Visual evoked potentials in dyslexics and normals: failure to find a difference in transient or steady-state responses

The role of single trial variability in event related potentials in children with attention deficit hyperactivity disorder

OBJECTIVE

Children with attention deficit hyperactivity disorder (ADHD) show attenuated mean P3 component amplitudes compared to typically developing (TD) children. This finding may be the result of individual differences in P3 amplitudes, P3 latencies, and/or greater single trial variability (STV) in amplitude or latency, suggesting neural "noise."

METHODS

Event related potentials (ERPs) from 75 children with ADHD and 29 TD children were recorded with electroencephalography (EEG). Caregivers provided ratings on child ADHD symptoms. Single-trial ERP amplitudes and latencies were extracted from the P3 component time window during a visual oddball task. Additionally, we computed individual-centered and trial-centered P3 amplitudes to account for inter-individual and inter-trial variability in the timing of the P3 peak.

RESULTS

In line with prior research, greater ADHD symptom severity was associated with reduced mean P3 amplitude. This correlation was no longer significant after correcting for inter-trial differences in P3 latency. In contrast, greater ADHD symptom severity was associated with reduced STV in P3 amplitude.

CONCLUSIONS

Our results suggest that attenuated average P3 amplitude in ADHD samples is due to a consistent reduction in strength of the neurophysiological signal at the single trial level, as well as increased inter-trial variability in the timing of P3 peak amplitudes. The traditional method of extracting P3 amplitudes based on a single time window for all trials may not adequately capture variability in P3 latencies associated with ADHD.

SIGNIFICANCE

Inter- and intra-individual differences in brain signatures should be considered in models of neurobiological differences in neurodevelopmental samples.

A neural index of inefficient evidence accumulation in dyslexia underlying slow perceptual decision making

Visual processing deficits have been widely reported in developmental dyslexia however the locus of cognitive dysfunction remains unclear. Here, we examined the neural correlates of perceptual decision-making using a dot-motion task and electroencephalography (EEG) and investigated whether presenting deficits were unique to children with dyslexia or if they were also evident in other, typically developing children with equally immature reading systems. Sixty-eight children participated: 32 with dyslexia (DD; 16 females); 21 age-matched controls (AM; 11 females) and 15 reading-matched controls (RM; 9 females). All participants completed a bilaterally presented random-dot-motion task while EEG was recorded. Neural signatures of low level sensory processing (steady state visual evoked potentials; SSVEPs), pre-target attentional bias (posterior α power), attentional orienting (N2), evidence accumulation (centro-parietal positive decision signal; CPP) and execution of a motor response (β) were obtained to dissect the temporal sequence of perceptual decision-making. Reading profile provided a score of relative lexical and sublexical skills for each participant. Although all groups performed comparably in terms of task accuracy and false alarm rate, the DD group were slower and demonstrated an earlier peak latency, reduced slope and lower amplitude of the CPP compared with both AM and RM controls. Reading profile was found to moderate the relationship between word reading ability, reaction time as well as CPP indices showing that lexical dyslexics responded more slowly and had a shallower slope, reduced amplitude and earlier latency of CPP waveforms than sublexical dyslexics. These findings suggest that children with dyslexia, particularly those with relatively poorer lexical abilities, have a reduced rate and peak of evidence accumulation as denoted by CPP markers yet remain slow in their overt response. This is in keeping with hypotheses that children with dyslexia have impairment in effectively sampling and processing evidence about visual motion stimuli.

Neural underpinnings of dyslexia as a disorder of visuo‐spatial attention

For nearly 100 years, the underlying cause of dyslexia has been a matter of much debate, with widely varying viewpoints that have ranged from considering dyslexia as largely a learning disability to claims that it is essentially a perceptual defect occurring early along the visual pathway. This paper reviews some of this literature with particular reference to the studies that have implicated a defect in the afferent visual pathways in the aetiology of the disorder, then goes on to outline a neural theory of how functionally distinct parallel pathways in vision interact with each other in the process of reading and suggests how a defect in these pathways can lead to reading difficulties. Central to the proposed scheme is the suggestion that a fast-track pathway, arising from the magnocellular cells in the retina and acting through an attentional mechanism, has a gating function in spotlighting the individual letters of a text in a sequential fashion. That such gating occurs at the level of the primary visual cortex is supported by recent physiological evidence concerning attentional mechanisms.

Reduced Visual Magnocellular Event-Related Potentials in Developmental Dyslexia

(1) Background—the magnocellular hypothesis proposes that impaired development of the visual timing systems in the brain that are mediated by magnocellular (M-) neurons is a major cause of dyslexia. Their function can now be assessed quite easily by analysing averaged visually evoked event-related potentials (VERPs) in the electroencephalogram (EEG). Such analysis might provide a useful, objective biomarker for diagnosing developmental dyslexia. (2) Methods—in adult dyslexics and normally reading controls, we recorded steady state VERPs, and their frequency content was computed using the fast Fourier transform. The visual stimulus was a black and white checker board whose checks reversed contrast every 100 ms. M- cells respond to this stimulus mainly at 10 Hz, whereas parvocells (P-) do so at 5 Hz. Left and right visual hemifields were stimulated separately in some subjects to see if there were latency differences between the M- inputs to the right vs. left hemispheres, and these were compared with the subjects’ handedness. (3) Results—Controls demonstrated a larger 10 Hz than 5 Hz fundamental peak in the spectra, whereas the dyslexics showed the reverse pattern. The ratio of subjects’ 10/5 Hz amplitudes predicted their reading ability. The latency of the 10 Hz peak was shorter during left than during right hemifield stimulation, and shorter in controls than in dyslexics. The latter correlated weakly with their handedness. (4) Conclusion—Steady state visual ERPs may conveniently be used to identify developmental dyslexia. However, due to the limited numbers of subjects in each sub-study, these results need confirmation.

