Language Development Disorders

语言发育障碍
  • 文章类型: Journal Article
    Language disorders may interfere with social integration and affectpersonal development. Beca-use the balance of the stomatognathic system can interfere with language, it is important for speech therapy and dentistry to work together, providing multidisciplinar y Healthcare.
    To analyze the 100 most frequently cited articles on language disorders in children and adolescents and assess the interplay with dentistry by means of a bibliometric analysis.
    A search of the 100 most frequently cited articles up to December 2021 on language disorders was performed in the Web of Science Core Collection database. Four researchers extracted the data on number of citations, title, authors, country, year of publication, journals, study design, prevalent clinical conditions, and area of expertise. The analyses were performed using VOSviewer and Excel.
    The total number of citations ranged from 251 to 1,431. Four articles were cited more than 1,000 times. Bishop DVM (10 articles; 3,653 citations) and Tomblin JD (10 articles; 4,261 citations) were the most frequently cited authors. The institutions with the largest number of publications were the University of Oxford/England (11%) and the University of Kansas/USA (8%). Observational study design was the most frequent (77%). Autism spectrum disorder (18%) and dyslexia (14%) were the most broadly investigated clinical conditions. Speech-language pathology (32%) was the area of expertise with the largest number of articles, and none of the top 100 studies showed interplay with dentistry.
    The 100 most widely cited articles on language disorders are mostly observational, mainly address autism spectrum disorder, and are in the field of speech-language pathology No study reported interplay with dentistry.
    Os disturbios de linguagem podem interferir na integrando social e afetar o desenvolvimento dos individuos. O trabalho multidisciplinar entre fonoaudiologia e odontologia é muito importante para a promogdo da saúde. O equilibrio do sistema estomatognático interfere na linguagem.
    Analisar os100 artigos mais citados sobre distúrbios de linguagem em criannas e adolescentes e verificar a interando com a odontologia por meio de análise bibliométrica.
    Foi realizada uma busca pelos 100 artigos mais citados sobre distúrbios de linguagem na base de dados Web of Science Core Collection até dezembro de 2021. Quatro pesquisadores extrairam os dados referentes a número de citanoes, titulo, autores, país, ano de publicando, periódicos, desenho de estudo, condinoes clínicas prevalentes e área de especializando. As análises foram realizadas utilizando VOSviewer e Excel.
    O número total de citanoes variou de 251 a 1.431. Quatro artigos foram citados mais de 1.000 vezes. Bishop DVM (10 artigos; 3.653 citanoes) e Tomblin JD (10 artigos; 4.261 citanoes) foram os autores mais frequentemente citados. As instituinoes com maior número de publicanoes foram a Universidade de Oxford/Inglaterra (11%) e a Universidade de Kansas/EUA (8%). O desenho de estudo observacional foi o mais frequente (77%). O transtorno do espectro autista (18%) e a dislexia (14%) foram as condinoes clínicas mais amplamente investigadas. A Fonoaudiologia (32%) foi a área de atuando com maior número de artigos e nenhum estudo, entre os top100, mostrou interando com a Odontologia.
    Os 100 artigos mais citados sobre distúrbios de linguagem sdo em sua maioria observacionais, abordam principalmente transtornos do espectro do autismo e estdo na área de fonoaudiologia. Nenhum estudo apresentou interando com a odontologia.
