Reading is a rapid, distributed process that engages various components of the ventral visual stream. To understand the neural constituents and their interactions that allow us to recognize written words, a new study performed direct intracranial recordings in a large cohort of humans.

‘A crucial region in the temporal lobe is identified, which appears to act as the brain's visual dictionary.
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"How much the mid-fusiform responds to a word and how quickly it can distinguish between a real and made-up word is highly dependent on how frequently the real word is encountered in everyday language," said Nitin Tandon, MD, senior author, professor, and vice-chair in the Vivian L. Smith Department of Neurosurgery at McGovern Medical School at UTHealth.




"So short, common words like 'say' can be identified quickly, but long, infrequent words like 'murmurings' take longer to be identified as real words."
For the study, Nitin Tandon and postdoctoral fellow Oscar Woolnough, Ph.D., the lead author, used recordings from patients who had electrodes temporarily placed in their brains while undergoing treatment for epilepsy. These recordings were then used to create a visual representation of the early neural processing of written words.
They found that this region, which has been overlooked in many previous reading studies, compares incoming strings of letters encountered while reading with stored patterns of learned words. After words are identified in this brain area, this information is spread to other visual-processing regions of the brain.
"Since word frequency is one of the main factors that determine how fast people can read, the mid-fusiform likely acts as the bottleneck to reading speed," Tandon said. "We showed that if we temporarily disrupt activity in the mid-fusiform cortex using briefly applied electrical pulses, it causes a temporary inability to read, dyslexia, but doesn't disrupt other language functions like naming visual objects or understanding speech."
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