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自闭症患者的运动表现及基底神经节的解剖磁共振成像(MRI)

Motor performance and anatomic magnetic resonance imaging (MRI) of the basal ganglia in autism.

作者信息

Hardan Antonio Y, Kilpatrick Megan, Keshavan Matcheri S, Minshew Nancy J

机构信息

Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.

出版信息

J Child Neurol. 2003 May;18(5):317-24. doi: 10.1177/08830738030180050801.

Abstract

This study was conducted to examine the volume of the basal ganglia in individuals with autism and to evaluate whether performance on specific motor tasks correlated with the volume of these structures. Volumetric measurements of the caudate nucleus and putamen were obtained from magnetic resonance images (MRI) of 40 non-mentally retarded individuals with autism and 41 healthy controls. Motor performance was assessed in these subjects by using the Finger Tapping Test, the Grooved Pegboard Test, and the measurement of Grip Strength. No volumetric differences of the basal ganglia were found between the two groups after adjusting for brain volume. The autistic subjects' performance was slower on the Grooved Pegboard Test and weaker on Grip Strength. Our findings suggest that the motor deficits observed in autism may not be related to structural abnormalities of the basal ganglia, and other brain regions, such as the cerebellum and the frontal lobe, may be involved in the pathophysiology of motor disturbances in autism.

摘要

本研究旨在检查自闭症患者基底神经节的体积,并评估特定运动任务的表现是否与这些结构的体积相关。通过对40名非智力迟钝的自闭症患者和41名健康对照者的磁共振成像(MRI)获得尾状核和壳核的体积测量值。使用手指敲击测试、有槽钉板测试和握力测量对这些受试者的运动表现进行评估。在调整脑容量后,两组之间未发现基底神经节的体积差异。自闭症受试者在有槽钉板测试中的表现较慢,握力较弱。我们的研究结果表明,自闭症中观察到的运动缺陷可能与基底神经节的结构异常无关,其他脑区,如小脑和额叶,可能参与自闭症运动障碍的病理生理过程。

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