Ventral Occipitotemporal Cortex Research Articles

Spontaneous perceptual facial distortions correlate with ventral occipitotemporal activity

Prosopometamorphopsia is a disorder of face perception in which faces appear distorted to the perceiver. The neural basis of prosopometamorphopsia is unclear, but may involve abnormal activity in face-selective areas in the ventral occipito-temporal pathway. Here we present the case of AS, a 44-year-old woman who reports persistent perceptual distortions of faces with no known cause. AS was presented with facial images and rated the magnitude of her distortions while activity in her core face areas and other areas in the ventral visual pathway was measured using functional magnetic resonance imaging. The magnitude of her distortions was positively correlated with signal changes in the right occipital face area (OFA) and right fusiform face area (FFA), as well as right V1–V3, and right lateral occipital cortex (LOC). There was also a trend for a significant correlation with signal in the left OFA and right inferior frontal gyrus (IFG), but not in the right or left superior temporal sulcus (STS). These results suggest that AS’ prosopometamorphopsia reflects anomalous activity in face-processing network, particularly in the ventral occipitotemporal cortex.

Increased functional connectivity between dorsal posterior parietal and ventral occipitotemporal cortex during uncertain memory decisions

Retrieval of episodic memories is a multi-component act that relies on numerous operations ranging from processing the retrieval cue, evaluating retrieved information, and selecting the appropriate response given the demands of the task. Motivated by a rich functional neuroimaging literature, recent theorizing about various computations at retrieval has focused on the role of posterior parietal cortex (PPC). In a potentially promising line of research, recent neuroimaging findings suggest that different subregions of dorsal PPC respond distinctly to different aspects of retrieval decisions, suggesting that better understanding of their contributions might shed light on the component processes of retrieval. In an attempt to understand the basic operations performed by dorsal PPC, we used functional MRI and functional connectivity analyses to examine how activation in, and connectivity between, dorsal PPC and ventral temporal regions representing retrieval cues varies as a function of retrieval decision uncertainty. Specifically, participants made a five-point recognition confidence judgment for a series of old and new visually presented words. Consistent with prior studies, memory-related activity patterns dissociated across left dorsal PPC subregions, with activity in the lateral IPS tracking the degree to which participants perceived an item to be old, whereas activity in the SPL increased as a function of decision uncertainty. Importantly, whole-brain functional connectivity analyses further revealed that SPL activity was more strongly correlated with that in the visual word-form area during uncertain relative to certain decisions. These data suggest that the involvement of SPL during episodic retrieval reflects, at least in part, the processing of the retrieval cue, perhaps in service of attempts to increase the mnemonic evidence elicited by the cue.

Understanding individual face discrimination by means of fast periodic visual stimulation.

This paper reviews a fast periodic visual stimulation (FPVS) approach developed recently to make significant progress in understanding visual discrimination of individual faces. Displaying pictures of faces at a periodic frequency rate leads to a high signal-to-noise ratio (SNR) response in the human electroencephalogram, at the exact frequency of stimulation, a so-called steady-state visual evoked potential (SSVEP, Regan in Electroencephalogr Clin Neurophysiol 20:238-248, 1966). For fast periodic frequency rates, i.e., between 3 and 9 Hz, this response is reduced if the exact same face identity is repeated compared to the presentation of different face identities, the largest difference being observed over the right occipito-temporal cortex. A 6-Hz stimulation rate (cycle duration of ~170 ms) provides the largest difference between different and repeated faces, as also evidenced in face-selective areas of the ventral occipito-temporal cortex in functional magnetic resonance imaging. This high-level discrimination response is reduced following inversion and contrast-reversal of the faces and can be isolated without subtraction thanks to a fast periodic oddball paradigm. Overall, FPVS provides a response that is objective (i.e., at an experimentally defined frequency), implicit, has a high SNR and is directly quantifiable in a short amount of time. Although the approach is particularly appealing for understanding face perception, it can be generalized to study visual discrimination of complex visual patterns such as objects and visual scenes. The advantages of the approach make it also particularly well-suited to investigate these functions in populations who cannot provide overt behavioral responses and can only be tested for short durations, such as infants, young children and clinical populations.