Flicker fusion thresholds as a clinical identifier of a magnocellular-deficit dyslexic subgroup

The magnocellular-dorsal system is well isolated by high temporal frequency. However, temporal processing thresholds have seldom been explored in developmental dyslexia nor its subtypes. Hence, performances on two, four-alternative forced-choice achromatic flicker fusion threshold tasks modulated at low (5%) and high (75%) temporal contrast were compared in dyslexic and neurotypical children individually matched for age and intelligence (8–12 years, n = 54 per group). As expected, the higher modulation resulted in higher flicker fusion thresholds in both groups. Compared to neurotypicals, the dyslexic group displayed significantly lower ability to detect flicker at high temporal frequencies, both at low and high temporal contrast. Yet, discriminant analysis did not adequately distinguish the dyslexics from neurotypicals, on the basis of flicker thresholds alone. Rather, two distinct dyslexic subgroups were identified by cluster analysis – one characterised by significantly lower temporal frequency thresholds than neurotypicals (referred to as ‘Magnocellular-Deficit’ dyslexics; 53.7%), while the other group (‘Magnocellular-Typical’ dyslexics; 46.3%) had comparable thresholds to neurotypicals. The two dyslexic subgroups were not differentially associated with phonological or naming speed subtypes and showed comparable mean reading rate impairments. However, correlations between low modulation flicker fusion threshold and reading rate for the two subgroups were significantly different (p = .0009). Flicker fusion threshold performances also showed strong classification accuracy (79.3%) in dissociating the Magnocellular-Deficit dyslexics and neurotypicals. We propose that temporal visual processing impairments characterize a previously unidentified subgroup of dyslexia and suggest that measurement of flicker fusion thresholds could be used clinically to assist early diagnosis and appropriate treatment recommendations for dyslexia.

Electrophysiological Testing of Dyslexia

We enlarged our previous study (Kubová Z. et al. Physiol Res 1995;44:87-89) giving an evidence about magnocellular pathway involvement (delayed motion-onset visual evoked potentials (M-VEPs)) in 70% of dyslexic children. In the new group presented here, only 48% of 25 dyslexics displayed prolonged latencies of cortical responses to motion stimuli. However, there was no correlation of this defect with the used quantification of the reading skills (reading quotients). No significant EEG frequency spectrum changes were found. 10 subjects from the former group, who were re-examined 4 years after the previous study at the mean age of 14 years, exhibited significant shortening of the M-VEP latencies compared to the original values. Also in control subjects a distinct improvement in magnocellular pathway function was proved (in M-VEP re-examination after 4 years). These results document rather late maturation of the magnocellular pathway, which is evident mainly in dyslexic children. In both groups of dyslexics an effect of colour in moving stimuli was also tested to verify the reported effect of light wavelengths onto the magnocellular pathway function. However, no latency differences among grey, green, pink, yellow and blue stimuli were observed.

Pattern Visual Evoked Potentials in Dyslexic Children

PURPOSE

This study aimed to compare pattern visual evoked potential (PVEP) components in dyslexic and normal children.

METHODS

This cross-sectional analytic study recruited 72 children, including 36 dyslexic and 36 normal participants aged 8-12 years. Visual examinations included measurement of distance visual acuity, refraction, and PVEP components of amplitudes and latencies with two different check sizes of 15 and 60 minutes (min) of arc at two contrast levels of 25% and 100%.

RESULTS

Our results demonstrated significant differences between dyslexic and normal children in terms of P100 latency and amplitude of PVEP at 25% contrast, with check sizes of 15 and 60 min of arc. However, there were no significant differences between the two groups regarding P100 latency and amplitude at 100% contrast with check sizes of both 15 and 60 min of arc.

CONCLUSION

Dyslexic participants showed reduced amplitude and prolonged latency in most PVEP components at low-contrast levels. These findings may support the magnocellular deficit hypothesis in dyslexic participants, even though the parvocellular pathway remains intact.

Problems with visual statistical learning in developmental dyslexia

Previous research shows that dyslexic readers are impaired in their recognition of faces and other complex objects, and show hypoactivation in ventral visual stream regions that support word and object recognition. Responses of these brain regions are shaped by visual statistical learning. If such learning is compromised, people should be less sensitive to statistically likely feature combinations in words and other objects, and impaired visual word and object recognition should be expected. We therefore tested whether people with dyslexia showed diminished capability for visual statistical learning. Matched dyslexic and typical readers participated in tests of visual statistical learning of pairs of novel shapes that frequently appeared together. Dyslexic readers on average recognized fewer pairs than typical readers, indicating some problems with visual statistical learning. These group differences were not accounted for by differences in intelligence, ability to remember individual shapes, or spatial attention paid to the stimuli, but other attentional problems could play a mediating role. Deficiencies in visual statistical learning may in some cases prevent appropriate experience-driven shaping of neuronal responses in the ventral visual stream, hampering visual word and object recognition.

Visual Illusions: An Interesting Tool to Investigate Developmental Dyslexia and Autism Spectrum Disorder

A visual illusion refers to a percept that is different in some aspect from the physical stimulus. Illusions are a powerful non-invasive tool for understanding the neurobiology of vision, telling us, indirectly, how the brain processes visual stimuli. There are some neurodevelopmental disorders characterized by visual deficits. Surprisingly, just a few studies investigated illusory perception in clinical populations. Our aim is to review the literature supporting a possible role for visual illusions in helping us understand the visual deficits in developmental dyslexia and autism spectrum disorder. Future studies could develop new tools - based on visual illusions - to identify an early risk for neurodevelopmental disorders.