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  • 文章类型: Journal Article
    背景:儿童的言语和语言延迟会导致社交互动问题,注意困难,阅读和阅读能力下降,认知和行为发育不良。尽管埃塞俄比亚的言论和语言延误越来越普遍,缺乏有关导致这种延迟的因素的文献。因此,这项研究旨在确定亚的斯亚贝巴Yekatit12医院12个月至12岁儿童的言语和语言延迟的决定因素,埃塞俄比亚。
    方法:我们在Yekatit12医院进行了一项基于机构的研究,无匹配的病例对照研究,包括50例病例和100例12个月至12岁的对照。使用面试官管理的问卷从参与儿童的父母或照顾者那里收集数据。EpiInfov7用于样本计算,采用SPSSv26进行分析。进行卡方检验以确定言语和语言延迟之间的关系以及确定因素,然后进行逻辑回归。根据调整后的优势比(AOR)确定显著的决定因素,95%CI和p值(<0.05)。
    结果:病例组男性23例,女性27例,共50名儿童。完成多变量分析后,出生窒息[AOR=4.58,95CI(1.23-16.99)],奶瓶喂养[AOR=4.54,95CI(1.29-16.04)],母子分离[AOR=2.6,95CI(1.05-6.43)],多语种家庭[AOR=2.31,95CI(1.03-5.18)],和屏幕时间大于2小时[AOR=3.06,95CI(1.29-7.28)]被发现是言语和语言延迟的统计学显著决定因素。
    结论:我们的研究发现出生窒息,奶瓶喂养,母子分离,来自多语种家庭,过多的屏幕时间会显著导致语音和语言延迟。因此,重要的是制定针对这些可改变因素的干预措施,同时确保早期诊断和治疗方案易于获得。
    BACKGROUND: Speech and language delay among children can result in social interaction problems, attention difficulties, decreased writing and reading abilities, and poor cognitive and behavioral development. Despite the mounting prevalence of speech and language delays in Ethiopia, there is a lack of literature addressing the factors contributing to this delay. Consequently, this study aims to identify determinants of speech and language delay among children aged 12 months to 12 years at Yekatit 12 Hospital in Addis Ababa, Ethiopia.
    METHODS: We conducted an institutional-based at Yekatit 12 Hospital, unmatched case-control study with 50 cases and 100 controls aged 12 months to 12 years. Interviewer-administered questionnaires were used to collect data from the parents or caregivers of the participating children. Epi Info v7 was used for sample calculation, and SPSS v26 was used for analysis. The chi-square test was performed to determine the relationship between speech and language delay and determining factors, which was then followed by logistic regression. The significant determining factors were identified based on the adjusted odds ratio (AOR), with a 95% CI and p-value (< 0.05).
    RESULTS: Case group constituted 23 males and 27 females, totaling 50 children. Upon completing the multivariate analysis, birth asphyxia [AOR = 4.58, 95CI (1.23-16.99)], bottle-feeding [AOR = 4.54, 95CI (1.29-16.04)], mother-child separation [AOR = 2.6, 95CI (1.05-6.43)], multilingual family [AOR = 2.31, 95CI (1.03-5.18)], and screen time greater than two hours [AOR = 3.06, 95CI (1.29-7.28)] were found to be statistically significant determinants of speech and language delay.
    CONCLUSIONS: Our study found that birth asphyxia, bottle-feeding, mother-child separation, being from a multilingual family, and excessive screen time contribute significantly to speech and language delay. As a result, it is important to develop interventions that target these modifiable factors, while also ensuring that early diagnosis and treatment options are readily accessible.
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  • 文章类型: Journal Article
    NSUN2-智力障碍综合征,也被称为智力残疾类型5(MRT5),是一种以智力障碍(ID)为特征的常染色体隐性遗传疾病,出生后生长迟缓,变形相,小头畸形,身材矮小,发育迟缓,语言障碍和其他先天性异常。这种疾病是由NSUN2基因突变引起的,它编码一种tRNA胞嘧啶甲基转移酶,该酶在有丝分裂和染色体分离过程中的纺锤体组装中起重要作用。在这项研究中,我们招募了一个有两个身份证的家庭。进行全外显子组测序以鉴定纯合移码变体(c.1171_1175delACCAT(p。Thr391fs*18*))在先证者中的NSUN2(NM_017755.5)。通过Sanger测序,确认了varint在他受影响的兄弟和父母中隔离。我们描述的个体显示出与MRT5相关的相似的形态学特征。为了分析NSUN2基因型与ID个体表型之间的相关性,我们在当前和以前的研究中检查了来自32名ID个体的17种变异和相关表型.我们得出结论,NSUN2中的突变会导致广泛的表型缺陷。尽管一些临床表现是高度可变的,与NSUN2突变相关的核心表型是异形相,小头畸形,身材矮小,ID,生长限制,语言障碍,肌张力减退和青春期延迟。我们的研究扩展了NSUN2突变的遗传谱,并有助于进一步定义MRT5中的基因型-表型相关性。
    NSUN2-intellectual disability syndrome, also known as intellectual disability type 5 (MRT5), is an autosomal recessive disorder that is characterized by intellectual disability (ID), postnatal growth retardation, dysmorphic facies, microcephaly, short stature, developmental delay, language impairment and other congenital abnormalities. The disease is caused by mutations in the NSUN2 gene, which encodes a tRNA cytosine methyltransferase that has an important role in spindle assembly during mitosis and chromosome segregation. In this study, we recruited a family that had two individuals with ID. Whole exome sequencing was performed to identify a homozygous frameshift variant (c.1171_1175delACCAT(p.Thr391fs*18*)) in NSUN2 (NM_017755.5) in the proband. The varint was confirmed as segregating in his affected brother and his parents by Sanger sequencing. The individuals that we described showed a similar dysmorphology profile to that associated with MRT5. To analyze the correlations between genotypes of NSUN2 and phenotypes of individuals with ID, we examined 17 variants and the associated phenotypes from 32 ID individuals in current and previous studies. We concluded that mutations in NSUN2 cause a wide range of phenotypic defects. Although some clinical manifestations were highly variable, the core phenotypes associated with NSUN2 mutations were dysmorphic facies, microcephaly, short stature, ID, growth restriction, language impairment, hypotonia and delayed puberty. Our study expands the genetic spectrum of NSUN2 mutations and helps to further define the genotype-phenotype correlations in MRT5.
