The resilience of the developing reading system: multi-modal evidence of incident and recovery after a pediatric stroke.
Reading requires the sophisticated interplay of multiple neurocognitive systems. Decades of neuropsychological and neuroimaging findings have shed light onto the highly specialized brain areas along the ventral occipitotemporal stream that harbor the first critical step: the transition from grouping of lines to recognizable words.Here, we report on a 14-year old female who developed temporary dyslexia (i.e., slow and effortful reading) after suffering a left ventral occipitotemporal ischemic stroke. Our longitudinal multimodal findings indicate that the resolution of the reading impairment was associated with heightened activity in left posterior superior temporal gyrus and left inferior temporal gyrus.Overall, our findings highlight the critical role played by the left inferior temporal gyrus in reading, and suggest the importance of perilesional and ipsilateral cortical areas for functional recovery after childhood stroke.