Casanova Manuel F, El-Baz Ayman, Mott Meghan, Mannheim Glenn, Hassan Hossam, Fahmi Rachid, Giedd Jay, Rumsey Judith M, Switala Andrew E, Farag Aly
Department of Psychiatry, University of Louisville, Louisville, KY 40292, USA.
J Autism Dev Disord. 2009 May;39(5):751-64. doi: 10.1007/s10803-008-0681-4. Epub 2009 Jan 16.
Minicolumnar changes that generalize throughout a significant portion of the cortex have macroscopic structural correlates that may be visualized with modern structural neuroimaging techniques. In magnetic resonance images (MRIs) of fourteen autistic patients and 28 controls, the present study found macroscopic morphological correlates to recent neuropathological findings suggesting a minicolumnopathy in autism. Autistic patients manifested a significant reduction in the aperture for afferent/efferent cortical connections, i.e., gyral window. Furthermore, the size of the gyral window directly correlated to the size of the corpus callosum. A reduced gyral window constrains the possible size of projection fibers and biases connectivity towards shorter corticocortical fibers at the expense of longer association/commisural fibers. The findings may help explain abnormalities in motor skill development, differences in postnatal brain growth, and the regression of acquired functions observed in some autistic patients.
在整个大脑皮层相当大一部分区域普遍存在的微小柱状变化具有宏观结构相关性,这些相关性可以通过现代结构神经成像技术可视化。在对14名自闭症患者和28名对照者的磁共振成像(MRI)研究中,本研究发现了与近期神经病理学发现相关的宏观形态学特征,提示自闭症存在微小柱状病变。自闭症患者传入/传出皮层连接的孔径(即脑回窗)显著减小。此外,脑回窗的大小与胼胝体的大小直接相关。脑回窗减小会限制投射纤维的可能大小,并使连接偏向于较短的皮质-皮质纤维,而牺牲了较长的联合/连合纤维。这些发现可能有助于解释运动技能发育异常、出生后脑生长差异以及一些自闭症患者所观察到的后天获得功能的退化。