Functional disruption in the organization of the brain for reading in dyslexia

SE Shaywitz, BA Shaywitz, KR Pugh… - Proceedings of the …, 1998 - National Acad Sciences
SE Shaywitz, BA Shaywitz, KR Pugh, RK Fulbright, RT Constable, WE Mencl
Proceedings of the National Academy of Sciences, 1998National Acad Sciences
Learning to read requires an awareness that spoken words can be decomposed into the
phonologic constituents that the alphabetic characters represent. Such phonologic
awareness is characteristically lacking in dyslexic readers who, therefore, have difficulty
mapping the alphabetic characters onto the spoken word. To find the location and extent of
the functional disruption in neural systems that underlies this impairment, we used functional
magnetic resonance imaging to compare brain activation patterns in dyslexic and …
Learning to read requires an awareness that spoken words can be decomposed into the phonologic constituents that the alphabetic characters represent. Such phonologic awareness is characteristically lacking in dyslexic readers who, therefore, have difficulty mapping the alphabetic characters onto the spoken word. To find the location and extent of the functional disruption in neural systems that underlies this impairment, we used functional magnetic resonance imaging to compare brain activation patterns in dyslexic and nonimpaired subjects as they performed tasks that made progressively greater demands on phonologic analysis. Brain activation patterns differed significantly between the groups with dyslexic readers showing relative underactivation in posterior regions (Wernicke’s area, the angular gyrus, and striate cortex) and relative overactivation in an anterior region (inferior frontal gyrus). These results support a conclusion that the impairment in dyslexia is phonologic in nature and that these brain activation patterns may provide a neural signature for this impairment.
National Acad Sciences