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  • 文章类型: Journal Article
    背景:尽管幼儿广泛使用移动设备,关于这种用法及其与儿童语言发展的关系的研究很少。这项研究的目的是研究移动设备屏幕时间与语言理解和表达语言技能之间的关联。另一个目的是检查与家庭学习环境相关的三个因素是否会改变这种关联。
    方法:该研究使用了丹麦对2岁和3岁儿童(n=31,125)进行的大规模TRACES调查数据。移动设备屏幕时间被测量为在正常的一天在移动设备上花费的时间。语言理解和表达语言技能的测量是基于5至15幼儿问卷的子量表。使用多变量线性回归来检查儿童移动设备屏幕时间与语言发展之间的关联,并使用逻辑回归来检查经历重大语言困难的风险。联合暴露分析用于检查儿童移动设备屏幕时间与语言发展困难之间的关联,并结合与家庭学习环境相关的其他三个因素:父母教育,阅读儿童和儿童电视/电脑屏幕的时间。
    结果:每天1小时或更长时间的移动设备屏幕时间与较差的语言发展分数和较高的语言理解困难(1-2小时:AOR=1.30;≥2小时:AOR=1.42)和表达语言技能困难(1-2小时:AOR=1.19;≥2小时:AOR=1.46)的几率显着相关。结果表明,经常给孩子阅读部分缓冲了移动设备屏幕时间过长对语言理解困难的负面影响,而不是对表达语言技能困难的负面影响。未发现父母教育和孩子在电视/PC上花费的时间的改变作用。
    结论:每天一小时或更长时间的移动设备屏幕时间与幼儿语言发育较差有关。经常给孩子阅读可能对语言理解困难有缓冲作用,但对表达语言技能困难没有缓冲作用。
    BACKGROUND: Despite young children\'s widespread use of mobile devices, little research exists on this use and its association with children\'s language development. The aim of this study was to examine the associations between mobile device screen time and language comprehension and expressive language skills. An additional aim was to examine whether three factors related to the domestic learning environment modify the associations.
    METHODS: The study uses data from the Danish large-scale survey TRACES among two- and three-year-old children (n = 31,125). Mobile device screen time was measured as time spent on mobile devices on a normal day. Measurement of language comprehension and expressive language skills was based on subscales from the Five to Fifteen Toddlers questionnaire. Multivariable linear regression was used to examine the association between child mobile device screen time and language development and logistic regression to examine the risk of experiencing significant language difficulties. Joint exposure analyses were used to examine the association between child mobile device screen time and language development difficulties in combination with three other factors related to the domestic learning environment: parental education, reading to the child and child TV/PC screen time.
    RESULTS: High mobile device screen time of one hour or more per day was significantly associated with poorer language development scores and higher odds for both language comprehension difficulties (1-2 h: AOR = 1.30; ≥ 2 h: AOR = 1.42) and expressive language skills difficulties (1-2 h: AOR = 1.19; ≥ 2 h: AOR = 1.46). The results suggest that reading frequently to the child partly buffers the negative effect of high mobile device screen time on language comprehension difficulties but not on expressive language skills difficulties. No modifying effect of parental education and time spent by the child on TV/PC was found.
