1Stanford University, Stanford, CA, USA.
J Learn Disabil. 2013 Nov-Dec;46(6):549-69. doi: 10.1177/0022219413483174. Epub 2013 Apr 9.
The primary goal of this review is to highlight current research and theories describing the neurobiological basis of math (MD), reading (RD), and comorbid math and reading disability (MD+RD). We first describe the unique brain and cognitive processes involved in acquisition of math and reading skills, emphasizing similarities and differences in each domain. Next we review functional imaging studies of MD and RD in children, integrating relevant theories from experimental psychology and cognitive neuroscience to characterize the functional neuroanatomy of cognitive dysfunction in MD and RD. We then review recent research on the anatomical correlates of MD and RD. Converging evidence from morphometry and tractography studies are presented to highlight distinct patterns of white matter pathways which are disrupted in MD and RD. Finally, we examine how the intersection of MD and RD provides a unique opportunity to clarify the unique and shared brain systems which adversely impact learning and skill acquisition in MD and RD, and point out important areas for future work on comorbid learning disabilities.
本次综述的主要目的是强调当前的研究和理论,这些研究和理论描述了数学(MD)、阅读(RD)以及数学和阅读障碍共病(MD+RD)的神经生物学基础。我们首先描述了获得数学和阅读技能所涉及的独特的大脑和认知过程,强调了每个领域的相似之处和不同之处。接下来,我们回顾了儿童 MD 和 RD 的功能影像学研究,将实验心理学和认知神经科学的相关理论整合起来,以描述 MD 和 RD 认知功能障碍的功能神经解剖学。然后,我们回顾了 MD 和 RD 的解剖学相关性的最新研究。通过形态计量学和轨迹追踪研究提供了汇聚证据,突出了在 MD 和 RD 中被破坏的白质通路的不同模式。最后,我们研究了 MD 和 RD 的交叉点如何为阐明对 MD 和 RD 中的学习和技能获取产生不利影响的独特和共享的大脑系统提供了独特的机会,并指出了共患学习障碍的未来工作的重要领域。