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阅读障碍的电生理和神经影像学研究结果综述

An Overview on Electrophysiological and Neuroimaging Findings in Dyslexia.

作者信息

Hernández-Vásquez Ronald, Córdova García Ulises, Barreto Ana Maritza Boy, Rojas Milagritos Leonor Rodriguez, Ponce-Meza Jacqueline, Saavedra-López Miguel

机构信息

Universidad Privada Norbert Wiener, Lima, Perú.

Universidad César Vallejo, Lima, Perú.

出版信息

Iran J Psychiatry. 2023 Oct;18(4):503-509. doi: 10.18502/ijps.v18i4.13638.

Abstract

Dyslexia is a prevalent neurodevelopmental condition that is characterized by inaccurate and slow word recognition. This article reviews neural correlates of dyslexia from both electrophysiological and neuroimaging studies. In this brief review, we provide electrophysiological and neuroimaging evidence from electroencephalogram (EEG) and magnetic resonance imaging (MRI) studies in dyslexia to understand functional and structural brain changes in this condition. In both electrophysiological and neuroimaging studies, the most frequently reported functional impairments in dyslexia include aberrant activation of the left hemisphere occipito-temporal cortex (OTC), temporo-parietal cortex (TPC), inferior frontal gyrus (IFG), and cerebellar areas. EEG studies have mostly highlighted the important role of lower frequency bands in dyslexia, especially theta waves. Furthermore, neuroimaging studies have suggested that dyslexia is related to functional and structural impairments in the left hemisphere regions associated with reading and language, including reduced grey matter volume in the left TPC, decreased white matter connectivity between reading networks, and hypo-activation of the left OTC and TPC. In addition, neural evidence from pre-reading children and infants at risk for dyslexia show that there are abnormalities in the dyslexic brain before learning to read begins. Advances in comprehending the neural correlates of dyslexia could bring closer translation from basic to clinical neuroscience and effective rehabilitation for individuals who struggle to read. However, neuroscience still has great potential for clinical translation that requires further research.

摘要

阅读障碍是一种普遍存在的神经发育障碍,其特征是单词识别不准确且缓慢。本文回顾了来自电生理和神经影像学研究的阅读障碍的神经关联。在这篇简短的综述中,我们提供了来自阅读障碍患者脑电图(EEG)和磁共振成像(MRI)研究的电生理和神经影像学证据,以了解这种情况下大脑的功能和结构变化。在电生理和神经影像学研究中,阅读障碍中最常报告的功能障碍包括左半球枕颞叶皮质(OTC)、颞顶叶皮质(TPC)、额下回(IFG)和小脑区域的异常激活。EEG研究大多强调了低频带在阅读障碍中的重要作用,尤其是theta波。此外,神经影像学研究表明,阅读障碍与左半球与阅读和语言相关区域的功能和结构损伤有关,包括左TPC灰质体积减少、阅读网络之间白质连接性降低以及左OTC和TPC激活不足。此外,来自有阅读障碍风险的学前儿童和婴儿的神经证据表明,在开始学习阅读之前,阅读障碍患者的大脑就存在异常。理解阅读障碍神经关联的进展可能会使从基础神经科学到临床神经科学的转化更接近现实,并为阅读困难的个体带来有效的康复。然而,神经科学在临床转化方面仍有很大潜力,需要进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3a1/10593994/a7ee5d6a6055/IJPS-18-503-g001.jpg

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