    CONCLUSIONS: Mobile device screen time of one hour or more per day is associated with poorer language development among toddlers. Reading frequently to the child may have a buffering effect on language comprehension difficulties but not on expressive language skills difficulties.
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  • 文章类型: Journal Article
    当将间隔检索练习纳入学习课程时,患有发育性语言障碍(DLD)的学龄前儿童的单词学习得到了改善。在这项预先注册的研究中,我们比较了两种类型的间距-扩展的检索练习时间表和相等间距的时间表-以确定这些方法中的一种是否可以为儿童带来更好的单词学习结果。
    14名年龄在4-5岁的DLD儿童和14名具有典型语言发展(TD)的同龄儿童在两个会话中学习了八个新颖的名词。在学习过程中,一半的小说单词的间距逐渐扩大;对于其余的小说单词,在整个学习过程中,更大的间距保持在同一水平。第二次会议结束后,一周后,孩子们对单词的回忆进行了测试。
    患有TD的孩子比患有DLD的孩子回忆起更多新颖的单词,尽管这种差异可以通过儿童标准化接受词汇测试成绩的差异来解释。两组在1周内保留单词的能力相似。最初,扩展计划中的较短间隔比相等间隔计划中的相应(较长间隔)检索试验具有更大的检索成功率。这些早期较短间隔的试验似乎也有利于随后较大间隔的试验的检索。然而,随着学习期的进展,这两个条件的精度水平收敛,并且在最终测试期间同样相似。
    我们需要更好地了解短间距如何以及何时有助于儿童的单词学习,认识到早期收益可能会误导人们了解短间距可以为长期保留提供的好处。
    https://doi.org/10.23641/asha.25537696。
    UNASSIGNED: The word learning of preschool-age children with developmental language disorder (DLD) is improved when spaced retrieval practice is incorporated into the learning sessions. In this preregistered study, we compared two types of spacing-an expanding retrieval practice schedule and an equally spaced schedule-to determine if one of these approaches yields better word learning outcomes for the children.
    UNASSIGNED: Fourteen children with DLD aged 4-5 years and 14 same-age children with typical language development (TD) learned eight novel nouns over two sessions. Spacing for half of the novel words was expanded gradually during learning; for the remaining novel words, greater spacing remained at the same level throughout learning. Immediately after the second session and 1 week later, the children\'s recall of the words was tested.
    UNASSIGNED: The children with TD recalled more novel words than the children with DLD, although this difference could be accounted for by differences in the children\'s standardized receptive vocabulary test scores. The two groups were similar in their ability to retain the words over 1 week. Initially, the shorter spacing in the expanding schedule resulted in greater retrieval success than the corresponding (longer spaced) retrieval trials in the equally spaced schedule. These early shorter spaced trials also seemed to benefit retrieval of the trials with greater spacing that immediately followed. However, as the learning period progressed, the accuracy levels for the two conditions converged and were likewise similar during final testing.
    UNASSIGNED: We need a greater understanding of how and when short spacing can be helpful to children\'s word learning, with the recognition that early gains might give a misleading picture of the benefits that short spacing can provide to longer term retention.
    UNASSIGNED: https://doi.org/10.23641/asha.25537696.
