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Bartha-Doering L, Roberts D, Baumgartner B, Yildirim MS, Giordano V, Spagna A, Pal-Handl K, Javorszky SM, Kasprian G, Seidl R. Developmental surface dyslexia and dysgraphia in a child with corpus callosum agenesis: an approach to diagnosis and treatment. Cogn Neuropsychol 2024:1-23. [PMID: 38942485 DOI: 10.1080/02643294.2024.2368876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 06/11/2024] [Indexed: 06/30/2024]
Abstract
We present a case study detailing cognitive performance, functional neuroimaging, and effects of a hypothesis-driven treatment in a 10-year-old girl diagnosed with complete, isolated corpus callosum agenesis. Despite having average overall intellectual abilities, the girl exhibited profound surface dyslexia and dysgraphia. Spelling treatment significantly and persistently improved her spelling of trained irregular words, and this improvement generalized to reading accuracy and speed of trained words. Diffusion weighted imaging revealed strengthened intrahemispheric white matter connectivity of the left temporal cortex after treatment and identified interhemispheric connectivity between the occipital lobes, likely facilitated by a pathway crossing the midline via the posterior commissure. This case underlines the corpus callosum's critical role in lexical reading and writing. It demonstrates that spelling treatment may enhance interhemispheric connectivity in corpus callosum agenesis through alternative pathways, boosting the development of a more efficient functional organization of the visual word form area within the left temporo-occipital cortex.
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Affiliation(s)
- Lisa Bartha-Doering
- Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria
| | - Daniel Roberts
- Department of Psychology, Institute of Population Health, University of Liverpool, Liverpool, UK
| | - Bettina Baumgartner
- Department of Logopedics, Phoniatrics, and Audiology, University of Applied Sciences, Vienna, Austria
| | - Mehmet Salih Yildirim
- Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria
| | - Vito Giordano
- Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria
| | - Alfredo Spagna
- Department of Psychology, Columbia University, New York, NY, USA
| | - Katharina Pal-Handl
- Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria
| | - Susanne Maria Javorszky
- Department of Logopedics, Phoniatrics, and Audiology, University of Applied Sciences, Vienna, Austria
| | - Gregor Kasprian
- Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria
| | - Rainer Seidl
- Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of Vienna, Vienna, Austria
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Lorusso ML, Borasio F, Molteni M. The challenge of remote treatment in neuropsychological intervention for reading and spelling in dyslexia: A prospective observational cohort study. DYSLEXIA (CHICHESTER, ENGLAND) 2024; 30:e1758. [PMID: 38224428 DOI: 10.1002/dys.1758] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 12/05/2023] [Accepted: 12/14/2023] [Indexed: 01/16/2024]
Abstract
Telemedicine approaches have proved to be valuable solutions for the delivery of treatment for many health-related issues, and crucial during the pandemics. Nonetheless, the efficacy of such Web-based practices in developmental dyslexia needs to be thoroughly evaluated. To this aim, the effects of a multi-componential program for neuropsychological intervention in dyslexia delivered as an outpatient program were compared with those obtained with a remotely delivered, Web-based treatment, based on the same methodological principles and delivered with the same duration and intensity. The treatment-related changes obtained with a combination of visual hemisphere-specific stimulation and training of visual-spatial attention through action video games, were compared to those obtained through remote treatment via the Tachidino Web-based platform. Both treatments had a duration of 4 weeks. The same battery of reading and phonemic awareness tests was delivered in presence, before and after treatment, as well as at 6-months follow-up. User satisfaction was assessed through parents and user questionnaires. Both treatments were significantly and similarly effective in improving reading speed, reading accuracy, and writing accuracy. No reduction in the effects was observed after treatment discontinuation. The Web-based treatment may thus offer a valid alternative to in-person intervention, optimizing the flexibility, capillary diffusion and cost-effectiveness of intervention.
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Affiliation(s)
- Maria Luisa Lorusso
- Scientific Institute IRCCS E. Medea, Child Psychopathology Unit, Bosisio Parini, Italy
| | - Francesca Borasio
- Scientific Institute IRCCS E. Medea, Child Psychopathology Unit, Bosisio Parini, Italy
- Department of Psychology, Catholic University of the Sacred Heart, Milano, Italy
| | - Massimo Molteni
- Scientific Institute IRCCS E. Medea, Child Psychopathology Unit, Bosisio Parini, Italy
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Lorusso ML, Borasio F, Mistò P, Salandi A, Travellini S, Lotito M, Molteni M. Remote treatment of developmental dyslexia: how ADHD comorbidity, clinical history and treatment repetition may affect its efficacy. Front Public Health 2024; 11:1135465. [PMID: 38269376 PMCID: PMC10805994 DOI: 10.3389/fpubh.2023.1135465] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2022] [Accepted: 12/04/2023] [Indexed: 01/26/2024] Open
Abstract
Introduction Tachidino is a web-based platform for remote treatment of reading and spelling disorders. The purpose of the present study was to investigate the possible impact of different clinical conditions on the efficacy of treatment. The focus was on possible ADHD comorbidity-related effects on the outcomes of the Tachidino treatment, and the impact of previous treatments, such as speech and language therapy or the repetition of the same Tachidino program. Methods 136 children with developmental dyslexia received four-weeks treatment via the Tachidino platform. Improvements in reading and writing scores were compared between different subgroups. Results No gross differences emerged in treatment effectiveness between groups of children. Children receiving treatment improved significantly more than untreated children. Discussion Treatment with Tachidino brought significant benefits for all children, irrespective of comorbidity, clinical history or treatment repetition. Comparison with an untreated control group (waiting list) made it possible to exclude that improvement was due to test-retest learning effects.