Neural repetition suppression in ventral occipito-temporal cortex occurs during conscious and unconscious processing of frequent stimuli

Stimulus repetition can produce neural response attenuation in stimulus-category selective networks within the occipito-temporal lobe. It is hypothesized that this neural suppression reflects the functional sharpening of local neuronal assemblies which boosts information processing efficiency. This neural suppression phenomenon has been mainly reported during conditions of conscious stimulus perception. The question remains whether frequent stimuli processed in the absence of conscious perception also induce repetition suppression in those specialized networks. Using rare intracranial EEG recordings in the ventral occipito-temporal cortex (VOTC) of human epileptic patients we investigated neural repetition suppression in conditions of conscious and unconscious visual processing of words. To this end, we used an orthogonal design manipulating respectively stimulus repetition (frequent vs. unique stimuli) and conscious perception (masked vs. unmasked stimuli). By measuring the temporal dynamics of high-frequency broadband gamma activity in VOTC and testing for main and interaction effects, we report that early processing of words in word-form selective networks exhibits a temporal cascade of modulations by stimulus repetition and masking: neuronal attenuation initially is observed in response to repeated words (irrespective of consciousness), that is followed by a second modulation contingent upon word reportability (irrespective of stimulus repetition). Later on (>300ms post-stimulus), a significant effect of conscious perception on the extent of repetition suppression was observed. The temporal dynamics of consciousness, the recognition memory processes and their interaction revealed in this study advance our understanding of their contributions to the neural mechanisms of word processing in VOTC.

Functional selectivity in the human occipitotemporal cortex during natural vision: Evidence from combined intracranial EEG and eye-tracking

Eye movements are a constant and essential component of natural vision, yet, most of our knowledge about the human visual system comes from experiments that restrict them. This experimental constraint is mostly in place to control visual stimuli presentation and to avoid artifacts in non-invasive measures of brain activity, however, this limitation can be overcome with intracranial EEG (iEEG) recorded from epilepsy patients. Moreover, the high-frequency components of the iEEG signal (between about 50 and 150Hz) can provide a proxy of population-level spiking activity in any cortical area during free-viewing. We combined iEEG with high precision eye-tracking to study fine temporal dynamics and functional specificity in the fusiform face (FFA) and visual word form area (VWFA) while patients inspected natural pictures containing faces and text. We defined the first local measure of visual (electrophysiological) responsiveness adapted to free-viewing in humans: amplitude modulations in the high-frequency activity range (50–150Hz) following fixations (fixation-related high-frequency response). We showed that despite the large size of receptive fields in the ventral occipito-temporal cortex, neural activity during natural vision of realistic cluttered scenes is mostly dependent upon the category of the foveated stimulus — suggesting that category-specificity is preserved during free-viewing and that attention mechanisms might filter out the influence of objects surrounding the fovea.

Similar ventral occipito-temporal cortex activations in literate and illiterate adults during the Chinese character matching task: An fMRI study

Visual word expertise is typically associated with enhanced ventral occipito-temporal (vOT) cortex activation in response to written words. Previous study utilized a passive viewing task and found that vOT response to written words was significantly stronger in literate compared to the illiterate subjects. However, recent neuroimaging findings have suggested that vOT response properties are highly dependent upon the task demand. Thus, it is unknown whether literate adults would show stronger vOT response to written words compared to illiterate adults during other cognitive tasks, such as perceptual matching. We addressed this issue by comparing vOT activations between literate and illiterate adults during a Chinese character and simple figure matching task. Unlike passive viewing, a perceptual matching task requires active shape comparison, therefore minimizing automatic word processing bias. We found that although the literate group performed better at Chinese character matching task, the two subject groups showed similar strong vOT responses during this task. Overall, the findings indicate that the vOT response to written words is not affected by expertise during a perceptual matching task, suggesting that the association between visual word expertise and vOT response may depend on the task demand.

Repetition suppression of face‐selective evoked and induced EEG recorded from human cortex