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  • 文章类型: Journal Article
    在发育性语言障碍(DLD)中,用口语理解和表达自己的学习受到损害,但原因仍然未知。使用毫秒级脑磁图(MEG)记录与机器学习模型相结合,我们调查了这种干扰的可能神经基础是否在于语音皮层跟踪不良。刺激是常见的口语(例如,\'狗\',\'汽车\',\'hammer\')和具有相应含义的声音(例如,狗叫声,汽车发动机,锤击)。在患有DLD的儿童(10个男孩和7个女孩)和典型的发育(TD)控制儿童(14个男孩和3个女孩)中,10-15岁,对口语单词的皮层激活最好建模为在声音和皮层激活之间的~100ms潜伏期锁定到展开的语音输入。语音的振幅包络(振幅变化)和频谱图(详细的随时间变化的频谱内容),但不是其他声音,根据双侧颞区的时间锁定的大脑反应非常成功地解码;根据皮质反应,这些模型可以分辨75%-85%的准确率,两种声音中的哪一种已经呈现给参与者。然而,与延迟时间较长(~200-300ms滞后)的TD儿童相比,DLD儿童的振幅包络信息的皮质表现较差.我们将这种影响解释为反映了短期记忆中声学语音信息的保留较差。这种受损的跟踪可能会影响单词以及连续语音的处理和学习。本研究结果为DLD中的语言理解和习得问题提供了解释。重要性陈述用脑磁图(MEG)研究了发育性语言障碍(DLD)中言语处理受损的神经基础,自然的口语和声音,和最先进的机器学习模型。语音的皮质跟踪在初始阶段是正常的,但在音节级潜伏期受损,反映了在整个单词中保持传入语音的皮层记忆表示形式的问题。这为DLD中识别单词和学习新单词的问题提供了解释。
    In developmental language disorder (DLD), learning to comprehend and express oneself with spoken language is impaired, but the reason for this remains unknown. Using millisecond-scale magnetoencephalography recordings combined with machine learning models, we investigated whether the possible neural basis of this disruption lies in poor cortical tracking of speech. The stimuli were common spoken Finnish words (e.g., dog, car, hammer) and sounds with corresponding meanings (e.g., dog bark, car engine, hammering). In both children with DLD (10 boys and 7 girls) and typically developing (TD) control children (14 boys and 3 girls), aged 10-15 years, the cortical activation to spoken words was best modeled as time-locked to the unfolding speech input at ∼100 ms latency between sound and cortical activation. Amplitude envelope (amplitude changes) and spectrogram (detailed time-varying spectral content) of the spoken words, but not other sounds, were very successfully decoded based on time-locked brain responses in bilateral temporal areas; based on the cortical responses, the models could tell at ∼75-85% accuracy which of the two sounds had been presented to the participant. However, the cortical representation of the amplitude envelope information was poorer in children with DLD compared with TD children at longer latencies (at ∼200-300 ms lag). We interpret this effect as reflecting poorer retention of acoustic-phonetic information in short-term memory. This impaired tracking could potentially affect the processing and learning of words as well as continuous speech. The present results offer an explanation for the problems in language comprehension and acquisition in DLD.
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  • 文章类型: Journal Article
    患有发育性语言障碍(DLD)的儿童倾向于使用事件概率(EP)信息来解释非规范句子,例如被动句子,而与结构无关(例如,通过将“狗被松鼠追赶”解释为“狗追赶松鼠”)。动词是成人和典型发育(TD)儿童EP信息的主要来源,谁知道“追逐”意味着参与者之间的不平等关系。具有DLD的个体具有较差的动词知识和基于动词的句子处理。然而,他们似乎也比同龄人更依赖EP信息。这个悖论提出了两个问题:(a)患有DLD的儿童如何在在线被动句子解释中与其他信息一起使用基于动词的EP信息?(b)动词词汇知识如何支持EP信息的使用?
    我们通过显示具有一致动作倾向的代理动画来创建新颖的EP偏见(例如,笨拙的vs.有益的行动)。然后,我们使用眼动追踪来检查在在线被动句子处理过程中如何使用此EP信息。参与者是患有DLD的4至5岁儿童(n=20)和患有TD的同龄同龄人(n=20)。
    在实验1中,具有DLD的孩子快速整合了基于动词的EP信息,其形态语法接近动词,但在遥远的形态语法下却未能做到这一点。在实验2中,两组儿童的句子特定动词词汇知识的质量与EP信息的使用呈正相关。
    根据形态句法上下文,DLD和TD的儿童使用EP信息的方式不同,但是动词词汇知识有助于它的使用。
    https://doi.org/10.23641/asha.25491805。
    UNASSIGNED: Children with developmental language disorder (DLD) tend to interpret noncanonical sentences like passives using event probability (EP) information regardless of structure (e.g., by interpreting \"The dog was chased by the squirrel\" as \"The dog chased the squirrel\"). Verbs are a major source of EP information in adults and children with typical development (TD), who know that \"chase\" implies an unequal relationship among participants. Individuals with DLD have poor verb knowledge and verb-based sentence processing. Yet, they also appear to rely more on EP information than their peers. This paradox raises two questions: (a) How do children with DLD use verb-based EP information alongside other information in online passive sentence interpretation? (b) How does verb vocabulary knowledge support EP information use?
