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[自闭症儿童的认知诱发电位]

[Cognitive evoked potentials in autistic children].

作者信息

Valdizán J R, Abril-Villalba B, Méndez-García M, Sans-Capdevila O, Pablo M J, Peralta P, Lasierra Y, Bernal-Lafuente M

机构信息

Servicio de Neurofisiología Clínica, Hospital Universitario Miguel Servet, Zaragoza, España.

出版信息

Rev Neurol. 2003;36(5):425-8.

Abstract

AIMS

The aim of this study was to examine the latency, amplitude and distribution of N400 potential in order to evaluate the semantic processing capacity in autistic children and in children suffering from Asperger s syndrome (AS), and to compare them with a control group.

PATIENTS AND METHODS

24 autistic children, six boys with AS and 25 controls, aged between 6 and 14 years old. The cases were examined using the DSM IV diagnostic criteria. Auditory stimulation was performed with pairs of congruent and incongruent words: two lists of 20 pairs of semantically related words (congruent) and 20 pairs of words with no semantic relationship whatsoever (incongruent).

RESULTS

The most striking parameter is the increase in latency in N400 for the group of autistic children, which did not occur in the group of children with AS. Maximum N400 negativity for the children with autism was found in the left frontocentral region. No significant differences were observed for the amplitude of N400 between the three groups that were studied.

CONCLUSION

Neurophysiologically, the autistic children and those affected by AS perhaps use different neuronal networks in semantic processing. The N400 wave can be a valid test for monitoring verbal processing in these children.

摘要

目的

本研究旨在检测N400电位的潜伏期、波幅和分布,以评估自闭症儿童和阿斯伯格综合征(AS)患儿的语义处理能力,并与对照组进行比较。

患者与方法

24名自闭症儿童、6名患AS的男孩以及25名对照组儿童,年龄在6至14岁之间。根据《精神疾病诊断与统计手册》第四版(DSM IV)诊断标准对病例进行检查。采用成对的语义相符和不相符的词语进行听觉刺激:两份包含20对语义相关词语(相符)和20对无任何语义关系词语(不相符)的列表。

结果

最显著的参数是自闭症儿童组N400潜伏期延长,而AS患儿组未出现这种情况。自闭症儿童的N400最大负波出现在左额中央区。在研究的三组之间,未观察到N400波幅有显著差异。

结论

从神经生理学角度来看,自闭症儿童和AS患儿在语义处理中可能使用不同的神经网络。N400波可作为监测这些儿童语言处理的有效测试。

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