Pattern Visual Evoked Potentials in Dyslexic versus Normal Children

Purpose:

Presence of neurophysiological abnormalities in dyslexia has been a conflicting issue. This study was performed to evaluate the role of sensory visual deficits in the pathogenesis of dyslexia.

Methods:

Pattern visual evoked potentials (PVEP) were recorded in 72 children including 36 children with dyslexia and 36 children without dyslexia (controls) who were matched for age, sex and intelligence. Two check sizes of 15 and 60 min of arc were used with temporal frequencies of 1.5 Hz for transient and 6 Hz for steady-state methods.

Results:

Mean latency and amplitude values for 15 min arc and 60 min arc check sizes using steady state and transient methods showed no significant difference between the two study groups (P values: 0.139/0.481/0.356/0.062). Furthermore, no significant difference was observed between two methods of PVEPs in dyslexic and normal children using 60 min arc with high contrast (P values: 0.116, 0.402, 0.343 and 0.106).

Conclusion:

The sensitivity of PVEP has high validity to detect visual deficits in children with dyslexic problem. However, no significant difference was found between dyslexia and normal children using high contrast stimuli.

Multiple Causal Links Between Magnocellular-Dorsal Pathway Deficit and Developmental Dyslexia

Although impaired auditory-phonological processing is the most popular explanation of developmental dyslexia (DD), the literature shows that the combination of several causes rather than a single factor contributes to DD. Functioning of the visual magnocellular-dorsal (MD) pathway, which plays a key role in motion perception, is a much debated, but heavily suspected factor contributing to DD. Here, we employ a comprehensive approach that incorporates all the accepted methods required to test the relationship between the MD pathway dysfunction and DD. The results of 4 experiments show that (1) Motion perception is impaired in children with dyslexia in comparison both with age-match and with reading-level controls; (2) pre-reading visual motion perception-independently from auditory-phonological skill-predicts future reading development, and (3) targeted MD trainings-not involving any auditory-phonological stimulation-leads to improved reading skill in children and adults with DD. Our findings demonstrate, for the first time, a causal relationship between MD deficits and DD, virtually closing a 30-year long debate. Since MD dysfunction can be diagnosed much earlier than reading and language disorders, our findings pave the way for low resource-intensive, early prevention programs that could drastically reduce the incidence of DD.

Morphological differences in the lateral geniculate nucleus associated with dyslexia

Developmental dyslexia is a common learning disability characterized by normal intelligence but difficulty in skills associated with reading, writing and spelling. One of the most prominent, albeit controversial, theories of dyslexia is the magnocellular theory, which suggests that malfunction of the magnocellular system in the brain is responsible for the behavioral deficits. We sought to test the basis of this theory by directly measuring the lateral geniculate nucleus (LGN), the only location in the brain where the magnocellular and parvocellular streams are spatially disjoint. Using high-resolution proton-density weighted MRI scans, we precisely measured the anatomical boundaries of the LGN in 13 subjects with dyslexia (five female) and 13 controls (three female), all 22–26 years old. The left LGN was significantly smaller in volume in subjects with dyslexia and also differed in shape; no differences were observed in the right LGN. The functional significance of this asymmetry is unknown, but these results are consistent with the magnocellular theory and support theories of dyslexia that involve differences in the early visual system.

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The first direct test of the magnocellular hypothesis of dyslexia in vivo

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The first measurements of the LGN in living subjects with dyslexia

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The LGN are smaller in subjects with dyslexia and differ morphologically

Retinal contrast transfer functions in adults with and without ADHD

In previous studies, we found a strong reduction in contrast perception and retinal contrast gain in patients with major depression, which normalized after remission of depression. We also identified a possible role of the dopaminergic system in this effect, because visual contrast perception depends on dopaminergic neurotransmission. Dopamine is also known to play an important role in the pathogenesis of attention deficit hyperactivity disorder (ADHD). Therefore, in order to explore the specificity of retinal contrast gain as a marker of depression in comparison with other psychiatric diseases, we recorded the pattern electroretinogram (PERG) in patients with ADHD. Twenty patients diagnosed with ADHD and 20 matched healthy subjects were studied. Visual pattern electroretinograms were recorded from both eyes. The contrast gain of the patients with attention deficit disorder (ADD) did not differ from the control group, nor did the contrast gain of any ADHD subgroup (predominantly inattentive or combined patients). In the healthy subjects, a significant correlation between depression score and contrast gain was found. As the contrast gain in an earlier study clearly separated the patients with depression from the controls, we assume that retinal contrast gain might be a specific marker in depression.

