Choo Ai Leen, Chang Soo-Eun, Zengin-Bolatkale Hatun, Ambrose Nicoline G, Loucks Torrey M
Department of Speech and Hearing Science, University of Illinois at Urbana-Champaign, 901 S. Sixth Street, Champaign, IL 61820, USA.
J Commun Disord. 2012 Jul-Aug;45(4):279-89. doi: 10.1016/j.jcomdis.2012.03.004. Epub 2012 Apr 4.
Multiple studies have reported both functional and neuroanatomical differences between adults who stutter and their normally fluent peers. However, the reasons for these differences remain unclear although some developmental data suggest that structural brain differences may be present in school-age children who stutter. In the present study, the corpus callosum of children with persistent stuttering, children who recovered from stuttering and typically developing children between 9 and 12 years of age was compared to test if the presence of aberrant callosal morphology is implicated in this disorder. The total corpus callosum midsagittal area and area of each subsection consisting of the rostrum, anterior midbody, posterior midbody and splenium were measured using MIPAV (Medical Image Processing, Analysis, and Visualization). Voxel-based morphometry (VBM) was also used to compare white matter volume. No differences were detected in the corpus callosum area or white matter volume between children with persistent stuttering, children who recovered from stuttering and typically developing children. These results agree with dichotic listening studies that indicate children who stutter show the typical right ear advantage. Therefore, the neural reorganization across the midline shown in adults who stutter may be the result of long-term adaptations to persistent stuttering.
After reading this article, the reader will be able to: (1) summarize research findings on corpus callosum development; and (2) discuss the characteristics of corpus callosum anatomy in stuttering.
多项研究报告了口吃成年人与其正常流利的同龄人之间在功能和神经解剖学上的差异。然而,尽管一些发育数据表明口吃的学龄儿童可能存在大脑结构差异,但这些差异的原因仍不清楚。在本研究中,对持续口吃儿童、从口吃中恢复的儿童以及9至12岁的典型发育儿童的胼胝体进行了比较,以测试异常胼胝体形态是否与这种疾病有关。使用MIPAV(医学图像处理、分析和可视化)测量胼胝体的总矢状面面积以及由嘴部、前中部、后中部和压部组成的每个子部分的面积。基于体素的形态计量学(VBM)也用于比较白质体积。在持续口吃儿童、从口吃中恢复的儿童和典型发育儿童之间,未检测到胼胝体面积或白质体积的差异。这些结果与双耳分听研究一致,该研究表明口吃儿童表现出典型的右耳优势。因此,口吃成年人中显示的中线神经重组可能是对持续口吃的长期适应的结果。
阅读本文后,读者将能够:(1)总结关于胼胝体发育的研究结果;(2)讨论口吃中胼胝体解剖学的特征。