Distinct patterns of grey matter abnormality in high-functioning autism and Asperger's syndrome

التفاصيل البيبلوغرافية
العنوان: Distinct patterns of grey matter abnormality in high-functioning autism and Asperger's syndrome
المؤلفون: Naikei Wong, Nina Lienenkaemper, Grainne M. McAlonan, Siew E. Chua, John Suckling, Charlton Cheung, Vinci Cheung
المصدر: Journal of child psychology and psychiatry, and allied disciplines. 49(12)
سنة النشر: 2008
مصطلحات موضوعية: Male, China, behavioral disciplines and activities, Language Development, Developmental psychology, Communication disorder, mental disorders, Developmental and Educational Psychology, medicine, Humans, Language disorder, Interpersonal Relations, Asperger Syndrome, Autistic Disorder, Child, Social Behavior, Brain Mapping, Autism Diagnostic Interview, Brain, medicine.disease, Magnetic Resonance Imaging, High-functioning autism, Developmental disorder, Psychiatry and Mental health, Asperger syndrome, Pediatrics, Perinatology and Child Health, Asperger's disorder, Autism, Female, Psychology
الوصف: Background: Autism exists across a wide spectrum and there is considerable debate as to whether children with Asperger’s syndrome, who have normal language milestones, should be considered to comprise a subgroup distinct other from high-functioning children with autism (HFA), who have a history of delayed language development. Magnetic resonance imaging (MRI) studies of autism are in disagreement. One possible reason is that the diagnosis of autism takes precedence over Asperger’s syndrome and a distinction in language acquisition is rarely made. We therefore planned to examine a whole brain hypothesis that the patterns of grey matter differences in Asperger’s syndrome and HFA can be distinguished. Methods: We used voxel-based computational morphometry to map grey matter volume differences in 33 children with either Asperger’s syndrome or high-functioning autism compared to 55 typical developing control children balanced for age, IQ, gender, maternal language and ethnicity. Results: Children with HFA had significantly smaller grey matter volumes in subcortical, posterior cingulate and precuneus regions than the Asperger’s group. Compared to controls, children with HFA had smaller grey matter volumes in predominantly fronto-pallidal regions, while children with Asperger’s had less grey matter in mainly bilateral caudate and left thalamus. In addition we found a significant negative correlation between the size of a grey matter cluster around BA44 language area and the age of acquisition of phrase speech in the children with HFA. When the groups were combined we confirmed a mixed picture of smaller grey matter volumes in frontal, basal ganglia, temporal and parietal regions. Conclusions: Our study suggests that the underlying neurobiology in HFA and Asperger’s syndrome is at least partly discrete. Future studies should therefore consider the history of language acquisition as a valuable tool to refine investigation of aetiological factors and management options in pervasive developmental disorders. Keywords: Asperger’s disorder, autistic disorder, brain imaging. Abbreviations: HFA: high-functioning autism; LFA: low-functioning autism; ADI-R: Autism Diagnostic Interview – Revised; AC-PC: anterior commissure–posterior commissure. Autism exists across a spectrum. Although features of impaired social reciprocity, communication difficulty, and repetitive interests or motor activities are common to all individuals suffering the disorder, the autism spectrum accommodates individuals with and without learning impairment. Individuals without learning disability can be further categorised according to their history of phrase language development; delayed acquisition of phrase language distinguishes those with high-functioning autism (HFA) from others with Asperger’s syndrome, who use phrase language prior to 36 months (Gilchrist et al., 2001; Howlin, 2003; Ozonoff, Rogers, & Pennington, 1991; Szatmari, Archer, Fisman, Streiner, & Wilson, 1995). However, as discussed by Lotspeich and colleagues (2004), the diagnosis of autism takes precedence over Asperger’s syndrome, resulting in some degree of diagnostic overlap, and it is unclear whether the unique language features of Asperger’s
تدمد: 1469-7610
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::423ee037e52b5943a87336919caaa506
https://pubmed.ncbi.nlm.nih.gov/18673405
Rights: CLOSED
رقم الانضمام: edsair.doi.dedup.....423ee037e52b5943a87336919caaa506
قاعدة البيانات: OpenAIRE