Within-subject variability during spatial working memory in children with ADHD: an event-related potentials study

Working memory (WM) dysfunction and increased within-subject variability are known issues in attention deficit/hyperactivity disorder (ADHD) patients. Little is known about the electrophysiological characteristics of this variability. We evaluated behavioral and electrophysiological within-subject variability taking developmental aspects into account in a group of ADHD patients. Multichannel (n = 31) event-related potentials (ERP) were measured during a visuo-spatial backmatching task; 44 children (8-16 years old) were tested: 22 children with ADHD, combined (n = 17) and inattentive (n = 5) type, and 22 age- and intelligence-matched control children. One-backmatching (BM1) and two-backmatching (BM2) tasks were performed. Classical behavioral parameters and target and nontarget ERP were compared between groups. In addition, motor response variability and ERP amplitude variability were studied. Age-related changes in both motor response and ERP amplitude variability were analyzed in each group. Attention deficit/hyperactivity disorder children made more commission errors, which was more pronounced in the difficult (BM2) task. No difference between groups was found in ERP amplitude and in motor response variability. However, ADHD patients had higher ERP amplitude variability, which was again more pronounced in the difficult WM task. A delayed maturation of amplitude variability was seen in ADHD patients with a slower than in controls decrease in variability with age. This amplitude variability was correlated with the number of commissions, but in an opposite way for ADHD and control children. Our findings indicate an impaired visuo-spatial WM processing in ADHD children with greater ERP amplitude variability compared to controls. Our results also support the view of a delayed cortical development of visuo-spatial WM circuits in this disorder.

Learning disabilities, dyslexia, and vision

Learning disabilities constitute a diverse group of disorders in which children who generally possess at least average intelligence have problems processing information or generating output. Their etiologies are multifactorial and reflect genetic influences and dysfunction of brain systems. Reading disability, or dyslexia, is the most common learning disability. It is a receptive language-based learning disability that is characterized by difficulties with decoding, fluent word recognition, rapid automatic naming, and/or reading-comprehension skills. These difficulties typically result from a deficit in the phonologic component of language that makes it difficult to use the alphabetic code to decode the written word. Early recognition and referral to qualified professionals for evidence-based evaluations and treatments are necessary to achieve the best possible outcome. Because dyslexia is a language-based disorder, treatment should be directed at this etiology. Remedial programs should include specific instruction in decoding, fluency training, vocabulary, and comprehension. Most programs include daily intensive individualized instruction that explicitly teaches phonemic awareness and the application of phonics. Vision problems can interfere with the process of reading, but children with dyslexia or related learning disabilities have the same visual function and ocular health as children without such conditions. Currently, there is inadequate scientific evidence to support the view that subtle eye or visual problems cause or increase the severity of learning disabilities. Because they are difficult for the public to understand and for educators to treat, learning disabilities have spawned a wide variety of scientifically unsupported vision-based diagnostic and treatment procedures. Scientific evidence does not support the claims that visual training, muscle exercises, ocular pursuit-and-tracking exercises, behavioral/perceptual vision therapy, "training" glasses, prisms, and colored lenses and filters are effective direct or indirect treatments for learning disabilities. There is no valid evidence that children who participate in vision therapy are more responsive to educational instruction than children who do not participate.

The role of low-spatial frequencies in lexical decision and masked priming

Spatial frequency filtering was used to test the hypotheses that low-spatial frequency information in printed text can: (1) lead to a rapid lexical decision or (2) facilitate word recognition. Adult proficient readers made lexical decisions in unprimed and masked repetition priming experiments with unfiltered, low-pass, high-pass and notch filtered letter strings. In the unprimed experiments, a filtered target was presented for 105 or 400 ms followed by a pattern mask. Sensitivity (d') was lowest for the low-pass filtered targets at both durations with a bias towards a 'non-word' response. Sensitivity was higher in the high-pass and notch filter conditions. In the priming experiments, a forward mask was followed by a filtered prime then an unfiltered target. Primed words, but not non-words, were identified faster than unprimed words in both the low-pass and high-pass filtered conditions. These results do not support a unique role for low-spatial frequency information in either facilitating or making rapid lexical decisions.

Poor performance on serial visual tasks in persons with reading disabilities: impaired working memory?

The present study investigates the performance of persons with reading disabilities (PRD) on a variety of sequential visual-comparison tasks that have different working-memory requirements. In addition, mediating relationships between the sequential comparison process and attention and memory skills were looked for. Our findings suggest that PRD perform worse than normally achieving readers (NAR) when the task requires more than a minimal amount of working memory, unrelated to presentation rate. We also demonstrate high correlations between performance on the task with the most working-memory demands and reading-related skills, suggesting that poor working-memory abilities may be one of the underlying mechanisms of dyslexia. The mediating model analysis indicates that order judgment tasks are mediating to verbal working memory, suggesting that visual sequence memory precedes auditory sequence memory. We further suggest that visual tasks involving sequential comparisons could probe for poor working memory in PRD.

A few remarks on relating reaction time to magnocellular activity

Studies have found dyslexic readers to have longer reaction times than nondyslexic readers. These results have been discussed relative to the hypothesis that dyslexia is caused by a magnocellular deficit. We here point out that attempts to link reaction times in dyslexic readers to magnocellular sensitivity face at least two serious problems: (a) The reaction time differences between dyslexics and controls appear too large to be attributable to deficits in the magnocellular system; (b) there is evidence to suggest that in the case of stimuli with contrast above about 10% behavioral reaction times may reflect parvocellular rather than magnocellular activity.

Yellow filters, magnocellular responses, and reading

It has been suggested that yellow filters may increase magnocellular responsivity. This suggestion was, in large part, based on the assumption that the S-cones inhibit the magnocellular system. However, the evidence invoked to justify this assumption is only indirect. A previously reported direct electrophysiological investigation of this issue has found that S-cone input to the magnocellular system actually sum with L-and M-cone inputs. Therefore, the notion that yellow filters enhance magnocellular responses by reducing inhibition from S-cones cannot be maintained.

