Dorsal and ventral visual stream contributions to preserved reading ability in patients with central alexia

<p>We investigated the role of the left temporo-parietal regions in supporting reading abilities of 23 patients with central alexia (CA). For the behavioural data, we employed principal components analysis (PCA), which identified two components: ‘reading aloud’ and ‘reading for meaning’. Voxel...

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Main Authors: Aguilar, O, Kerry, S, Crinion, J, Callaghan, M, Woodhead, Z, Leff, A
Format: Journal article
Published: Elsevier 2018
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author Aguilar, O
Kerry, S
Crinion, J
Callaghan, M
Woodhead, Z
Leff, A
author_facet Aguilar, O
Kerry, S
Crinion, J
Callaghan, M
Woodhead, Z
Leff, A
author_sort Aguilar, O
collection OXFORD
description <p>We investigated the role of the left temporo-parietal regions in supporting reading abilities of 23 patients with central alexia (CA). For the behavioural data, we employed principal components analysis (PCA), which identified two components: ‘reading aloud’ and ‘reading for meaning’. Voxel-based morphometry of the PCA results showed an association between reading aloud and grey matter density in the left supramarginal gyrus, part of the dorsal visual stream. By contrast, reading for meaning was associated with a large cluster in the left ventral visual stream, from the collateral sulcus to the anterior temporal pole.</p><p> Most of the peaks were within the group lesion map, indicating that sparing of these areas results in better preservation of reading ability. However, one white matter (WM) cluster in the medial occipitotemporal lobe was outside the lesioned area. A post-hoc test demonstrated that WM density here was equivalent to controls, suggesting that this was not driven by lesion effects. The two likeliest explanations for this correlation are: 1) that pre-morbid, inter-individual differences in brain structure mitigate the effects of CA; 2) that post-morbid practice-based with reading caused compensatory plasticity. We hope to adjudicate between these explanations with longitudinal therapy data collected in this cohort.</p>
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spelling oxford-uuid:315eb0ff-77ed-45e4-a5f5-c472326f2ef32022-03-26T13:07:30ZDorsal and ventral visual stream contributions to preserved reading ability in patients with central alexiaJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:315eb0ff-77ed-45e4-a5f5-c472326f2ef3Symplectic Elements at OxfordElsevier2018Aguilar, OKerry, SCrinion, JCallaghan, MWoodhead, ZLeff, A<p>We investigated the role of the left temporo-parietal regions in supporting reading abilities of 23 patients with central alexia (CA). For the behavioural data, we employed principal components analysis (PCA), which identified two components: ‘reading aloud’ and ‘reading for meaning’. Voxel-based morphometry of the PCA results showed an association between reading aloud and grey matter density in the left supramarginal gyrus, part of the dorsal visual stream. By contrast, reading for meaning was associated with a large cluster in the left ventral visual stream, from the collateral sulcus to the anterior temporal pole.</p><p> Most of the peaks were within the group lesion map, indicating that sparing of these areas results in better preservation of reading ability. However, one white matter (WM) cluster in the medial occipitotemporal lobe was outside the lesioned area. A post-hoc test demonstrated that WM density here was equivalent to controls, suggesting that this was not driven by lesion effects. The two likeliest explanations for this correlation are: 1) that pre-morbid, inter-individual differences in brain structure mitigate the effects of CA; 2) that post-morbid practice-based with reading caused compensatory plasticity. We hope to adjudicate between these explanations with longitudinal therapy data collected in this cohort.</p>
spellingShingle Aguilar, O
Kerry, S
Crinion, J
Callaghan, M
Woodhead, Z
Leff, A
Dorsal and ventral visual stream contributions to preserved reading ability in patients with central alexia
title Dorsal and ventral visual stream contributions to preserved reading ability in patients with central alexia
title_full Dorsal and ventral visual stream contributions to preserved reading ability in patients with central alexia
title_fullStr Dorsal and ventral visual stream contributions to preserved reading ability in patients with central alexia
title_full_unstemmed Dorsal and ventral visual stream contributions to preserved reading ability in patients with central alexia
title_short Dorsal and ventral visual stream contributions to preserved reading ability in patients with central alexia
title_sort dorsal and ventral visual stream contributions to preserved reading ability in patients with central alexia
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