标准脑电图与儿童阅读障碍——特定相关性的新证据?

Acta paedopsychiatrica Pub Date : 1994-01-01
A Rothenberger, G H Moll
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引用次数: 0

摘要

与目前的假设相反,标准临床脑电图与阅读障碍没有特定的相关性,我们经常在视觉评估言语和语言发育迟缓和/或阅读障碍儿童的标准脑电图时注意到自发的“间歇性左顶叶α不同步”(ILPAD)。脑电图的视觉评估,以及计算机辅助频率分析三对匹配组(健康和多动儿童,与没有相对“低水平”的语言表现,以及患有其他儿童精神疾病,与没有阅读障碍的儿童),显示健康儿童没有表现出ILPAD现象。既没有出现在表现一致的健康儿童(语言表现“高水平”)身上,也没有出现在语言表现相对“低水平”的儿童身上。然而,ILPAD现象主要在患有阅读障碍的精神障碍儿童中表现明显。它的间歇性发生使其无法通过通常的计算机支持的脑电功率谱分析来检测。然而,无论是在语言表现“高”或“低”水平的健康和多动儿童中,听觉认知负荷都伴随着α能力的下降。在另一组8岁患有阅读障碍但其他方面健康的儿童中,如果脑电图反映的中枢神经系统成熟程度与他们的年龄正常,也可以观察到ILPAD现象。这些结果似乎至少表明了ILPAD现象的缺陷特异性,这被解释为与“交流功能”(言语、语言、阅读和拼写)相关的“脑电发育偏差”的电生理相关。
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Standard EEG and dyslexia in children--new evidence for specific correlates?

Contrary to the current assumption that there are no specific correlates of dyslexia in the standard clinical EEG, we have often noted a spontaneous "intermittent left parietal alpha desynchronization" (ILPAD) when visually evaluating the standard EEGs of children with delayed speech and language development and/or dyslexia. Visual evaluations of EEGs, as well as computer-assisted frequency analysis of three pairs of matched groups (healthy and hyperkinetic children with vs. without relatively "low levels" of verbal performance, as well as children with other child psychiatric disorders with vs. without dyslexia), revealed that healthy children did not display the ILPAD phenomenon. It was seen neither in healthy children with a homogeneous performance profile ("high level" of verbal performance) nor in those with a relatively "low level" of verbal performance. However, the ILPAD phenomenon was evident mainly in children with psychiatric disorders who suffered from dyslexia. Its intermittent occurrence prevented its detection by means of the usual computer-supported analyses of EEG power spectra. Nevertheless, auditory cognitive loading was accompanied by a decrease in alpha power in both healthy and hyperkinetic children with "high" or "low" levels of verbal performance. In a further group of 8-year-old children with dyslexia, but otherwise healthy, the ILPAD phenomenon was also observed if their CNS maturation as reflected in the EEG was normal for their age. These results seemed to indicate at least a deficit-specificity of the ILPAD phenomenon, which is interpreted as an electrophysiological correlate of a "brain-electrical developmental deviation" with regard to the "functions of communication": speech, language, reading and spelling.

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Family neuroses Developmental dyscalculia in children: review of the literature and clinical validation. Treatment approaches in dyslexia. Verbal information processing in dyslexia--data from a follow-up experiment of neuro-psychological aspects and EEG. Children with specific reading retardation--early determinants and long-term outcome.
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