In functional MRI studies, repetition suppression refers to the reduction of hemodynamic activation to repeated stimulus presentation. For example, the repeated presentation of a face reduces the hemodynamic response evoked by faces in the fusiform gyrus. The neural events that underlie repetition suppression are not well understood. Indeed, in contrast to the hemodynamic response, the face-specific N200 recorded from subdural electrodes on the ventral occipitotemporal cortex, primarily along the fusiform gyrus, has been reported to be insensitive to face-identity repetition. We have previously described a face-specific broadband gamma (30-100 Hz) response at ventral face-specific N200 sites that is functionally dissociable from the N200. In this study, we investigate whether gamma and other components of the electroencephalogram spectrum are affected by face-identity repetition independently of the N200. Participants viewed sequentially presented identical faces. At sites on and around the fusiform gyrus, we found that face repetition modulated alpha (8-12 Hz), low-gamma (30-60 Hz), and high-gamma (60-100 Hz) synchrony, but not the N200. These findings provide evidence of a spatially co-localized progression of face processing. Whereas the N200 reflects an initial obligatory response that is less sensitive to face-identity repetition, the subsequent spectral fluctuations reflect more elaborative face processing and are thus sensitive to face novelty. It is notable that the observed modulations were different for different frequency bands. We observed repetition suppression of broadband gamma, but repetition enhancement of alpha synchrony. This difference is discussed with regard to an existing model of repetition suppression and behavioral repetition priming.

Fast Dynamics of Cortical Functional and Effective Connectivity during Word Reading

We describe for the first time the fast dynamics of functional and effective (causal) connectivity during word reading. Independent component analysis of high-density EEG recorded during a word reading task recovered multiple sources of electrical brain activity previously identified by fMRI and PET. Results confirmed the ventral occipito-temporal cortex (vOT) as a central hub for word reading, showing a progression of theta-band (3–7 Hz) and gamma-band (30–50 Hz) phase synchronization and directed theta-band and gamma-band information flow with both early visual areas and high-level language-processing areas. These results highlight the interplay between local and long-distance neural dynamics involved at each stage of the reading process. Moreover, these measures of functional and causal connectivity dynamics may be used as a benchmark for comparison with clinical populations (e.g. individuals with developmental dyslexia), such that disturbances in connectivity dynamics may provide insight as to underlying neurological problems with language processing, and their potential remediation.

Visual Space and Object Space in the Cerebral Cortex of Retinal Disease Patients

The lower areas of the hierarchically organized visual cortex are strongly retinotopically organized, with strong responses to specific retinotopic stimuli, and no response to other stimuli outside these preferred regions. Higher areas in the ventral occipitotemporal cortex show a weak eccentricity bias, and are mainly sensitive for object category (e.g., faces versus buildings). This study investigated how the mapping of eccentricity and category sensitivity using functional magnetic resonance imaging is affected by a retinal lesion in two very different low vision patients: a patient with a large central scotoma, affecting central input to the retina (juvenile macular degeneration), and a patient where input to the peripheral retina is lost (retinitis pigmentosa). From the retinal degeneration, we can predict specific losses of retinotopic activation. These predictions were confirmed when comparing stimulus activations with a no-stimulus fixation baseline. At the same time, however, seemingly contradictory patterns of activation, unexpected given the retinal degeneration, were observed when different stimulus conditions were directly compared. These unexpected activations were due to position-specific deactivations, indicating the importance of investigating absolute activation (relative to a no-stimulus baseline) rather than relative activation (comparing different stimulus conditions). Data from two controls, with simulated scotomas that matched the lesions in the two patients also showed that retinotopic mapping results could be explained by a combination of activations at the stimulated locations and deactivations at unstimulated locations. Category sensitivity was preserved in the two patients. In sum, when we take into account the full pattern of activations and deactivations elicited in retinotopic cortex and throughout the ventral object vision pathway in low vision patients, the pattern of (de)activation is consistent with the retinal loss.

Understanding face perception by means of prosopagnosia and neuroimaging.

Understanding the human neuro-anatomy of face recognition is a long-standing goal of Cognitive Neuroscience. Studies of patients with face recognition impairment following brain damage (i.e., acquired prosopagnosia) have revealed the specificity of face recognition, the importance and nature of holistic/configural perception of individual faces, and the distribution of this function in the ventral occipito-temporal (VOT) cortex, with a right hemispheric dominance. Yet, neuroimaging studies in this field have essentially focused on a single face-selective area of the VOT and underestimated the right hemisphere superiority. Findings in these studies have also been taken as supporting a hierarchical view of face perception, according to which a face is decomposed into parts in early face-selective areas, these parts being subsequently integrated into a whole representation in higher-order areas. This review takes a historical and current perspective on the study of acquired prosopagnosia and neuroimaging that challenges this latter view. It argues for a combination of these methods, an approach suggesting a coarse-to-fine emergence of the holistic face percept in a non-hierarchical network of cortical face-selective areas.

