International Journal of Psychophysiology 45 (2002) 95–178
as a result of treatment with citalopram. The results suggest that
potentials are different in subjects with dyslexia in comparison to
both the ‘slowed thinking’ and altered neuroanatomy may be
normal readers in the above mentioned areas. The EEG at rest
reversed by successful treatment of major depression.
shows an increase of theta activity on parietal regions and thecerebral evoked potentials show an increase in latency and a reduc-
NEWBORN ERPS PREDICT LATER LANGUAGE SKILLS IN
tion in amplitude. These differences are found in the unimodal and
CHILDREN WITH AND WITHOUT FAMILIAL RISK FOR
multimodal cerebral areas. These observations derive mainly from
experimental conditions in which the normal subjects or with dys-lexia view passively letters, words or symbols. This study presentsthe brain electrical responses when a normal subject and with dys-
lexia is actively engaged in reading aloud letters, either externally
Departmert of Psychology, University of Jyvaskyla, Finland
paced or self-paced. Forty two normal children and 18 with devel-opmental dyslexia ranging from 8 to 10 years old participated in
Early identification of dyslexia would facilitate well directed reme-
the study. The EEG was recorded from Fz, Cz, Pz, Oz, right and
diation even before language problems are typically diagnosed.
left pre-central, P3, P4, T3, T4, referenced to linked mastoids.
Currently, few methods are available for identifying infants who
EMGs from the right forearm and lips, ECG, PNH and voice
will later have difficulties in their language development, and who
response were also recorded. The reading performance of children
thus would benefit from interventions. Our results show that new-
with dyslexia were significantly lower (P-0.0001) than the nor-
born event-related potentials (ERPs) are associated with later lan-
mal children during both externally and self-paced reading. Those
guage skills, suggesting that ERPs have potential to be developed
dyslexic children with low reading quotient had lower reading per-
as a diagnostic tool. The ERPs to synthetic consonant–vowel syl-
formance during externally paced reading than during self-paced
lables (ybay, yday, ygay) were measured from 26 newborns with
reading. Student t-test and variance analysis showed that signifi-
familial risk for dyslexia and 23 control infants participating in the
cant differences were present between normal and dyslexic sub-
¨ Longitudinal Study of Dyslexia. The syllables were pre-
jects and between reading aloud letters externally paced and
sented with equal probability and with 3910–7285 ms interstimu-
self-paced. The potentials most significantly affected were P2
lus intervals. Analyses of ERPs using the latencies identified with
(270–330 ms), N3 (310–375 ms), N4 (380–650 ms) and the Ber-
principal component analysis revealed clearest hemispheric differ-
eitschafts-potential in Fz, Cz, Pz, RPC, LPC.
ences between groups in processing of speech stimuli at the latency540–630 ms: In the responses to ygay, the polarity shift from the
AUTOMATIC MEASUREMENT OF ERPS IN NORMAL AND
major positive peak toward the later negative deflection occurred
DYSLEXIC CHILDREN BY MEANS OF A NON-LINEAR
later in the at-risk group (clearest at the right hemisphere). Cor-
relation and regression analyses showed that this pattern at the lefthemisphere was related to the poorer language skills in these same
Silvia Casarottoa, Anna M. Bianchia, Sergio Ceruttia, Giuseppe A.
children at the ages between 2 y 6 m and 5 years. The similar
pattern at the right hemisphere was associated with poorer lan-
of Biomedical Engineering, Polytechnic University,
guage and visuo-spatial skills at the later stages of development.
These results suggest that the differential role of the hemispheres
of Child and Adolescent Neuropsychiatry, Az. Osp.
in auditory speech processing predicts later language skills, and
G. Salvini, Rho Hospital, Rho, Milan, Italy
could thus be used in early identification of children at risk forlanguage problems.
The development of methods for automatic detection of peaks andtroughs is a great challenge in order to cope with the intra- and
inter-individual variability of ERPs and with that due to subjectiveevaluation of the experimenter.
