the best available treatment. Variable genetic transmission leading to a final common pathway appears to involve deficits in phonological coding. Postmortem studies and in vivo anatomical imaging suggest altered asymmetry of structures in the temporal lobes, and neuroimaging with positron emission tomography indicates left temporoparietal dysfunction in particular. Neuromaging is providing a window into the brain that promises further insights into the biology of dyslexia.
诵读困难是一种相对常见的疾病,严重时会持续至成年期。新证据表明,女性受其影响的频率与男性相近。神经心理学研究将诵读困难描述为一种语言障碍,尤其涉及语音缺陷。旨在直接提高阅读技能的教育疗法是目前最佳的治疗方法。导致最终共同途径的可变基因传递似乎涉及语音编码缺陷。尸检研究和活体解剖成像表明颞叶结构的不对称性发生改变,而正电子发射断层扫描的神经成像显示特别是左颞顶叶功能障碍。神经成像为了解大脑提供了一个窗口,有望进一步洞察诵读困难的生物学机制。