    UNASSIGNED: We created novel EP biases by showing animations of agents with consistent action tendencies (e.g., clumsy vs. helpful actions). We then used eye tracking to examine how this EP information was used during online passive sentence processing. Participants were 4- to 5-year-old children with DLD (n = 20) and same-age peers with TD (n = 20).
    UNASSIGNED: In Experiment 1, children with DLD quickly integrated verb-based EP information with morphosyntax close to the verb but failed to do so with distant morphosyntax. In Experiment 2, the quality of children\'s sentence-specific verb vocabulary knowledge was positively associated with the use of EP information in both groups.
    UNASSIGNED: Depending on the morphosyntactic context, children with DLD and TD used EP information differently, but verb vocabulary knowledge aided its use.
    UNASSIGNED: https://doi.org/10.23641/asha.25491805.
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  • 文章类型: Journal Article
    断开的(迪斯科)相互作用蛋白2(DIP2)基因首次在黑腹D中鉴定,并包含DNA甲基转移酶相关蛋白1(DMAP1)结合域,酰基辅酶A合成酶结构域和AMP结合位点。DIP2调节D.melanogaster中蘑菇体神经元的轴突分叉,并且是C.elegans神经元轴突再生所必需的。脊椎动物中的DIP2同源物,迪斯科相互作用蛋白2同源物A(DIP2A),迪斯科相互作用蛋白2同源物B(DIP2B),和Disco相互作用蛋白2同源物C(DIP2C),在中枢神经系统中高度保守并广泛表达。尽管有证据表明DIP2C在认知中起作用,这些基因中致病变异的报道很少见,其意义尚不确定。我们提供了23个具有杂合DIP2C变体的个体,都表现出发育迟缓,主要影响表达性语言和言语衔接。八名患者具有预测DIP2C基因功能丧失的从头变异,两名患者有从头错义变异,三个有父系遗传的功能丧失变异,六个有母系遗传的功能丧失变异,而四个变异的遗传未知。四名患者有心脏缺陷(肥厚型心肌病,房间隔缺损,和二叶主动脉瓣)。轻微的面部异常不一致,但包括额头长的前发际线高,宽阔的鼻尖,耳朵异常。Brainspan分析显示,受孕后10-24周,人类新皮层中的DIP2C表达升高。有了这里介绍的案例,我们提供的表型和基因型数据支持DIP2C中功能缺失变异与神经认知表型之间的关联.
    The disconnected (disco)-interacting protein 2 (DIP2) gene was first identified in D. melanogaster and contains a DNA methyltransferase-associated protein 1 (DMAP1) binding domain, Acyl-CoA synthetase domain and AMP-binding sites. DIP2 regulates axonal bifurcation of the mushroom body neurons in D. melanogaster and is required for axonal regeneration in the neurons of C. elegans. The DIP2 homologues in vertebrates, Disco-interacting protein 2 homolog A (DIP2A), Disco-interacting protein 2 homolog B (DIP2B), and Disco-interacting protein 2 homolog C (DIP2C), are highly conserved and expressed widely in the central nervous system. Although there is evidence that DIP2C plays a role in cognition, reports of pathogenic variants in these genes are rare and their significance is uncertain. We present 23 individuals with heterozygous DIP2C variants, all manifesting developmental delays that primarily affect expressive language and speech articulation. Eight patients had de novo variants predicting loss-of-function in the DIP2C gene, two patients had de novo missense variants, three had paternally inherited loss of function variants and six had maternally inherited loss-of-function variants, while inheritance was unknown for four variants. Four patients had cardiac defects (hypertrophic cardiomyopathy, atrial septal defects, and bicuspid aortic valve). Minor facial anomalies were inconsistent but included a high anterior hairline with a long forehead, broad nasal tip, and ear anomalies. Brainspan analysis showed elevated DIP2C expression in the human neocortex at 10-24 weeks after conception. With the cases presented herein, we provide phenotypic and genotypic data supporting the association between loss-of-function variants in DIP2C with a neurocognitive phenotype.
