Altered visual character and object recognition in Japanese-speaking adolescents with developmental dyslexia.

Many studies have confirmed a brain dysfunction in people with developmental dyslexia (DD) in certain brain regions, including the left superior temporal gyrus and the left fusiform gyrus. However, the neurobiological substrates in Japanese-speaking people with dyslexia are not fully understood, mostly due to the uniqueness of the orthographic systems. Since a substantial part of the written Japanese includes the logographic Kanji as well as the phonographic Kana systems, the reading disability might be caused not only by a dysfunction in the phonological system, but also by a dysfunction in the visual recognition system. Previous studies reported altered hierarchical visual word form processing in the left occipitotemporal cortex; however, it remains unclear whether the altered hierarchical visual processing is language stimuli-specific. Therefore, we aimed to investigate whether (a) Japanese-speaking individuals with DD exhibit atypical hierarchical visual processing, and if so, (b) whether the altered hierarchical visual processing is language stimuli-specific or not. The present study investigated the brain activation pattern for the hierarchical component of the Kanji characters and object stimuli in typically developing (TD) adolescents and adolescents with DD using functional magnetic resonance imaging. For the Kanji characters, adolescents with DD showed a greater activation in the left occipital gyrus and right occipital fusiform gyrus, and this hyperactivity was also found for pseudo and artificial Kanji characters. These results imply reliance on an early visual system in Kanji reading in Japanese-speaking adolescents with DD. Additionally, we also investigated the brain activity for object stimuli, and adolescents with DD showed a greater activation in the bilateral occipital gyri compared with the TD adolescents. These results imply an altered hierarchical visual processing characterized by overactivation in the early visual areas, which is a not restricted to language stimulus only.