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特纳综合征患者杏仁核与海马体体积:一项关于X单体型的高分辨率MRI研究

Amygdala and hippocampal volumes in Turner syndrome: a high-resolution MRI study of X-monosomy.

作者信息

Kesler Shelli R, Garrett Amy, Bender Bruce, Yankowitz Jerome, Zeng She Min, Reiss Allan L

机构信息

Stanford Psychiatry Neuroimaging Laboratory, Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, 401 Quarry Road, MC5719, Stanford, CA 94305-5719, USA.

出版信息

Neuropsychologia. 2004;42(14):1971-8. doi: 10.1016/j.neuropsychologia.2004.04.021.

Abstract

Turner syndrome (TS) results from partial or complete X-monosomy and is characterized by deficits in visuospatial functioning as well as social cognition and memory. Neuroimaging studies have demonstrated volumetric differences in the parietal region of females with TS compared to controls. The present study examined amygdala and hippocampus morphology in an attempt to further understand the neural correlates of psychosocial and memory functioning in TS. Thirty females with TS age 7.6-33.3 years (mean = 14.7 +/- 6.4) and 29 age-matched controls (mean age = 14.8 +/- 5.9; range = 6.4-32.7) were scanned using high resolution MRI. Volumetric analyses of the MRI scans included whole brain segmentation and manual delineation of the amygdala and hippocampus. Compared to controls, participants with TS demonstrated significantly larger left amygdala gray matter volumes, irrespective of total cerebral tissue and age. Participants with TS also showed disproportionately reduced right hippocampal volumes, involving both gray and white matter. Amygdala and hippocampal volumes appear to be impacted by X-monosomy. Aberrant morphology in these regions may be related to the social cognition and memory deficits often experienced by individuals with TS. Further investigations of changes in medial temporal morphology associated with TS are warranted.

摘要

特纳综合征(TS)由部分或完全X单体性引起,其特征在于视觉空间功能以及社会认知和记忆方面的缺陷。神经影像学研究表明,与对照组相比,患有TS的女性顶叶区域存在体积差异。本研究检查了杏仁核和海马体形态,以进一步了解TS中心理社会和记忆功能的神经相关性。对30名年龄在7.6 - 33.3岁(平均 = 14.7 +/- 6.4)的TS女性和29名年龄匹配的对照组(平均年龄 = 14.8 +/- 5.9;范围 = 6.4 - 32.7)进行了高分辨率MRI扫描。MRI扫描的体积分析包括全脑分割以及杏仁核和海马体的手动勾勒。与对照组相比,无论全脑组织和年龄如何,患有TS的参与者左侧杏仁核灰质体积均显著更大。患有TS的参与者右侧海马体体积也出现不成比例的减少,包括灰质和白质。杏仁核和海马体体积似乎受到X单体性的影响。这些区域的异常形态可能与TS患者经常经历的社会认知和记忆缺陷有关。有必要对与TS相关的内侧颞叶形态变化进行进一步研究。

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