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Commonly recognized learning disability syndromes

Commonly recognized learning disability syndromes
Learning disability syndrome Clinical features* May share some features or co-occur with:
Reading disability (dyslexia)
  • Difficulty identifying which letter/letter combination correlates with a particular sound (phonics and decoding)
  • Difficulty reading printed text smoothly and efficiently (reading fluency)
  • Difficulty understanding what was read (reading comprehension)
  • May have associated attention problems
  • May dislike or avoid reading
  • Language-based LD
Writing disability
  • Difficulty with handwriting (eg, copying efficiently from the chalkboard)
  • Difficulty with spelling (phonics, encoding)
  • Difficulty composing sentences and text (eg, excessive grammar and punctuation errors)
  • Overly simple written text
  • Written text that is difficult to follow because it is not properly organized
  • Reading disability
  • Nonverbal LD
  • Autism spectrum disorder
Math LD
  • Difficulty with mental representation of quantity (number sense)
  • Difficulty performing math calculations (adding, subtracting, multiplying, dividing)
  • Difficulty with automatic retrieval of basic calculations (eg, addition, subtraction) (math fluency)
  • Difficulty correctly reading and understanding math symbols
  • Difficulty understanding word problems
  • Difficulty with visual-spatial and organization skills
  • Language impairment
  • Organizational weaknesses/executive dysfunctions
  • Nonverbal LD
Nonverbal LD (nonlanguage-based LD, right hemisphere developmental LD)
  • Weakness in visual spatial organization
  • Weakness in nonverbal problem solving (including social reasoning)
  • Weaknesses in higher-order reading comprehension and written expression
  • Weaknesses in attention and executive function
  • Well-developed basic language skills
  • Strong rote skills (eg, single-word reading or spelling)
  • Math LD
  • Writing disability
Language-based LD
  • Difficulty discriminating and producing the sounds of spoken language
  • Difficulty with vocabulary and/or word retrieval
  • Difficulty understanding and correctly using grammar and syntax (word order)
  • Difficulty with narrative discourse and conversation (pragmatics)
  • Difficulty following instructions (poor verbal working memory)
  • Difficulty with reading comprehension
  • Difficulty writing at the sentence or text level, resulting in grammatical errors, short sentences, or poorly structured paragraphs and text
  • Reading disability
  • Autism spectrum disorder
  • Nonverbal LD
This table is meant to be used with UpToDate content on learning disabilities in children. Refer to UpToDate content for additional information about the causes, components, evaluation, and diagnosis of specific learning disabilities in children.
LD: learning disability.
* The difficulties/weaknesses are unexpected in relation to the student's overall intelligence.
¶ Not recognized in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.
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