Attention, dyslexia, and the line-motion illusion

Dyslexic readers have been found to have a reduced line-motion illusion. This has been interpreted as evidence for an attention deficit of magnocellular origin. We show that this interpretation has severe problems: 1) to link reduced line-motion illusion to attention overlooks other factors, 2) to link the line-motion illusion specifically to the magnocellular system is problematic because the illusion can be obtained with isoluminant stimuli, 3) reduced illusory motion in dyslexic individuals may reflect sensory deficits, and 4) to link dyslexia specifically to the magnocellular system is in general problematic.

Sequential processing deficits of reading disabled persons is independent of inter-stimulus interval

Developmental dyslexia is a language-based learning disability with frequently associated non-linguistic sensory deficits that have been the basis of various perception-based theories. It remains an open question whether the underlying deficit in dyslexia is a low level impairment that causes speech and orthographic perception deficits that in turn impedes higher phonological and reading processes, or a high level impairment that affects both perceptual and reading related skills. We investigated by means of contrast detection thresholds two low-level theories of developmental dyslexia, the magnocellular and the fast temporal processing hypotheses, as well as a more recent suggestion that dyslexics have difficulties in sequential comparison tasks that can be attributed to a higher-order deficit. It was found that dyslexics had significantly higher thresholds only on a sequential, but not a spatial, detection task, and that this impairment was found to be independent of the inter-stimulus interval. We also found that the poor performance of dyslexics on the temporal task was dependent on the size of the required memory trace of the image rather than on the number of images. Our findings do not support the magnocellular theory and challenge the fast temporal deficit hypothesis. We suggest that dyslexics may have a higher order, dual mechanism impairment. We also discuss the clinical implications of our findings.

Attention, reading and dyslexia

It has been proposed that magnocellular deficits cause dyslexia through reduced attention. According to one model (Vidyasagar, Clinical and Experimental Optometry 2004; 87: 4-10), attention is shifted from letter to letter during fixations and magnocellular deficits are hypothesised to cause reading problems by interfering with the ability to control the attention. The present report points out several problems in this model. 1. It requires dissociation of eye movements and attention, which may be problematic within the framework of reading. 2. There is direct evidence to indicate that reading is not carried out in a letter-to-letter manner during fixations. 3. There are aspects of the visual performance of dyslexic readers, which are difficult to attribute to inattention. 4. There are indications that attentional deficiencies of dyslexic readers are not associated with magnocellular deficits. 5. The evidence for linking magnocellular deficits to dyslexia in general is weak.

Visual-Evoked Response, Pattern Electroretinogram, and Psychophysical Magnocellular Thresholds in Glaucoma, Optic Atrophy, and Dyslexia

PURPOSE

The purpose of this study is to compare visual-evoked response (VEP) pattern electroretinogram (PERG) and psychophysical thresholds to the same stimulus, designed to be optimal for the magnocellular system, in suspects and patients with early glaucoma, patients with optic nerve disease, dyslexic children, and age-matched controls.

METHODS

Stimuli were low spatial frequency sinusoidal luminance profile gratings abruptly phase reversing at 7.14 Hz. Electrophysiological recordings were made at 50%, 30%, 20%, 10%, and 5% contrast. Threshold was the lowest contrast evoking a clear response at the stimulus frequency. Three independent judges scored the traces. Psychophysical thresholds were obtained by ascending and descending method of limits. VEPs and PERGs to International Society for Clinical Electrophysiology of Vision (ISCEV) standards and to increasing spatial frequencies were obtained as parvocellular specific controls. Patients were diagnosed independently by the referring professionals.

RESULTS

Parvocellular-specific responses were normal, except in cases with explicable visual acuity loss. The judges scores correlated highly (> 0.9). VEPs and PERGs correlated highly and each correlated less well with psychophysics in normals, glaucoma, and dyslexia but the opposite occurred in optic nerve disease. VEPs had the lowest normal values and least variance (all adults < 5%, children < 10%, PERGs < 20%). In glaucoma, VEP magnocellular deficits occurred in 85% of recently diagnosed positive cases, 48% of high-risk suspects, 39% of low-risk suspects, and ocular hypertensives. Approximately 28% of dyslexics had VEP magnocellular deficits. PERG losses were less frequent. There was a clear dichotomy and low correlations between psychophysics and electrophysiology both within and between groups. Psychophysical threshold elevations were absent in all glaucoma groups, often large in optic atrophy and small (2.5%) but highly significant in dyslexia.

CONCLUSION

Contrast thresholds to magnocellular-specific stimuli are consistent in cortex and retina. VEPs are more reliable. Psychophysics seems to tap different mechanisms. VEPs are very sensitive to early glaucoma. The lack of VEP loss in dyslexia suggests the other losses are artifactual. Further research is needed to see if stimuli even more like the frequency-doubling technology are more useful clinically.

Is coherent motion an appropriate test for magnocellular sensitivity?

The suggestion that coherent motion may serve as a test of magnocellular sensitivity is problematic. However, the nature of the problems depends on how the "magnocellular system" is defined. If this term is limited to subcortical entities, the problems are that subcortical neurons are not directionally selective, and that their receptive fields are too small to account for the spatial summation of coherent motion. If "magnocellular system" is defined to include cortical entities, such as area MT, one is faced with the fact that this definition itself is problematic as well as the problem that area MT is known to receive parvocellular and koniocellular inputs.

Children with developmental dyslexia show a left visual “minineglect”

We investigated the performance of children with developmental dyslexia on a visual line bisection task. Dyslexic children did not show the overestimation of the left visual field (pseudoneglect) characteristic of normal adult vision. These results suggest that children with developmental dyslexia present selective deficits in visual attention, probably involving neural structures located in the right posterior parietal cortex.

