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Updated: Jan 4, 2026

Assessing Dyslexia at Six Year of Age
Published on: May 1, 2020
Atypical gray matter in children with dyslexia before the onset of reading instruction
Caroline Beelen1, Jolijn Vanderauwera2, Jan Wouters3
1Parenting & Special Education Research Unit, Faculty of Psychology & Educational Sciences, KU Leuven, Belgium.
Insights
Neuroanatomical anomalies in the brain
Area of Science:
- Neuroscience
- Developmental Neuroscience
- Cognitive Neuroscience
Background:
- Previous research on dyslexia neuroanatomy primarily focused on school-aged children and adults.
- Limited understanding exists regarding early neuroanatomical markers in pre-readers at risk for dyslexia.
Purpose of the Study:
- To investigate gray matter surface area and cortical thickness in pre-readers with and without a family risk for dyslexia.
- To identify neuroanatomical differences associated with the development of dyslexia before formal reading instruction.
Main Methods:
- Surface-based analyses using FreeSurfer were conducted on 54 pre-readers (31 with family risk, 23 without).
- Neuroimaging focused on core reading network regions in both left and right hemispheres.
- Comparison between children who developed dyslexia and those who did not, as well as between risk groups.
Main Results:
- Pre-readers who later developed dyslexia exhibited reduced surface area in bilateral fusiform gyri.
- Family risk for dyslexia, regardless of later reading ability, was associated with surface area anomalies in bilateral inferior and middle temporal gyri.
- Observed differences were primarily in surface area, not cortical thickness.
Conclusions:
- Neuroanatomical anomalies associated with dyslexia are present at the pre-reading stage.
- These early differences suggest dyslexia is not solely a consequence of reading experience.
- Findings highlight the potential for early identification of dyslexia-related neurodevelopmental variations.
Abstract:
Many studies have focused on neuroanatomical anomalies in dyslexia, yet primarily in school-aged children and adults. In the present study, we investigated gray matter surface area and cortical thickness at the pre-reading stage in a cohort of 54 children, 31 with a family risk for dyslexia and 23 without a family risk for dyslexia, of whom 16 children developed dyslexia. Surface-based analyses in the core regions of the reading network in the left hemisphere and in the corresponding right hemispheric regions were performed in FreeSurfer. Results revealed that pre-readers who develop dyslexia show reduced surface area in bilateral fusiform gyri. In addition, anomalies related to a family risk for dyslexia, irrespectively of later reading ability, were observed in the area of the bilateral inferior and middle temporal gyri. Differences were apparent in surface area, as opposed to cortical thickness. Results indicate that the neuroanatomical anomalies, since they are observed in the pre-reading phase, are not the consequence of impoverished reading experience.
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