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Affiliation(s)
| | - Francesca Borasio
- Scientific Institute, IRCCS E. Medea, Bosisio Parini, Italy
- Department of Psychology, Catholic University of the Sacred Heart, Milan, Italy
| | - Paola Mistò
- Scientific Institute, IRCCS E. Medea, Bosisio Parini, Italy
| | | | - Simona Travellini
- DISTUM, Department of Humanities, University of Urbino Carlo Bo, Urbino, Italy
- Center of Clinical Developmental Neuropsychology, ASUR, Pesaro, Italy
| | - Mariangela Lotito
- Center of Clinical Developmental Neuropsychology, ASUR, Pesaro, Italy
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Packheiser J, Papadatou-Pastou M, Koufaki A, Paracchini S, Stein CC, Schmitz J, Ocklenburg S. Elevated levels of mixed-hand preference in dyslexia: Meta-analyses of 68 studies. Neurosci Biobehav Rev 2023; 154:105420. [PMID: 37783301 DOI: 10.1016/j.neubiorev.2023.105420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2023] [Revised: 09/26/2023] [Accepted: 09/28/2023] [Indexed: 10/04/2023]
Abstract
Since almost a hundred years, psychologists have investigated the link between hand preference and dyslexia. We present a meta-analysis to determine whether there is indeed an increase in atypical hand preference in dyslexia. We included studies used in two previous meta-analyses (Bishop, 1990; Eglinton & Annett, 1994) as well as studies identified through PubMed MEDLINE, PsycInfo, Google Scholar, and Web of Science up to August 2022. K = 68 studies (n = 4660 individuals with dyslexia; n = 40845 controls) were entered into three random effects meta-analyses using the odds ratio as the effect size (non-right-handers; left-handers; mixed-handers vs. total). Evidence of elevated levels of atypical hand preference in dyslexia emerged that were especially pronounced for mixed-hand preference (OR = 1.57), although this category was underdefined. Differences in (direction or degree) of hand skill or degree of hand preference could not be assessed as no pertinent studies were located. Our findings allow for robust conclusions only for a relationship of mixed-hand preference with dyslexia.
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Affiliation(s)
- Julian Packheiser
- Social Brain Lab, Netherlands Institute for Neuroscience, Amsterdam, the Netherlands
| | - Marietta Papadatou-Pastou
- School of Education, National and Kapodistrian University of Athens, Athens, Greece; BioMedical Research Foundation of the Academy of Athens, Athens, Greece.
| | - Angeliki Koufaki
- School of Education, National and Kapodistrian University of Athens, Athens, Greece
| | | | - Clara C Stein
- Division of Forensic Psychiatry, Department of Psychiatry, Psychotherapy, and Preventive Medicine, LWL-University Hospital Bochum, Bochum, Germany
| | - Judith Schmitz
- Biological Personality Psychology, Georg-August-University Goettingen, Goettingen, Germany
| | - Sebastian Ocklenburg
- Department of Psychology, Medical School Hamburg, Hamburg, Germany; ICAN Institute for Cognitive and Affective Neuroscience, Medical School Hamburg, Hamburg, Germany; Institute of Cognitive Neuroscience, Biopsychology, Department of Psychology, Ruhr-University Bochum, Bochum, Germany
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Ford A, Ammar Z, Li L, Shultz S. Lateralization of major white matter tracts during infancy is time-varying and tract-specific. Cereb Cortex 2023; 33:10221-10233. [PMID: 37595203 PMCID: PMC10545441 DOI: 10.1093/cercor/bhad277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2023] [Revised: 07/08/2023] [Accepted: 07/10/2023] [Indexed: 08/20/2023] Open
Abstract
Lateralization patterns are a major structural feature of brain white matter and have been investigated as a neural architecture that indicates and supports the specialization of cognitive processing and observed behaviors, e.g. language skills. Many neurodevelopmental disorders have been associated with atypical lateralization, reinforcing the need for careful measurement and study of this structural characteristic. Unfortunately, there is little consensus on the direction and magnitude of lateralization in major white matter tracts during the first months and years of life-the period of most rapid postnatal brain growth and cognitive maturation. In addition, no studies have examined white matter lateralization in a longitudinal pediatric sample-preventing confirmation of if and how white matter lateralization changes over time. Using a densely sampled longitudinal data set from neurotypical infants aged 0-6 months, we aim to (i) chart trajectories of white matter lateralization in 9 major tracts and (ii) link variable findings from cross-sectional studies of white matter lateralization in early infancy. We show that patterns of lateralization are time-varying and tract-specific and that differences in lateralization results during this period may reflect the dynamic nature of lateralization through development, which can be missed in cross-sectional studies.