Bottom-up Retinotopic Organization Supports Top-down Mental Imagery

Finding a path between locations is a routine task in daily life. Mental navigation is often used to plan a route to a destination that is not visible from the current location. We first used functional magnetic resonance imaging (fMRI) and surface-based averaging methods to find high-level brain regions involved in imagined navigation between locations in a building very familiar to each participant. This revealed a mental navigation network that includes the precuneus, retrosplenial cortex (RSC), parahippocampal place area (PPA), occipital place area (OPA), supplementary motor area (SMA), premotor cortex, and areas along the medial and anterior intraparietal sulcus. We then visualized retinotopic maps in the entire cortex using wide-field, natural scene stimuli in a separate set of fMRI experiments. This revealed five distinct visual streams or ‘fingers’ that extend anteriorly into middle temporal, superior parietal, medial parietal, retrosplenial and ventral occipitotemporal cortex. By using spherical morphing to overlap these two data sets, we showed that the mental navigation network primarily occupies areas that also contain retinotopic maps. Specifically, scene-selective regions RSC, PPA and OPA have a common emphasis on the far periphery of the upper visual field. These results suggest that bottom-up retinotopic organization may help to efficiently encode scene and location information in an eye-centered reference frame for top-down, internally generated mental navigation. This study pushes the border of visual cortex further anterior than was initially expected.

Turning visual shapes into sounds: Early stages of reading acquisition revealed in the ventral occipitotemporal cortex

The exact role of the left ventral occipitotemporal cortex (VOTC) during the initial stages of reading acquisition is a hotly debated issue, especially regarding the comparative effect of learning on early stimulus-dependent vs. later task-dependent processes. We show that this controversy can be solved with high-temporal resolution intracerebral EEG recordings of the VOTC. We measured High-Frequency Activity (50–150Hz) as a proxy of population-level spiking activity while participants learned Japanese Katakana symbols, and found that learning primarily affects top-down/task-dependent neural processing, after a few minutes only. In contrast, adaptation of early bottom-up/stimulus-dependent processing takes several days to adapt and provides the basis for fluent reading. Such evidence that two consecutive stages of neural processing, stimulus- and task-dependent are differentially affected by learning, can reconcile seemingly opposite hypotheses on the role of the VOTC during reading acquisition.

Temporal frequency tuning of cortical face-sensitive areas for individual face perception

In a highly dynamic visual environment the human brain needs to rapidly differentiate complex visual patterns, such as faces. Here, we defined the temporal frequency tuning of cortical face-sensitive areas for face discrimination. Six observers were tested with functional magnetic resonance imaging (fMRI) when the same or different faces were presented in blocks at 11 frequency rates (ranging from 1 to 12Hz). We observed a larger fMRI response for different than same faces – the repetition suppression/adaptation effect – across all stimulation frequency rates. Most importantly, the magnitude of the repetition suppression effect showed a typical Gaussian-shaped tuning function, peaking on average at 6Hz for all face-sensitive areas of the ventral occipito-temporal cortex, including the fusiform and occipital “face areas” (FFA and OFA), as well as the superior temporal sulcus. This effect was due both to a maximal response to different faces in a range of 3 to 6Hz and to a sharp drop of the blood oxygen level dependent (BOLD) signal from 6Hz onward when the same face was repeated during a block. These observations complement recent scalp EEG observations (Alonso-Prieto et al., 2013), indicating that the cortical face network can discriminate each individual face when these successive faces are presented every 160–170ms. They also suggest that a relatively fast 6Hz rate may be needed to isolate the contribution of high-level face perception processes during behavioral discrimination tasks. Finally, these findings carry important practical implications, allowing investigators to optimize the stimulation frequency rates for observing the largest repetition suppression effects to faces and other visual forms in the occipito-temporal cortex.