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  • 文章类型: Case Reports
    单词耳聋是一种罕见的神经系统疾病,通常在双侧颞上皮层受损后观察到,通常被定义为单词理解中的听觉模态特异性缺陷。鉴于其异质性表现,耳聋与失语症的分离程度尚不清楚,因此,一些人认为耳聋代表了失语症恢复的一个阶段,听觉和语言处理受到不同程度的影响,并以不同的速度改善。这里,我们报告了一例患者(C先生)的双侧颞叶病变,其表现从严重的失语症发展为非典型形式的耳聋,听觉语言处理在句子水平及以上受到损害。我们首先通过病历审查和补充访谈,详细重建了C先生的中风恢复情况。然后,使用行为测试和多模态神经成像,我们记录了在句子和叙述理解方面的主要听觉语言缺陷-仅在口语模式下,行为表现显着降低,语言网络中没有大脑激活。相比之下,C先生在语言网络中表现出近乎未受损的行为表现和健壮的大脑活动,用于语言处理单词,不管模态。我们认为,这些发现不仅支持将单词耳聋作为失语症恢复阶段的观点,而且进一步实例化了左颞叶上皮层在听觉语言处理中的重要作用。
    Word deafness is a rare neurological disorder often observed following bilateral damage to superior temporal cortex and canonically defined as an auditory modality-specific deficit in word comprehension. The extent to which word deafness is dissociable from aphasia remains unclear given its heterogeneous presentation, and some have consequently posited that word deafness instead represents a stage in recovery from aphasia, where auditory and linguistic processing are affected to varying degrees and improve at differing rates. Here, we report a case of an individual (Mr. C) with bilateral temporal lobe lesions whose presentation evolved from a severe aphasia to an atypical form of word deafness, where auditory linguistic processing was impaired at the sentence level and beyond. We first reconstructed in detail Mr. C\'s stroke recovery through medical record review and supplemental interviewing. Then, using behavioral testing and multimodal neuroimaging, we documented a predominant auditory linguistic deficit in sentence and narrative comprehension-with markedly reduced behavioral performance and absent brain activation in the language network in the spoken modality exclusively. In contrast, Mr. C displayed near-unimpaired behavioral performance and robust brain activations in the language network for the linguistic processing of words, irrespective of modality. We argue that these findings not only support the view of word deafness as a stage in aphasia recovery but also further instantiate the important role of left superior temporal cortex in auditory linguistic processing.
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  • 文章类型: Journal Article
    这项研究的目的是调查从自发语言样本中得出的两种方法的诊断准确性,平均语长(MLUw)和语法语篇百分比(PGU),识别西班牙语-英语双语儿童的发育性语言障碍(DLD)。我们研究了两种方法:最佳语言和整体语言。
    这项研究的参与者包括74名有(n=36)和没有(n=38)DLD的西班牙语-英语双语儿童。语言样本是通过使用英语和西班牙语的青蛙无语图画书进行故事复述和故事生成任务得出的。使用语言样本的系统分析(Miller&Iglesias,2020)以两种语言提取MLUw和PGU。
    Logistic回归分析表明,包含PGU的模型,MLUw,和年龄在预测组成员资格方面取得了最好的诊断准确性。两种方法,最好的语言和全面的语言,具有相当的诊断准确性。
    组合,PGU和MLUw似乎是区分有和没有DLD的双语儿童的有用诊断工具。讨论了临床意义和可用性。
    The purpose of this study was to investigate the diagnostic accuracy of two measures derived from spontaneous language samples, mean length of utterance in words (MLUw) and percentage of grammatical utterances (PGU), in identifying developmental language disorder (DLD) in Spanish-English bilingual children. We examined two approaches: best language and total language.
    The participants in this study included 74 Spanish-English bilingual children with (n = 36) and without (n = 38) DLD. Language samples were elicited through a story retell and story generation task using Frog wordless picture books in English and Spanish. Stories were transcribed and coded using the Systematic Analysis of Language Samples (Miller & Iglesias, 2020) to extract MLUw and PGU in both languages.
    Logistic regression analyses suggested that a model that included PGU, MLUw, and age achieved the best diagnostic accuracy in predicting group membership. Both approaches, best language and total language, had fair diagnostic accuracy.
    In combination, PGU and MLUw seem to be useful diagnostic tools to differentiate bilingual children with and without DLD. Clinical implications and usability are discussed.
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