Giuseppe A. Chiarenza, Giulia Frasson, Igor De Marchi
The present study was performed on a population of normal and
Department of Child and Adolescent Neuropsychiatry, Rho Hos-
dyslexic children aged 8 and 9 years. The EEG was unipolarly
recorded from Fz, Cz, Pz, Oz, C3, C4, P3, P4, T3, T4, referencedto linked mastoids; the EOG was bipolarly recorded. The method
The psychophysiological approach to reading processes is typically
was applied to four different paradigms, designed to investigate
based on three types of studies: quantitative EEG, sensory evoked
the reading processes in normal and dyslexic children. Two para-
potentials and cognitive potentials. Considered all together, these
digms, defined as passive, consisted in viewing letters or symbols
studies show that during reading, numerous cerebral areas of both
without linguistic content. The active paradigms consisted of read-
hemispheres are activated. The pattern of activation depends on
ing aloud letters after externally or self-paced action. A non-linear
the type of stimuli, simple or complex, on modality presentation,
alignment technique based on dynamic time warping was used: it
visual or auditory, on experimental conditions, on the involvement
aligns the samples of the signals on the basis of their morpholog-
of the subject, active or passive, and on the clinical diagnosis. The
ical similarity through a local compression and extension of their
cerebral areas involved in the reading processes are the parieto-
temporal axes. This similarity was measured from the amplitude
temporo-occipital areas and the motor areas. The cerebral electrical
and the first derivative of the signals. An ERP template was
activity both spontaneous and evoked, the sensory and cognitive
obtained for each group and for each task. The automatic meas-
International Journal of Psychophysiology 45 (2002) 95–178
urement of the latencies and amplitudes of the relevant waves was
percentage was 65.9% in normal and 72.5% in dyslexic children.
obtained through the alignment of the single subject’s ERP with
With the application of PCA, the number of artefact-free trials
the corresponding template. Templates obtained during active tasks
increased of 155 and 179% in normal children during passive and
were characterized by significantly greater amplitudes with respect
active conditions, respectively. In dyslexic children the increase per
to that recorded during passive tasks in most of the cerebral areas
cent was of 150 and 189% during passive and active conditions,
recorded. In particular, during self-paced task there was a reduction
respectively. The achievements of the method are: a reduction of
of latency of ERPs’ components before 200 ms. Dyslexic children
the experiment time and a great improvement in the quality of
had a significant increase of latencies of ERPs’ components after
ERPs, without modifications of latencies and amplitudes.
200 ms, mainly in parietal and central areas.
This method applied to ERPs, extends the previous applications
APPLICATIONS OF THE ‘MANGINA-TEST’ IN THE CLINI-
of non-linear alignment techniques to short latency potentials.
CAL INVESTIGATION OF CHILDREN AND ADOLESCENTS
Despite of the great interindividual variability that characterizes
WITH NEUROPSYCHIATRIC PATHOLOGIES AS COM-
ERPs in children, the method succeeds in reducing the temporal
differences between the signals and in making easier their com-parison. This non-linear method overcomes other heuristic tech-
niques that require great experience of the experimenter, are time
Department of Child and Adolescent Neuropsychiatry, Rho Hos-
consuming and fail in the automatic recognition of the relevant
The ‘Mangina-Test’ is used for the diagnosis of varying degrees
PRINCIPAL COMPONENT ANALYSIS FOR REDUCTION OF
of ‘analytical-specific visual perception’ and was standardized in
North America as a neuropsychometric diagnostic tool for specific
learning abilities and disabilities (Mangina, 1981, 1994, 1998; Erl-baum Publishers, New Jersey, USA).
Silvia Casarottoa, Anna Bianchia, Sergio Ceruttia, Giuseppe A.