FMRI of phonemic perception and its relationship to reading development in elementary- to middle-school-age children

Neuroimaging studies suggest that categorical perception of speech phonemes in adults is primarily subserved by a pathway from bilateral primary auditory areas to association areas in the left middle superior temporal cortex, but the neural substrates underlying categorical speech perception in children are not yet known. Here, fMRI was used to examine the neural substrates associated with phoneme perception in 7- to 12-year-old children as well as the relationships among level of expertise in phoneme perception, the associated activation, and the development of reading and phonological processing abilities. While multiple regions in left frontal, temporal, and parietal cortex were found to be more responsive to phonemic than nonphonemic sounds, the extent of left lateralization in posterior temporal and parietal regions during phonemic relative to nonphonemic discrimination differed depending on the degree of categorical phoneme perception. In addition, an unexpected finding was that proficiency in categorical perception was strongly related to activation in the left ventral occipitotemporal cortex, an area frequently associated with orthographic processing. Furthermore, in children who showed lower proficiency in categorical perception, the level of categorical perception was positively correlated with reading ability and reading and reading-related abilities were inversely correlated with right mid-temporal activation in the phonemic relative to nonphonemic perception contrast. These results suggest that greater specialization of left hemisphere temporal and parietal regions for the categorical perception of phonemes, as well as activation of the region termed the visual word form area, may be important for the optimal developmental refinement of both phoneme perception and reading ability.

Alternating Zones Selective to Faces and Written Words in the Human Ventral Occipitotemporal Cortex

Recognition of faces and written words is associated with category-specific brain activation in the ventral occipitotemporal cortex (vOT). However, topological and functional relationships between face-selective and word-selective vOT regions remain unclear. In this study, we collected data from patients with intractable epilepsy who underwent high-density recording of surface field potentials in the vOT. "Faces" and "letterstrings" induced outstanding category-selective responses among the 24 visual categories tested, particularly in high-γ band powers. Strikingly, within-hemispheric analysis revealed alternation of face-selective and letterstring-selective zones within the vOT. Two distinct face-selective zones located anterior and posterior portions of the mid-fusiform sulcus whereas letterstring-selective zones alternated between and outside of these 2 face-selective zones. Further, a classification analysis indicated that activity patterns of these zones mostly represent dedicated categories. Functional connectivity analysis using Granger causality indicated asymmetrically directed causal influences from face-selective to letterstring-selective regions. These results challenge the prevailing view that different categories are represented in distinct contiguous regions in the vOT.

Objects and Categories: Feature Statistics and Object Processing in the Ventral Stream

Recognizing an object involves more than just visual analyses; its meaning must also be decoded. Extensive research has shown that processing the visual properties of objects relies on a hierarchically organized stream in ventral occipitotemporal cortex, with increasingly more complex visual features being coded from posterior to anterior sites culminating in the perirhinal cortex (PRC) in the anteromedial temporal lobe (aMTL). The neurobiological principles of the conceptual analysis of objects remain more controversial. Much research has focused on two neural regions-the fusiform gyrus and aMTL, both of which show semantic category differences, but of different types. fMRI studies show category differentiation in the fusiform gyrus, based on clusters of semantically similar objects, whereas category-specific deficits, specifically for living things, are associated with damage to the aMTL. These category-specific deficits for living things have been attributed to problems in differentiating between highly similar objects, a process that involves the PRC. To determine whether the PRC and the fusiform gyri contribute to different aspects of an object's meaning, with differentiation between confusable objects in the PRC and categorization based on object similarity in the fusiform, we carried out an fMRI study of object processing based on a feature-based model that characterizes the degree of semantic similarity and difference between objects and object categories. Participants saw 388 objects for which feature statistic information was available and named the objects at the basic level while undergoing fMRI scanning. After controlling for the effects of visual information, we found that feature statistics that capture similarity between objects formed category clusters in fusiform gyri, such that objects with many shared features (typical of living things) were associated with activity in the lateral fusiform gyri whereas objects with fewer shared features (typical of nonliving things) were associated with activity in the medial fusiform gyri. Significantly, a feature statistic reflecting differentiation between highly similar objects, enabling object-specific representations, was associated with bilateral PRC activity. These results confirm that the statistical characteristics of conceptual object features are coded in the ventral stream, supporting a conceptual feature-based hierarchy, and integrating disparate findings of category responses in fusiform gyri and category deficits in aMTL into a unifying neurocognitive framework.

A surface-based analysis of language lateralization and cortical asymmetry.