Visual and language processing deficits in compensated and uncompensated college students with dyslexia

In seven experiments, we investigated whether compensated and uncompensated adults with dyslexia show different patterns of deficits in magnocellular visual processing and in language processing tasks. In four visual tasks, we failed to find evidence of magnocellular deficits in either group. However, both groups of adults with dyslexia showed deficits in component language skills, and the degree of reading impairment predicted the nature and extent of these deficits. Uncompensated readers showed deficits in orthographic and especially phonological coding and awareness and were slower on rapid naming. Compensated readers showed word and nonword performance below controls but better than the uncompensated readers. The compensated group was not significantly less accurate than controls on phonological awareness, nor significantly worse overall on rapid naming.

Sequential spatial frequency discrimination is consistently impaired among adult dyslexics

The degree and nature of dyslexics' difficulties in performing basic visual tasks have been debated for more than thirty years. We recently found that dyslexics' difficulties in detecting temporally modulated gratings are specific to conditions that require accurate comparisons between sequentially presented stimuli [Brain 124 (2001) 1381]. We now examine dyslexics' spatial frequency discrimination (rather than detection), under simultaneous (spatial forced choice) and sequential (temporal forced choice) presentations. Sequential presentation (at SOAs of 0.5, 0.75 and 2.25 s) yielded better discrimination thresholds among the majority of controls (around 0.5 c/ degrees reference), but not among dyslexics. Consequently, there was a (large and significant) group effect only for the sequential conditions. Within the same dyslexic group, performance on a sequential auditory task, two-tone frequency discrimination, was impaired in a smaller proportion of the participants. Taken together, our findings indicate that visual paradigms requiring sequential comparisons are difficult for the majority of dyslexic individuals, perhaps because deficits either in visual perception or in visual memory could both lead to difficulties on these paradigms.

Psychophysical Indexes of Temporal Processing Abnormalities in Children With Developmental Dyslexia

Children with dyslexia and children progressing normally in reading performed several perceptual tasks to determine (a) the psychophysical measures that best differentiate children with dyslexia from children with average reading abilities; (b) the extent of temporal processing deficits in a single, well-defined group of children with dyslexia; and (c) the co-occurrence of visual and auditory temporal processing deficits in children with dyslexia. 4 of our 12 psychophysical tasks indicated differences in temporal processing ability between children with dyslexia and children with good reading skills. These included 2 auditory tasks (dichotic pitch perception and FM tone discrimination) and 2 visual tasks (global motion perception and contrast sensitivity). The battery of 12 tasks successfully classified 80% of the children into their respective reading-level groups. Within the group of children with dyslexia who had temporal processing deficits, most were affected in either audition or vision; few children were affected in both modalities. The observed deficits suggest that impaired temporal processing in dyslexia is most evident on tasks that require the ability to synthesize local, temporally modulated inputs into a global percept and the ability to extract the resultant global percept from a noisy environment.

On the prevalence of magnocellular deficits in the visual system of non-dyslexic individuals

Numerous studies have found visual deficits associated with dyslexia. This has made it important to understand how these deficits may be related to reading difficulties. A widely held theory is that dyslexia is the result of a deficit in the magnocellular part of the visual system (earlier called the transient system). In support for this theory, the prevalence of magnocellular deficits has been reported to be high among dyslexic readers and very low among non-dyslexic ones. This creates the impression that in the population as a whole dyslexic individuals have magnocellular deficits and non-dyslexic individuals do not. However, we show that because the prevalence of dyslexia itself is low this need not be the case. On the basis of previously published data we have estimated the number of non-dyslexic and dyslexic individuals with magnocellular deficits. Our estimates indicate that there should be a large number of non-dyslexic individuals with magnocellular deficits. Paradoxically more individuals without dyslexia have magnocellular deficits than individuals with dyslexia. This poses a challenge to the view that dyslexia is the result of a magnocellular deficit.

Is reading disability likely to interfere with glaucoma screening of adults using frequency-doubling technology perimetry?

PURPOSE

The present study is a preliminary investigation of whether frequency doubling technology perimetry (FDT) performance deficits exist in adults with reading disability (RD) and could thereby interfere with screening assessments for glaucoma.

DESIGN

Cross-sectional.

METHOD

The study population was composed of 46 college students. Twenty-four of the participants were identified as having a RD, and 22 served as controls. All participants underwent assessments of reading, IQ, FDT, Humphrey Visual Fields (HVF), and an ophthalmologic examination.

RESULTS

No differences between the RD and control groups were found in age, education, IQ, far visual acuity, HVF, or FDT performance, regardless of how FDT was evaluated (P's >.05).

CONCLUSIONS

Preliminary results indicate that FDT performance deficits, which have previously been demonstrated in children with RD, are either small in magnitude or do not exist in adults. Thus, it is unlikely that RD will interfere with assessment for glaucoma using FDT perimetry.

Can the magnocellular pathway read? Evidence from studies of color

A review of the neurophysiological literature suggests that the magnocellular pathway has adequate spatial-frequency and contrast sensitivity to perceive text under normal contrast conditions (>10%) and also is suppressed by red light. Results from three experiments involving color and reading show that red light impairs reading performance under normal luminance contrast conditions. However in a fourth experiment, isoluminant color text, designed to selectively activate the parvocellular pathway, is easier to read under red light. These discrepant results suggest that the magnocellular pathway is the dominant visual pathway for text perception. Implications for reading models and developmental dyslexia are discussed.

