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阅读障碍中由右侧顶叶后部病变引起的视觉缺陷存在吗?

Is there a visual deficit in dyslexia resulting from a lesion of the right posterior parietal lobe?

作者信息

Polikoff B R, Evans B J, Legg C R

机构信息

Department of Psychology, City University, London, UK.

出版信息

Ophthalmic Physiol Opt. 1995 Sep;15(5):513-7.

PMID:8524585
Abstract

Dyslexia has conventionally been attributed to a left hemisphere deficit affecting language skills. However, it has recently been suggested that two-thirds of dyslexic people have a lesion of the right posterior parietal lobe (RPPL) resulting in poor oculo-motor control. It has been reported that neurological patients with RPPL lesions commonly manifest a neglect of the left side of space and this has also been described in clinical observations of 'visual dyslexics'. We investigated this hypothesis with a sample of 53 dyslexic children and 53 controls using a line-bisection task. In the horizontal test condition both groups tended to transect slightly to the left of the midpoint (mean displacement 0.14 mm for controls; 0.4 mm for dyslexics). The result suggests a small right side neglect which, contrary to one report in the literature, is found here in developmental dyslexics as well as controls, and leads to the conclusion that RPPL lesion is unlikely to be a common feature of dyslexia.

摘要

诵读困难传统上被归因于影响语言技能的左半球缺陷。然而,最近有人提出,三分之二的诵读困难者右后顶叶(RPPL)有损伤,导致眼球运动控制不佳。据报道,患有RPPL损伤的神经科患者通常表现出对空间左侧的忽视,这在“视觉诵读困难者”的临床观察中也有描述。我们使用线段二等分任务,对53名诵读困难儿童和53名对照组进行了抽样调查,以研究这一假设。在水平测试条件下,两组都倾向于在中点左侧稍作横切(对照组平均位移0.14毫米;诵读困难者为0.4毫米)。结果表明存在轻微的右侧忽视,与文献中的一份报告相反,这种情况在发育性诵读困难者以及对照组中都存在,由此得出结论,RPPL损伤不太可能是诵读困难的常见特征。

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