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Comparative study of the neuropsychological and neuroimaging evaluations in children with dyslexia

机译:阅读障碍儿童神经心理和神经影像学评估的比较研究

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We analyzed retrospectively the neuroimaging exams of children with a confirmed diagnosis of dyslexia and correlated our findings with the evaluation of higher cortical functions. We studied 34 medical files of patients of the Ambulatory of Neuro-difficulties in Learning, FCM/UNICAMP. All of them had been sent to the ambulatory with primary or secondary complaints of difficulties at school and were submitted to neuropsychological evaluation and imaging exam (SPECT). From the children evaluated 58.8% had exams presenting dysfunction with 47% presenting hypoperfusion in the temporal lobe. As for the higher cortical functions, the most affected abilities were reading, writing and memory. There was significance between the hypoperfused areas and the variables schooling, reading, writing, memory and mathematic reasoning. The SPECTs showed hypoperfusion in areas involved in the reading and writing processes. Both are equivalent in terms of involved functional areas and are similar in children with or without specific dysfunctions in neuroimaging.
机译:我们回顾性分析了确诊为阅读障碍的儿童的神经影像学检查,并将我们的发现与更高皮质功能的评估相关联。我们研究了FCM / UNICAMP学习中的神经困难门诊患者的34个医学档案。他们都在学校遇到主要或次要的困难时被送往非卧床,并接受了神经心理学评估和影像学检查(SPECT)。从接受评估的儿童中,有58.8%的检查显示功能障碍,47%的颞叶灌注不足。至于更高的皮层功能,受影响最大的能力是阅读,书写和记忆。灌注不足的区域与变量的学习,阅读,写作,记忆和数学推理之间具有重要意义。 SPECTs在涉及读写过程的区域显示灌注不足。两者在涉及的功能区域方面是等效的,并且在有或没有神经影像学特定功能障碍的儿童中相似。

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