Visual motion sensitivity and reading

Reading is more difficult than speaking because an arbitrary set of visual symbols must be rapidly identified, ordered and translated into the sounds they represent. Many poor readers have particular problems with the rapid visual processing required for these tasks because they have a mild impairment of the visual magnocellular system. This deficit has been demonstrated using neuropathological, evoked potential, functional magnetic resonance imaging and psychophysical techniques. The sensitivity of the M-system in both good and bad readers correlates with their orthographic abilities, suggesting that the M-system plays an important part in their development. This role is probably to mediate steady direction of visual attention and eye fixations on words. Thus many children with reading difficulties have unsteady eye control and this causes the letters they are trying to read to appear to move around, so that they cannot tell what order they are meant to be in. Therefore, boosting M-performance using yellow filters, or training eye fixation, can improve reading performance very significantly. Several genetic linkage studies have associated reading difficulties with the MHC control region on the short arm of chromosome 6. This system has recently been shown to help regulate the differentiation of M-cells. This association could also explain the high incidence of autoimmune conditions in poor readers. Other chromosomal sites are associated with the metabolism of polyunsaturated fatty acids (PUFAs) as found in fish oils, and this could explain why PUFA supplements can improve reading.

Developmental dyslexics show altered allocation of attention in visual classification tasks

OBJECTIVES

Event-related brain potentials (ERPs) were recorded to investigate allocation of attention in adult developmental dyslexics.

SUBJECTS AND METHODS

Twelve adult developmental dyslexics and 12 matched normal controls performed three visual choice reaction tasks. In the passive oddball condition, subjects watched two different simple visual stimuli presented with 87.5 and 12.5% probability. In the active oddball condition, participants responded to the low-probability target stimulus. In the active 50/50-condition, both stimuli were presented with 50% probability and a response was required to the target stimulus only.

RESULTS

No group differences emerged for performance, P300 latency or laterality and for N200 amplitude, latency or laterality. An enhancement of P300 amplitude with a frontal distribution was found for NoGo (standard)-stimuli in both active conditions for the dyslexic sample.

CONCLUSION

Results are discussed in the context of deviances in allocation of attentional resources in dyslexic readers.

Evidence for magnocellular involvement in the identification of flanked letters

Little is known about the role of the magno system in reading. One important hypothesis is that this system is involved in the allocation of attention. We reasoned that the presentation of a single letter automatically draws attention to this letter, whereas in the case of a flanked letter, an additional process of attention allocation is required for identification to occur. In three letter-naming experiments with 24 subjects each, normally reading adults were presented with flanked (e.g. xax) and with single (e.g. a) letters at three possible (para)foveal locations. The letters appeared in magno-disadvantageous colour contrast or in parvo-disadvantageous weak luminance contrast with the background. A control experiment verified that colour contrast had generated less magnocellular activity than had luminance contrast. Colour-contrast presentation led to a significantly lower naming performance for flanked letters than did luminance-contrast presentation, despite the fact that the two contrasts did not elicit differences in naming performance when the letters were presented in isolation. This latter finding rules out the possibility that colour contrast had generated not only less magno- but also less parvocellular activity than had luminance contrast. Thus, it can be concluded that the magno system is involved in the identification of flanked letters. This conclusion supports the hypothesis that the magno system is important to the allocation of attention. Further, it may provide an explanation for the frequent finding that people with developmental dyslexia have impairments in their magnocellular system.

The sensory basis of reading problems

Learning to read is much more difficult than learning to speak. Most children teach themselves to speak with little or no difficulty. Yet a few years later when they come to learn to read they have to be taught how to do it; they do not pick up reading by themselves. This is because we speak in words and syllables, but we write in phonemes. Syllables do not naturally break down into the sounds of letters and letter units (i.e., phonemes) because these do not correspond to physiologically distinct articulatory gestures (Liberman, Shankweiler, & Studdert-Kennedy, 1967). Alphabetic writing was only invented when people realized that syllables could be artificially divided into smaller acoustically distinguishable phonemes that could be represented by a small number of letters. But these distinctions are arbitrary cultural artifacts, and their mastery was originally confined to a select social class. And until about 100 years ago it did not matter much if the majority of people could not read; the acquisition of reading probably had no serious disadvantages. Reading requires the integration of at least two kinds of analysis (Castles & Coltheart, 1993; Ellis, 1984; Manis, Seidenberg, Doi, McBride-Chang, & Petersen, 1996; Morton, 1969; Seidenburg, 1993). First, the visual form of words, the shape of letters, their order in words, and common spelling patterns, which is termed their orthography, has to be processed visually. Their orthography yields the meaning of familiar words very rapidly without needing to sound them out. But for unfamiliar words, and all words are fairly unfamiliar to the beginning reader, the letters have to be translated into the speech sounds (i.e., phonemes) that they stand for, and then those sounds have to be melded together in inner speech to yield the word and its meaning. Reading exclusively by the phonological route is more time consuming than if words can be accessed directly without requiring phonological mediation.

Impaired parvocellular pathway in dyslexic children

Recent studies report that some children with dyslexia have impaired visual processing, specifically in the fast-processing magnocellular pathway. The objective was to study the effect of varying luminance and temporal and spatial frequency on the latency and amplitude of the visual evoked potentials (VEPs) in normal and dyslexic Egyptian children who speak Arabic (a right-left reading and writing system). VEPs were recorded in 52 dyslexic and 41 normal children in the fourth grade using a black and white checkerboard pattern with different checkerboard sizes and different rates of stimuli at high- and low-contrast media. The peak of the major positive wave component (P100) of each waveform and the trough of the previous major negative wave component were identified, and the peak-to-trough amplitude was measured. The latency and amplitude of VEPs in response to different experimental conditions showed significant shortening of P100 latency under high-contrast media and under low spatial frequency in children with dyslexia compared with normal readers. Furthermore, dyslexia children showed prolonged P100 latency in response to high spatial frequency stimulation compared with the low spatial frequency (P=0.003) and significantly higher N1-P1 amplitude under high-contrast media compared with low-contrast media (P=0.02), whilst no such changes were observed in normal readers. These results are suggestive of deficiency within the parvocellular pathway rather than the magnocellular pathway. As reading apparently places demands primarily on the ability to discriminate fine details, which is to say, on the parvocellular system, we suggested that deficiency in this system, at least in Arabic speaking children, could be a predisposing factor in dyslexia.

