Sauer Luciane, Pereira Liliane Desgualdo, Ciasca Sylvia Maria, Pestun Magda, Guerreiro Marilisa M
Departamento de Neurologia, Faculdade de Ciências Médicas, Universidade Estadual de São Paulo, Campinas, SP, Brazil.
Arq Neuropsiquiatr. 2006 Mar;64(1):108-11. doi: 10.1590/s0004-282x2006000100022. Epub 2006 Apr 5.
Dichotic listening (DL) was evaluated in 36 children with: verbal dichotic listening test, alternating disyllable dichotic test and non-verbal dichotic listening test. Children were separated into two groups: experimental group with 18 dyslexic children and control group with 18 normal children. Both groups were comparable in gender, laterality and social-economic level. All dyslexic children underwent neuroimaging exam (SPECT). Our data showed that there was a statistical difference between both groups in all DL tests. Abnormal SPECT findings were seen in 50% of the dyslexic children, hypoperfusion of the left temporal lobe being the most frequent abnormality. We conclude that dyslexic children present an impairment of central neurologic processing that may be detected by DL tests, and by functional imaging exam, such as SPECT, as well.
对36名儿童进行了双耳分听(DL)评估,采用了言语双耳分听测试、交替双音节双耳分听测试和非言语双耳分听测试。儿童被分为两组:实验组有18名诵读困难儿童,对照组有18名正常儿童。两组在性别、利手性和社会经济水平方面具有可比性。所有诵读困难儿童均接受了神经影像学检查(单光子发射计算机断层扫描,SPECT)。我们的数据表明,在所有双耳分听测试中,两组之间存在统计学差异。50%的诵读困难儿童单光子发射计算机断层扫描结果异常,左侧颞叶灌注不足是最常见的异常情况。我们得出结论,诵读困难儿童存在中枢神经处理功能障碍,这可以通过双耳分听测试以及功能成像检查(如单光子发射计算机断层扫描)检测出来。