We measured brain activity, perceptual thresholds, and reading performance in a group of dyslexic and normal readers to test the hypothesis that dyslexia is associated with an abnormality in the magnocellular (M) pathway of the early visual system. Functional magnetic resonance imaging (fMRI) was used to measure brain activity in conditions designed to preferentially stimulate the M pathway. Speed discrimination thresholds, which measure the minimal increase in stimulus speed that is just noticeable, were acquired in a paradigm modeled after a previous study of M pathway-lesioned monkeys. Dyslexics showed reduced brain activity compared with controls both in primary visual cortex (V1) and in several extrastriate areas, including area MT and adjacent motion-sensitive areas (MTϩ) that are believed to receive a predominant M pathway input. There was a strong three-way correlation between brain activity, speed discrimination thresholds, and reading speed. Subjects with higher V1 and MTϩ responses had lower perceptual thresholds (better performance) and were faster readers. These results support the hypothesis for an M pathway abnormality in dyslexia and imply strong relationships between the integrity of the M pathway, visual motion perception, and reading ability.
Key words: MT; V1; neuroimaging; fMRI; speed discrimination; psychophysics; readingDevelopmental dyslexia can be defined as an unexpectedly low reading ability relative to IQ. The reduced reading performance cannot be explained by a lack of motivation, inadequate learning opportunity, abnormal sensory acuity, or an acquired brain lesion. Estimates of its prevalence range from 3 to 9% (Rutter and Yule, 1975;Shay witz et al., 1990).Several cognitive, sensory, and motor deficits have been correlated with dyslexia (Tallal et al., 1993;Shay witz et al., 1995Shay witz et al., , 1998Heilman et al., 1996;Stein and Walsh, 1997). The goal of the present study was to test whether dyslexia is correlated specifically with a deficit in one of the major visual pathways between the retina and cortex: the magnocellular (M) pathway (Livingstone et al., 1991).To test this hypothesis, we have relied on several of the main anatomical and f unctional features of the M pathway. Anatomically, the M pathway includes the retinal ganglion cells that project to the M layers of the lateral geniculate nucleus (LGN) of the thalamus, the M-layer LGN cells that project to primary visual cortex (V1), and the V1 cells that project to the extrastriate area MT and adjacent motion-sensitive areas (MTϩ) (Merigan and Maunsell, 1993). Hence, M pathway deficits should be evident in several sites within the visual pathways. In support of this hypothesis, Livingstone et al. (1991) conducted an anatomical postmortem study of LGN cell size in five dyslexic brains and found that cell bodies in the M layers of the LGN, but not other layers, were 27% smaller than matched controls.Functionally, lesions to the M layers of monkey LGN reduce behavioral sensitivity to lower spatial and higher temporal freque...