On the use of the Ternus test to assess magnocellular function

Ternus stimuli give rise to two mutually exclusive visual experiences: with long interstimulus intervals (ISIs) the elements in the stimulus are perceived as moving together as a group ('group movement'), while at shorter ISIs only a single element appears to be moving ('element movement' or 'end-to-end movement'). It has been hypothesized that group and element movements, respectively, reflect magnocellular and parvocellular activity. On this basis, Ternus tests have been used to assess magnocellular function in dyslexic individuals. This use of Ternus stimuli is examined in the present report. On the basis of amplitude spectra of the stimuli and of a review of previous studies it is concluded that to use Ternus tests to assess magnocellular function is problematic.

Deaf poor readers' pattern reversal visual evoked potentials suggest magnocellular system deficits: implications for diagnostic neuroimaging of dyslexia in deaf individuals

Deafness and developmental dyslexia in the same individual may jointly limit the acquisition of reading skills for different underlying reasons. A diagnostic marker for dyslexia in deaf individuals must therefore detect the presence of a neurobiologically based dyslexia but be insensitive to the ordinary developmental influences of deafness on reading skill development. We propose that the functional status of the magnocellular visual system in deaf individuals is potentially such a marker. We present visual evoked potential (VEP) evidence that adult deaf poor readers as a group display magnocellular system deficits not observed in deaf good readers. We recorded pattern-reversal VEPs to high- and low-contrast checkerboard stimuli, which primarily activate the parvocellular and magnocellular pathways, respectively. Principal components analysis of these VEPs produced a time-ordered sequence of three early components that displayed interactions between reading skill and stimulus contrast across multiple scalp recording sites. Deaf poor readers displayed an abnormal absence of contrast-sensitive VEP responses at occipital sites during early visual processing (75 ms poststimulus), whereas deaf good readers showed the expected early contrast-sensitive occipital VEP responses. Over the subsequent 225 ms, the occipital VEP behavior of deaf poor readers closely approximated that of deaf good readers. The VEPs of deaf poor readers were apparently characterized by delayed responses to low-contrast stimuli compared with deaf good readers. Our results provide the first neurobiological evidence that developmental dyslexia exists within the deaf population and is associated with the same underlying magnocellular system deficit that has been observed in hearing dyslexics. Direct neural imaging of the status of the magnocellular visual system in deaf individuals may eventually provide differential diagnosis of developmental dyslexia in the deaf population.

All developmental dyslexic subtypes display an elevated motion coherence threshold

PURPOSE

Psychophysical studies indicate that many dyslexics have a motion-processing deficit. The purpose of this study was to determine whether elevated motion coherence thresholds correlate with the specific dyslexic subtypes as defined by the Boder classification scheme.

METHODS

Twenty-one dyslexics (seven dyseidetics, six dysphonetics, and eight dysphoneidetics) and 19 age- and gender-matched controls participated in the study. The dyslexics were identified by an exclusionary approach and then subtyped with the Adult Dyslexia Test or the Dyslexia Determination Test. Motion coherence thresholds were determined with random dot kinematograms composed of signal dots and noise dots. Signal dots moved either left or right on each trial, whereas noise dots moved in random directions. The percentage of dots that comprised the signal was varied randomly on each trial (0 to 21% in 3% increments). Subjects guessed the direction of signal dot motion on each trial (two-alternative forced-choice task). A 75% correct threshold was determined with a Weibull equation fit to the psychometric function.

RESULTS

All three dyslexic subtypes had elevated motion coherence thresholds (t-test; dyseidetics p = 0.01, dysphonetics p = 0.039, dysphoneidetics p = 0.048).

CONCLUSION

Motion-coherence deficits are not correlated with a specific dyslexic subtype, but, rather, are common to all subtypes. However, some individuals in each of the dyslexic subtypes were found to have normal motion coherence thresholds, suggesting that other factors must be considered to predict the motion sensitivity deficits found in dyslexia.

Visual half-field contrast sensitivity in children with dyslexia

We address the question whether left-hemispheric and/or right-hemispheric contrast thresholds differ between children with dyslexia and controls, and whether there are interhemispheric differences. In order to answer these questions we examined [1] thresholds for the detection of Contrast-Defined (CD) forms to left and right half-field stimulation, and [2] half-field pattern onset Evoked Potentials (EPs) as a function of stimulus contrast in 21 children with dyslexia of 8-15 years of age and in 17 age-matched healthy controls. It was found that (A) children with dyslexia were less sensitive to CD forms than controls irrespective of half field of stimulation. In children with dyslexia as well as controls the forms were more easily detected in the right visual half-field than in the left one: (B) Peak latencies of the pattern onset EPs to contrast levels above 20% were up to 10 ms longer in children with dyslexia than in controls irrespective of half field of stimulation, and (C) children with dyslexia had smaller mean amplitudes for all contrast levels used. (D) Neither children with dyslexia nor controls showed hemispheric differences in the pattern onset EPs.