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Archives de pédiatrie
Volume 17, n° 12
pages 1734-1743 (décembre 2010)
Doi : 10.1016/j.arcped.2010.09.022
Clinique de la dyslexie
Dyslexia: Clinical characteristics
 

C. Billard , F. Delteil-Pinton
Centre référent sur les troubles des apprentissages, hôpital Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre cedex, France 

Auteur correspondant.
Résumé

La dyslexie est un trouble de l’acquisition de la lecture avéré, durable, inattendu qui survient chez un enfant intelligent, dans des conditions d’apprentissages « normales », sans pathologie sensorielle, psychiatrique ou neurologique lésionnelle. La dysorthographie est son corollaire quasi-constant. Dans le vaste problème des difficultés scolaires, la dyslexie représente les troubles de la lecture liés à un dysfonctionnement cérébral qui a été mis en évidence par les progrès considérables des neurosciences en imagerie ou génétique. Malgré cela, il n’est pas aujourd’hui de diagnostic possible de la dyslexie par un examen complémentaire si sophistiqué soit-il. Le diagnostic repose sur l’examen clinique donnant toute son importance à la symptomatologie. Optimiser la prise en charge de l’enfant dyslexique est un enjeu essentiel aujourd’hui possible grâce aux connaissances des bases cognitives et à la mobilisation des acteurs. Connaître la symptomatologie est donc essentiel pour que le médecin de l’enfant assure la coordination et harmonisation de la pédagogie et des soins et puisse guider les parents.

The full text of this article is available in PDF format.
Abstract

Dyslexia is characterized by a severe, persistent reading disorder occurring in an intelligent child. In the large field of learning disabilities, dyslexia is related to a cerebral dysfunction well described with Imagery and genetic studies. Nevertheless the diagnosis of dyslexia cannot be done by another way than clinical symptoms. Optimizing the management of children with dyslexia is a critical issue and is now possible, thanks to the improvement of neurosciences data and the mobilization of the key stakeholders. The knowledge of the precise symptoms is essential in order to lead the child’s doctor able to improve coordination and harmonization of teaching and care and guidance of parents.

The full text of this article is available in PDF format.

Mots clés : Dyslexie, Troubles de la lecture, Traitement


1  Achenbach TM, Rescola L. Child Behavior Checklist. Vermont: University; 2001.
2  American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV-TR. 4th, text revision. ed. Washington, DC: American Psychiatric Association; 2000.


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