Kubová Zuzana, Kuba Miroslav, Kremláček Jan, Langrová Jana, Szanyi Jana, Vít František, Chutná Marie
Charles University in Prague - Faculty of Medicine in Hradec Králové, Czech Republic.
Charles University in Prague - Faculty of Medicine in Hradec Králové, Czech Republic.
Vision Res. 2015 Jun;111(Pt A):97-104. doi: 10.1016/j.visres.2015.03.027. Epub 2015 Apr 22.
Standard pattern-reversal visual evoked potentials (VEPs) and motion-onset VEPs (M-VEPs) were tested in 19 dyslexics and 19 normal readers aged 7-13 years in order to evaluate the feasibility of M-VEPs for the objective diagnostics of a visual subtype of dyslexia, in which a dysfunction of the magnocellular subsystem/dorsal stream of the visual pathway is suspected. The set of VEPs consisted of the pattern-reversal VEPs with check sizes of 20', two types of translational motion (with low and high contrast) and two types of radial motion (in the full field or the periphery). While the P100 peak parameters in pattern-reversal VEPs did not differ between the group of dyslexics and controls, the group of dyslexics displayed significantly longer N2 latencies in all types of M-VEPs. Abnormal N2 latencies were found in 35-56% of dyslexics in different types of M-VEPs, with translational motion with high contrast being the most sensitive stimulation. A receiver operating characteristic analysis showed that the latencies of M-VEPs displayed higher discrimination potential than M-VEPs amplitudes. The study confirms a "magnocellular pathway/dorsal stream deficit" in approximately half of dyslexics.
对19名7至13岁的诵读困难者和19名正常阅读者进行了标准图形翻转视觉诱发电位(VEP)和运动起始VEP(M-VEP)测试,以评估M-VEP用于客观诊断诵读困难视觉亚型的可行性,在该亚型中怀疑存在视觉通路大细胞子系统/背侧流功能障碍。VEP测试组包括检查尺寸为20'的图形翻转VEP、两种平移运动(低对比度和高对比度)和两种径向运动(全场或周边)。虽然诵读困难组和对照组在图形翻转VEP中的P100峰值参数没有差异,但诵读困难组在所有类型的M-VEP中均表现出明显更长的N2潜伏期。在不同类型的M-VEP中,35%-56%的诵读困难者存在异常的N2潜伏期,其中高对比度平移运动是最敏感的刺激。受试者工作特征分析表明,M-VEP的潜伏期比M-VEP的波幅具有更高的辨别潜力。该研究证实约一半的诵读困难者存在“大细胞通路/背侧流缺陷”。