The purpose of our present research was to apply the ‘Mangina-
Test’ to investigate the ‘analytical-specific perceptual skills’ of
of Biomedical Engineering, Polytechnic University,
pathological and normal children and adolescents in Italy. The con-
trol group consisted of 58 children, 10 girls and 48 boys which
of Child and Adolescent Neuropsychiatry, Az. Osp.
age ranged from 7.10 years to 14 years, mean age 10.6. The per-
G. Salvini, Rho Hospital, Rho, Milan, Italy
formance of our normal sample fell within the normal four sub-categories of the ‘Mangina-Test’: 74.1% above average perceptual
The recording of ERPs in normal and pathological children is
abilities, superior and very superior ‘analytical-specific perceptual
always a difficult and time-consuming task, because they cannot
abilities’ and 25.9% average abilities similar. The pathological sub-
refrain from blinking or moving, due to developmental or patho-
jects to whom the ‘Mangina-Test’ was applied consisted of 130
logical reasons. We present an application of principal component
subjects, 89 boys and 41 girls, within an age range between 5.6
analysis (PCA) for removing ocular artefacts from single EEG
and 16.0 years, (mean age 8.7) and divided in 8 diagnostic groups:
recordings of ERPs in normal and dyslexic children.
generalized learning disabilities (Ns17), specific learning disa-
The EEG was unipolarly recorded from Fz, Cz, Pz, Oz, C3, C4,
bilities (Ns27), language disorders (Ns12), attention deficit dis-
P3, P4, T3, T4, referenced to linked mastoids; the EOG was bipo-
orders (Ns6), mixed developmental disorders (Ns8), not
larly recorded. The method was applied to four different para-
otherwise specified learning disabilities (Ns4), mental retardation
digms, designed to investigate the reading processes in normal and
(Ns17), motor disturbances (Ns3). ‘Analytical-specific percep-
dyslexic children. Two paradigms, defined as passive, consisted in
tual disabilities’ were present in 72.3% of all considered patholo-
viewing letters of the alphabet or symbols without linguistic con-
gies, ranging from severe to moderate perceptual disabilities. Out
tent. The active paradigms consisted in reading aloud letters after
of this percentage, 100% of children with mental retardation
externally paced or self-paced action. The method described below
revealed perceptual disabilities, followed by children with gener-
was applied to every single trial: PCA was applied on a matrix
alized learning disabilities (89.5%) and mixed developmental dis-
containing EOG and all EEG recordings. Correlation coefficients
orders (80.0%) and with equal percentage (75.0%) children with
between EOG, the first (c1) and the second (c2) principal com-
attention deficit disorders and motor developmental disorders. The
ponent were computed. The method had effect on the recorded
comparison of the diagnostic categories of the ‘Mangina-Test’
trials only in the following two conditions: the first principal com-
between the pathological subjects and normal controls showed
ponent was subtracted from the original trial if c100.9; the second
highly significant differences (P-0.001) between the two groups:
principal component was subtracted if c1-0.9 and c200.95. The
generalized learning disabilities (zsy6.37), specific learning dis-
number of trials with artefacts decreased with age: 8-year-old chil-
abilities (zsy6.52), language disorders (zsy3.79), attention
dren had 1.2 times the number of artefacted trials recorded in 9-
deficit disorders (zsy4.12), mixed developmental disorders (zs
year-old children. The active paradigms produced 4% more
y5.11), not otherwise specified learning disabilities (zsy4.15),
artefacted trials than passive paradigms. The percentage of arte-
mental retardation (zsy6.56), motor disturbances (zsy3.41).
facted trials during passive paradigms was 57.1% in normal chil-
The results of this investigation clearly testify as to the clinical
dren and 56.2% in dyslexics; during active paradigms the
usefulness of the ‘Mangina-Test’ and also confirm its ‘culture-free’
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Evidence for Chlamydia pneumoniae infection in steroid-dependent asthma David L Hahn, MD*; Don Bukstein, MD*; Allan Luskin, MD*; and Howard Zeitz, MD† Background: Chlamydia pneumoniae is an obligate intracellular respiratory strong association of C. pneumoniae pathogen capable of persistent infection. Seroepidemiologic studies and the resultsof open-label antimicrobial treatment o