Among brain functions, language is one of the most lateralized. Cortical language areas are also some of the most asymmetrical in the brain. An open question is whether the asymmetry in function is linked to the asymmetry in anatomy. To address this question, we measured anatomical asymmetry in 34 participants shown with fMRI to have language dominance of the left hemisphere (LLD) and 21 participants shown to have atypical right hemisphere dominance (RLD). All participants were healthy and left-handed, and most (80%) were female. Gray matter (GM) volume asymmetry was measured using an automated surface-based technique in both ROIs and exploratory analyses. In the ROI analysis, a significant difference between LLD and RLD was found in the insula. No differences were found in planum temporale (PT), pars opercularis (POp), pars triangularis (PTr), or Heschl's gyrus (HG). The PT, POp, insula, and HG were all significantly left lateralized in both LLD and RLD participants. Both the positive and negative ROI findings replicate a previous study using manually labeled ROIs in a different cohort [Keller, S. S., Roberts, N., Garcia-Finana, M., Mohammadi, S., Ringelstein, E. B., Knecht, S., et al. Can the language-dominant hemisphere be predicted by brain anatomy? Journal of Cognitive Neuroscience, 23, 2013-2029, 2011]. The exploratory analysis was accomplished using a new surface-based registration that aligns cortical folding patterns across both subject and hemisphere. A small but significant cluster was found in the superior temporal gyrus that overlapped with the PT. A cluster was also found in the ventral occipitotemporal cortex corresponding to the visual word recognition area. The surface-based analysis also makes it possible to disentangle the effects of GM volume, thickness, and surface area while removing the effects of curvature. For both the ROI and exploratory analyses, the difference between LLD and RLD volume laterality was most strongly driven by differences in surface area and not cortical thickness. Overall, there were surprisingly few differences in GM volume asymmetry between LLD and RLD indicating that gross morphometric asymmetry is only subtly related to functional language laterality.

Reading therapy strengthens top–down connectivity in patients with pure alexia

This study tested the efficacy of audio-visual reading training in nine patients with pure alexia, an acquired reading disorder caused by damage to the left ventral occipitotemporal cortex. As well as testing the therapy’s impact on reading speed, we investigated the functional reorganization underlying therapy-induced behavioural changes using magnetoencephalography. Reading ability was tested twice before training (t1 and t2) and twice after completion of the 6-week training period (t3 and t4). At t3 there was a significant improvement in word reading speed and reduction of the word length effect for trained words only. Magnetoencephalography at t3 demonstrated significant differences in reading network connectivity for trained and untrained words. The training effects were supported by increased bidirectional connectivity between the left occipital and ventral occipitotemporal perilesional cortex, and increased feedback connectivity from the left inferior frontal gyrus. Conversely, connection strengths between right hemisphere regions became weaker after training.

Individual Variability in Location Impacts Orthographic Selectivity in the "Visual Word Form Area"

Strong evidence exists for a key role of the human ventral occipitotemporal cortex (vOT) in reading, yet there have been conflicting reports about the specificity of this area in orthographic versus nonorthographic processing. We suggest that the inconsistencies in the literature can be explained by the method used to identify regions that respond to words. Here we provide evidence that the "visual word form area" (VWFA) shows word selectivity when identified at the individual subject level, but that intersubject variability in the location and size of the VWFA causes this selectivity to be washed out if defining the VWFA at the group level or based on coordinates from the literature. Our findings confirm the existence of a word-selective region in vOT while providing an explanation for why other studies have found a lack of word specificity in vOT.

A Functionally Guided Approach to the Morphometry of Occipitotemporal Regions in Developmental Dyslexia: Evidence for Differential Effects in Boys and Girls

Developmental dyslexia is a learning disability that specifically affects reading acquisition. Cortical anomalies and gray matter volume differences in various temporal regions have been reported in dyslexic subjects compared with controls. However, consistency between studies is lacking. In the present experiments, we focused our structural analyses on the ventral occipitotemporal regions, defined by their functional response to visual categories. We applied a subject-by-subject functionally guided approach on a total of 76 participants (31 dyslexic children). Cortical thickness was estimated for each participant around his/her peak of specific functional activation to visual words, faces, or places. Results from two independent datasets showed a reduction in thickness in dyslexic children compared with controls in the region responsive to words, in the left hemisphere. Additionally, a gender-by-diagnosis interaction was observed at the same location, due to differences in girls only. To avoid the potential confound of reading level, we also contrasted dyslexic and control children matched for reading performance, and we observed a similar difference, although in a smaller extent of cortex. The present study thus provides the first account of a focal cortical thickness reduction in dyslexia in the subregion of ventral occipitotemporal cortex specifically responsive to visual words, when age, gender, and reading performance are taken into account.