Roberts Timothy P L, Heiken Kory, Kahn Sarah Y, Qasmieh Saba, Blaskey Lisa, Solot Cynthia, Parker William Andrew, Verma Ragini, Edgar James Christopher
Department of Radiology, Children's Hospital of Philadelphia, Wood Bldg. Suite 2115, 34th St, Philadelphia, PA 19104, USA.
Neuroreport. 2012 May 30;23(8):463-8. doi: 10.1097/WNR.0b013e32835202b6.
Recent studies show that electrophysiological markers of auditory processing such as the cortical 100 ms response (M100) and the mismatch field, derived from magnetoencephalography, might be used to identify children with autism spectrum disorders--M100 peak latency--and to stratify children with autism according to the degree of language impairment--mismatch field peak latency. The present study examined the latency of right superior temporal gyrus M100 and mismatch field in a cohort of children and young adolescents with specific language impairment (n=17), in comparison with age-matched and nonverbal intelligence quotient-matched typically developing controls (n=21). Neither group showed symptoms associated with autism. Although M100 latency (reflecting early auditory processing) did not distinguish controls from children with specific language impairment, the later 'change detection' mismatch field response was significantly delayed (by >50 ms) in the specific language impairment group. Linear discriminant analysis confirmed the role of mismatch field latency (92%) but not M100 latency (8%) in distinguishing groups. The present results lend support to the claim that a delayed M100 is specific to autism spectrum disorders (with relative independence of degree of language impairment) and that a delayed mismatch field reflects an abnormality more generally associated with language impairment, suggesting that mismatch field delay in the present specific language impairment group and previously reported in autistic children with language impairment may be indicative of a common neural system dysfunction.
近期研究表明,诸如源自脑磁图的皮层100毫秒反应(M100)和失配负波等听觉处理的电生理标志物,或许可用于识别患有自闭症谱系障碍的儿童——M100峰潜伏期——以及根据语言障碍程度对自闭症儿童进行分层——失配负波峰潜伏期。本研究检测了一组患有特定语言障碍的儿童和青少年(n = 17)右侧颞上回M100和失配负波的潜伏期,并与年龄匹配且非言语智商匹配的正常发育对照组(n = 21)进行了比较。两组均未表现出自闭症相关症状。尽管M100潜伏期(反映早期听觉处理)无法区分对照组和患有特定语言障碍的儿童,但在特定语言障碍组中,较晚的“变化检测”失配负波反应显著延迟(超过50毫秒)。线性判别分析证实了失配负波潜伏期(92%)而非M100潜伏期(8%)在区分两组中的作用。本研究结果支持以下观点:M100延迟是自闭症谱系障碍所特有的(与语言障碍程度相对独立);失配负波延迟反映了一种更普遍与语言障碍相关的异常,这表明本特定语言障碍组以及先前报道的患有语言障碍的自闭症儿童中出现的失配负波延迟,可能表明存在共同的神经系统功能障碍。