Palau-Baduell M, Valls-Santasusana A, Salvadó-Salvadó B
Hospital Universitari del Mar, Barcelona, España.
Rev Neurol. 2010 Mar 3;50 Suppl 3:S69-76.
Impairments in language and communication are a defining feature of autism spectrum disorders. There is significant variability in linguistic abilities in autism spectrum disorders. They have difficulties with certain aspects of language such as semantics functions, syntax, prosody and phonology, although the most evident language deficits concern to pragmatics functioning. These language difficulties can cause serious problems in social interaction.
The neural bases underlying this failure to develop language are unknown. Several functional and structural imaging studies have identified irregularities in language-related regions in autism spectrum disorders, such as morphometric differences in Broca's area and Wernicke's area, and patterns of reduced or reversed laterality in frontal and temporal cortex. There is also decreased functional connectivity between anterior and posterior language regions.
语言和沟通障碍是自闭症谱系障碍的一个决定性特征。自闭症谱系障碍患者的语言能力存在显著差异。他们在语言的某些方面存在困难,如语义功能、句法、韵律和音系学,尽管最明显的语言缺陷与语用功能有关。这些语言困难会在社交互动中引发严重问题。
语言发展失败背后的神经基础尚不清楚。多项功能和结构成像研究已确定自闭症谱系障碍患者与语言相关区域存在异常,如布洛卡区和韦尼克区的形态测量差异,以及额叶和颞叶皮质中偏侧化减少或反转的模式。前后语言区域之间的功能连接也有所减少。