Table_1_Dyslexia and dysgraphia of primary progressive aphasia in Chinese: A systematic review.docx

IntroductionCurrently, little is known about Chinese-speaking primary progressive aphasia (PPA) patients compared to patients who speak Indo-European languages. We examined the demographics and clinical manifestations, particularly reading and writing characteristics, of Chinese patients with PPA over the last two decades to establish a comprehensive profile and improve diagnosis and care.MethodsWe reviewed the demographic features, clinical manifestations, and radiological features of Chinese-speaking PPA patients from 56 articles published since 1994. We then summarized the specific reading and writing errors of Chinese-speaking patients.ResultsThe average age of onset for Chinese-speaking patients was in their early 60's, and there were slightly more male patients than female patients. The core symptoms and images of Chinese-speaking patients were similar to those of patients who speak Indo-European languages. Reading and writing error patterns differed due to Chinese's distinct tone and orthography. The types of reading errors reported in Chinese-speaking patients with PPA included tonal errors, regularization errors, visually related errors, semantic errors, phonological errors, unrelated errors, and non-response. Among these errors, regularization errors were the most common in semantic variant PPA, and tonal errors were specific to Chinese. Writing errors mainly consisted of non-character errors (stroke, radical/component, visual, pictograph, dyskinetic errors, and spatial errors), phonologically plausible errors, orthographically similar errors, semantic errors, compound word errors, sequence errors, unrelated errors, and non-response.ConclusionThis paper provides the latest comprehensive demographic information and unique presentations on the reading and writing of Chinese-speaking patients with PPA. More detailed studies are needed to address the frequency of errors in reading and writing and their anatomical substrates.</p

Brain regions in which regional cerebral glucose metabolism was negatively correlated with psychophysical task response time.

<p>Brain regions in which regional cerebral glucose metabolism was negatively correlated with psychophysical task response time.</p

Results of the whole-brain voxel-based analyses.

<p>First row: The brain regions that exhibited regional cerebral glucose metabolic reductions in the 60 PD patients relative to 14 normal volunteers (p<0.05 uncorrected, extent threshold of 100 voxels). Second row and below: The brain regions in which the resting CMRglc was correlated with the RTs in the various psychophysical tasks (Global: second row, Local: third row, Mixed: fourth row) and the shift cost (fifth row) (<i>p</i><0.001 uncorrected, extent threshold of 100 voxels). PD, Parkinson’s disease; R, right; L, left.</p

Demographic and clinical characteristics of patients with PD and control participants.

<p>PD, Parkinson’s disease; MMSE, Mini Mental State Examination; CDR, Clinical Dementia Rating; NPI, Neuropsychiatric Inventory; UPDRS-III, Unified Parkinson’s Disease Rating Scale-motor score; L, left; R, right; B, bilateral.</p

Schematic illustrations of the psychophysical tasks.

<p>In both the Global and Local tasks, compound letter stimuli appeared after a 2-second presentation of a visual cue that indicated whether the target was a global or local letter. The subjects were instructed to respond orally to the target component of each compound letter stimulus as quickly as possible. In these tasks, the subjects maintained their attention on a single component of the compound letters (either the local or global component of the stimuli), and they were not required to reorient their attention. However, in the Mixed task, the cue that indicated the target component of the compound letter changed from trial to trial in a pseudorandom manner. The task required that the subjects switch their attention on the basis of the cue that was presented to them on each trial.</p

The results of the ROI-based stepwise multiple regression analyses.

<p>7 ROIs are shown in different colors: right DLPFC  =  red, left DLPFC  =  cyan, left VLPFC  =  yellow, right TPO  =  purple, left TPO  =  green, medial parietal cortex  =  white, and left posterior IT  =  blue. The scatterplots illustrate the relationship between the psychophysical task performance scores and the FDG-uptake values in the ROIs. DLPFC, dorsolateral prefrontal cortex; VLPFC, ventrolateral prefrontal cortex; TPO, temporo-parieto-occipital junction; posterior IT, posterior inferior temporal cortex; FDG, ¹⁸F-fluorodeoxyglucose.</p

Mean RTs and error rates in the psychophysical tasks.

<p>Comparisons that were significantly different are indicated with a * (p<0.05/3). There was a significant simple interaction between group and the Global/Mixed task factor (F = 5.99, p = 0.016), and there was a trend toward an interaction between the group and the Local/Mixed task factor (F = 5.63, p = 0.020). PD, Parkinson’s disease.</p

Demographic and clinical characteristics of the PD patients with mirror writing and PD patients without mirror writing.

Demographic and clinical characteristics of the PD patients with mirror writing and PD patients without mirror writing.</p

Example of mirror writing in a PD patient.

(A)Task: Writing the word, “そら”. “ら” was reversed. (B) Task: Writing the sentence, “花がさく”. “く” was reversed. (C) Task: Writing the sentence, “今日はよいお天気です”. “今” was reversed.</p

Demographic and clinical characteristics of the PD patients and healthy controls.

Demographic and clinical characteristics of the PD patients and healthy controls.</p