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Affiliation(s)
- Aiden Ford
- Neuroscience Program, Emory University, Atlanta, GA 30322, United States
- Marcus Autism Center, Children’s Healthcare of Atlanta, Atlanta, GA 30329, United States
| | - Zeena Ammar
- Neuroscience Program, Emory University, Atlanta, GA 30322, United States
- Marcus Autism Center, Children’s Healthcare of Atlanta, Atlanta, GA 30329, United States
| | - Longchuan Li
- Marcus Autism Center, Children’s Healthcare of Atlanta, Atlanta, GA 30329, United States
- Department of Pediatrics, Emory University School of Medicine, Atlanta, GA 30322, United States
| | - Sarah Shultz
- Neuroscience Program, Emory University, Atlanta, GA 30322, United States
- Marcus Autism Center, Children’s Healthcare of Atlanta, Atlanta, GA 30329, United States
- Department of Pediatrics, Emory University School of Medicine, Atlanta, GA 30322, United States
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Lorusso ML, Toraldo A. Revisiting Multifactor Models of Dyslexia: Do They Fit Empirical Data and What Are Their Implications for Intervention? Brain Sci 2023; 13:brainsci13020328. [PMID: 36831871 PMCID: PMC9954758 DOI: 10.3390/brainsci13020328] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 02/09/2023] [Accepted: 02/11/2023] [Indexed: 02/17/2023] Open
Abstract
Developmental dyslexia can be viewed as the result of the effects of single deficits or multiple deficits. This study presents a test of the applicability of a multifactor-interactive model (MFi-M) with a preliminary set of five variables corresponding to different neuropsychological functions involved in the reading process. The model has been tested on a sample of 55 school-age children with developmental dyslexia. The results show that the data fit a model in which each variable contributes to the reading ability in a non-additive but rather interactive way. These findings constitute a preliminary validation of the plausibility of the MFi-M, and encourage further research to add relevant factors and specify their relative weights. It is further discussed how subtype-based intervention approaches can be a suitable and advantageous framework for clinical intervention in a MFi-M perspective.
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Affiliation(s)
- Maria Luisa Lorusso
- Scientific Institute IRCCS E. Medea, 23842 Bosisio Parini, Italy
- Correspondence:
| | - Alessio Toraldo
- Department of Brain and Behavioral Sciences, University of Pavia, 27100 Pavia, Italy
- Milan Center for Neuroscience, NeuroMI, 20126 Milan, Italy
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Weiss B, Nárai Á, Vidnyánszky Z. Lateralization of early orthographic processing during natural reading is impaired in developmental dyslexia. Neuroimage 2022; 258:119383. [PMID: 35709947 DOI: 10.1016/j.neuroimage.2022.119383] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 05/08/2022] [Accepted: 06/12/2022] [Indexed: 01/08/2023] Open
Abstract
Skilled reading requires specialized visual cortical processing of orthographic information and its impairment has been proposed as a potential correlate of compromised reading in dyslexia. However, which stage of orthographic information processing during natural reading is disturbed in dyslexics remains unexplored. Here we addressed this question by simultaneously measuring the eye movements and EEG of dyslexic and control young adults during natural reading. Isolated meaningful sentences were presented at five inter-letter spacing levels spanning the range from minimal to extra-large spacing, and participants were instructed to read the text silently at their own pace. Control participants read faster, performed larger saccades and shorter fixations compared to dyslexics. While reading speed peaked around the default letter spacing, saccade amplitude increased and fixation duration decreased with the increase of letter spacing in both groups. Lateralization of occipito-temporal fixation-related EEG activity (FREA) was found in three consecutive time intervals corresponding to early orthographic processing in control readers. Importantly, the lateralization in the time range of the first negative left occipito-temporal FREA peak was specific for first fixations and exhibited an interaction effect between reading ability and letter spacing. The interaction originated in the significant decrease of FREA lateralization at extra-large compared to default letter spacing in control readers and the lack of lateralization in both letter spacing conditions in the case of dyslexics. These findings suggest that expertise-driven hemispheric functional specialization for early orthographic processing thought to be responsible for letter identity extraction during natural reading is compromised in dyslexia.
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Affiliation(s)
- Béla Weiss
- Brain Imaging Centre, Research Centre for Natural Sciences, Magyar tudósok körútja 2., Budapest H-1117, Hungary.
| | - Ádám Nárai
- Brain Imaging Centre, Research Centre for Natural Sciences, Magyar tudósok körútja 2., Budapest H-1117, Hungary
| | - Zoltán Vidnyánszky
- Brain Imaging Centre, Research Centre for Natural Sciences, Magyar tudósok körútja 2., Budapest H-1117, Hungary.
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Interhemispheric transfer time differs between fast and slow healthy adult readers. Neuropsychologia 2022; 169:108205. [DOI: 10.1016/j.neuropsychologia.2022.108205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2021] [Revised: 02/02/2022] [Accepted: 03/03/2022] [Indexed: 11/20/2022]
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