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自闭症中利手和胼胝体不对称的心理相关性:左半球功能障碍理论再探。

Psychological correlates of handedness and corpus callosum asymmetry in autism: the left hemisphere dysfunction theory revisited.

机构信息

Department of Psychiatry, Autism Research Centre, University of Cambridge, Cambridge, UK.

出版信息

J Autism Dev Disord. 2013 Aug;43(8):1758-72. doi: 10.1007/s10803-012-1720-8.

Abstract

Rightward cerebral lateralization has been suggested to be involved in the neuropathology of autism spectrum conditions. We investigated functional and neuroanatomical asymmetry, in terms of handedness and corpus callosum measurements in male adolescents with autism, their unaffected siblings and controls, and their associations with executive dysfunction and symptom severity. Adolescents with autism did not differ from controls in functional asymmetry, but neuroanatomically showed the expected pattern of stronger rightward lateralization in the posterior and anterior midbody based on their hand-preference. Measures of symptom severity were related to rightward asymmetry in three subregions (splenium, posterior midbody and rostral body). We found the opposite pattern for the isthmus and rostrum with better cognitive and less severe clinical scores associated with rightward lateralization.

摘要

右侧大脑偏侧化被认为与自闭症谱系障碍的神经病理学有关。我们研究了男性自闭症青少年及其未受影响的兄弟姐妹和对照组在功能性和神经解剖学上的不对称性,包括左右利手和胼胝体测量,并探讨了它们与执行功能障碍和症状严重程度的关系。自闭症青少年在功能性不对称方面与对照组没有差异,但在神经解剖学上,根据其手偏好,显示出后部和前体中部更强的右侧偏侧化的预期模式。症状严重程度的测量与三个亚区(胼胝体压部、后体中部和前体)的右侧不对称有关。我们发现,峡部和喙部则呈现相反的模式,与右侧偏侧化相关的是更好的认知和较轻的临床评分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c165/3708282/6fbf5cc7ced5/10803_2012_1720_Fig1_HTML.jpg

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