Disruption of posterior brain systems for reading in children with developmental dyslexia
Abstract
Background Converging evidence indicates a functional disruption in the neural systems for reading in adults with dyslexia. We examined brain activation patterns in dyslexic and nonimpaired children during pseudoword and real-word reading tasks that required phonologic analysis (i.e., tapped the problems experienced by dyslexic children in sounding out words).Methods We used functional magnetic resonance imaging (fMRI) to study 144 right-handed children, 70 dyslexic readers, and 74 nonimpaired readers as they read pseudowords and real words.Results Children with dyslexia demonstrated a disruption in neural systems for reading involving posterior brain regions, including parietotemporal sites and sites in the occipitotemporal area. Reading skill was positively correlated with the magnitude of activation in the left occipitotemporal region. Activation in the left and right inferior frontal gyri was greater in older compared with younger dyslexic children.Conclusions These findings provide neurobiological evidence of an underlying disruption in the neural systems for reading in children with dyslexia and indicate that it is evident at a young age. The locus of the disruption places childhood dyslexia within the same neurobiological framework as dyslexia, and acquired alexia, occurring in adults.
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Activation levels of the VWFA and other nearby regions were positively correlated with standardized scores in grapheme-phoneme decoding ability, even when the effects of age were taken into account.
“Activation levels of the VWFA and other nearby regions were positively correlated with standardized scores in grapheme-phoneme decoding ability, even when the effects of age were taken into account.”
From The visual word form area: expertise for reading in the fusiform gyrus (2003) · cites this paper as [36]
Successful mastery of grapheme-phoneme conversion (i.e. decoding) is a critical precursor to the development of the adult-like response properties of the VWFA.
“Such findings suggest that successful mastery of graphemephonemeconversion (i.e. decoding) is a critical precursor to the development of the adult-like response properties of the VWFA.”
From The visual word form area: expertise for reading in the fusiform gyrus (2003) · cites this paper as [36]
The disrupted neural response is also evident in children with dyslexia.
“This disruption, however, is also evident in children with dyslexia (12, 13), which suggests that it is fundamental to the disorder.”
From Neural deficits in children with dyslexia ameliorated by behavioral remediation: Evidence from functional MRI (2003) · cites this paper as [13]
This system's proper development matters for English and possibly more so for other writing systems.
“The proper development of this system is surely relevant in English (Shaywitz et al., 2002), but it may be even more important in other writing systems (van der Mark et al., 2009; Share, 2008; Ziegler, 2006; Siok, Perfetti, Jin, & Tan, 2004; Holopainen, Ahonen, & Lyytinen, 2001; Paulesu et al., 2001).”
From The Development of Cortical Sensitivity to Visual Word Forms (2011) · cites this paper as Shaywitz et al., 2002
It takes years for children to develop expert word recognition, and the emergence of this expertise correlates with the amount of activation of the VWFA by letter strings in normal and dyslexic children.
“Finally, it should be remembered that it takes years for children to develop expert word recognition (Aghababian and Nazir, 2000), and that the emergence of this expertise correlates with the amount of activation of the VWFA by letter strings in normal and dyslexic children (McCandliss et al., 2003; Shaywitz et al., 2002; Temple, 2002).”
From Specialization within the ventral stream: the case for the visual word form area (2004) · cites this paper as Shaywitz et al., 2002
Paediatric fMRI studies have not directly examined letter-speech sound associations.
“To date, paediatric fMRI studies have not directly investigated the associations of letters and speech sounds.”
From Deviant processing of letters and speech sounds as proximate cause of reading failure: A functional magnetic resonance imaging study of dyslexic children. (2010) · cites this paper as Shaywitz et al., 2002
Paediatric fMRI studies using complex phonological tasks consistently find underactivation in perisylvian cortex and occipito-temporal gyri in dyslexia.
“These studies converge on the finding of underactivation in perisylvian cortex and occipito-temporal gyri in dyslexia.”
From Deviant processing of letters and speech sounds as proximate cause of reading failure: A functional magnetic resonance imaging study of dyslexic children. (2010) · cites this paper as Shaywitz et al., 2002
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- Authors
- Shaywitz, B. A., Shaywitz, S. E., Pugh, K. R., Mencl, W. E., Fulbright, R. K., Skudlarski, P., Constable, R. T., Marchione, K. E., Fletcher, J. M., Lyon, G. R., & Gore, J. C.
- Affiliations
- Yale University (US)
- Haskins Laboratories (US)
- National Institutes of Health (US)
- Corresponding author
- Shaywitz, Bennett A
- ORCID
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2002-07
- Volume
- 52
- Issue
- 2
- Pages
- 101-110
- ISSN
- 0006-3223 (ISSN-L)
- OpenAlex
- W2060985254
- Semantic Scholar
- 881ec3672449b078432f1fa7d7d249e68488d3a7
- Cited by
- 993
- References
- 55
- Citations by year
- 2026: 21 · 2025: 22 · 2024: 15 · 2023: 25 · 2022: 31 · 2021: 43 · 2020: 42 · 2019: 38 · 2018: 37 · 2017: 35 · 2016: 47 · 2015: 43 · 2014: 36 · 2013: 53 · 2012: 60
- FWCI
- 82.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Biological Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5p01hd021888-10)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P01HD21888, P50HD025802)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Reading and Literacy Development
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
- Keywords
- developmental dyslexia, reading, children, pseudoword reading, inferior frontal gyrus, reading skills, age differences
- MeSH terms
- Adolescent, Brain, Brain Mapping, Child, Dyslexia, Female, Humans, Magnetic Resonance Imaging, Male, Reading
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