1 Laboratory of Neuro Imaging and Institute for Neuroimaging and Informatics, Department of Neurology, Keck School of Medicine of University of Southern California, Los Angeles, CA, 90032, USA
2 Department of Biological and Medical Psychology, University of Bergen, 5009 Bergen, Norway 3 Department of Education, UiT the Arctic University of Norway, 9019 Tromsø, Norway.
Brain. 2014 Dec;137(Pt 12):3136-41. doi: 10.1093/brain/awu229. Epub 2014 Aug 14.
Developmental dyslexia is a common reading disorder that negatively impacts an individual's ability to achieve literacy. Although the brain network involved in reading and its dysfunction in dyslexia has been well studied, it is unknown whether dyslexia is caused by structural abnormalities in the reading network itself or in the lower-level networks that provide input to the reading network. In this study, we acquired structural magnetic resonance imaging scans longitudinally from 27 Norwegian children from before formal literacy training began until after dyslexia was diagnosed. Thus, we were able to determine that the primary neuroanatomical abnormalities that precede dyslexia are not in the reading network itself, but rather in lower-level areas responsible for auditory and visual processing and core executive functions. Abnormalities in the reading network itself were only observed at age 11, after children had learned how to read. The findings suggest that abnormalities in the reading network are the consequence of having different reading experiences, rather than dyslexia per se, whereas the neuroanatomical precursors are predominantly in primary sensory cortices.
发展性阅读障碍是一种常见的阅读障碍,会严重影响个体的读写能力。尽管阅读所涉及的大脑网络及其在阅读障碍中的功能障碍已经得到了很好的研究,但目前尚不清楚阅读障碍是由阅读网络本身的结构异常还是提供给阅读网络的较低层次网络的功能异常引起的。在这项研究中,我们从 27 名挪威儿童开始,在正式接受读写训练之前一直到被诊断为阅读障碍之后,对他们进行了纵向的结构磁共振成像扫描。因此,我们能够确定,在阅读障碍之前,主要的神经解剖学异常并不在阅读网络本身,而是在负责听觉和视觉处理以及核心执行功能的较低层次区域。阅读网络本身的异常仅在 11 岁时,即儿童学会阅读之后才被观察到。研究结果表明,阅读网络的异常是由于不同的阅读经历,而不是阅读障碍本身所致,而神经解剖学的前兆主要在初级感觉皮层。