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Pronounced visual motion deficits in developmental dyslexia associated with a specific genetic phenotype

2011; Association for Research in Vision and Ophthalmology; Volume: 11; Issue: 11 Linguagem: Inglês

10.1167/11.11.428

1534-7362

Maria Concetta Morrone, Guido Marco Cicchini, Monica Consonni, Federico Bocca, Sara Mascheretti, Paola Scifo, Cecilia Marino, Daniela Perani,

Children's Physical and Motor Development

Deficits of visual motion have often been reported in developmental dyslexia, but the effects are often small and present only in a sub-population of subjects. We studied motion perception in a selective population of 10 dyslexic subjects with an alteration of the gene DCDC2 (crucial for neural migration during embryogenesis) and correlated the visual perceptual deficit with morphological changes of white matter tracts. All subjects showed a severe deficit in contrast thresholds for discriminating drift direction: 9 out of 10 patients failed to discriminate motion direction for gratings of spatial frequency higher than 2 c/deg (8 Hz, 200 ms exposure). In 6 subjects the deficit was anisotropic for motion direction: for example near normal horizontal motion thresholds but highly compromised for vertical motion. The overall average acuity for motion discrimination was around 2 c/deg (±0.4LU), eight times worse than typical control subjects. All patients showed normal contrast sensitivity for motion of low spatial frequencies (<1 c/deg), and for static stimuli. Diffusion tensor imagining (DTI) revealed significant alteration of fractional anisotropy in several white matter tracts, and the ammount of alteration correlated with the magnitude of the motion deficit. Of particular interest was the strong correlation with the fractional anisotropy of the inferior longitudinal fasciculus, at two positions: one just anterior to MT+ (±40 −20 0) and the other slightly more ventral (±58 −40 −22). These results indicate that the observed motion deficits may reflect abnormalities of the mangocellular pathway and of the innervation of MT+ during development. The frequently reported motion perception abnormality in dyslexia may thus result from alteration of fibre bundles associated with the specific genetic risk factors such as those reported here, rather than being characteristic of the entire dyslexia syndrome.