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

Clin Exp Optom. 2004 Jan;87(1):4-10. doi: 10.1111/j.1444-0938.2004.tb03138.x.

Abstract

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.

Publication types

  • Review

MeSH terms

  • Attention*
  • Dyslexia / etiology*
  • Humans
  • Perceptual Disorders / complications*
  • Space Perception*
  • Visual Pathways / pathology*
  • Visual Perception*