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高功能自闭症谱系障碍儿童在 3 至 7 岁时听觉皮层的非典型侧化与语言表现:一项针对儿童定制的脑磁图(MEG)研究。

Atypical brain lateralisation in the auditory cortex and language performance in 3- to 7-year-old children with high-functioning autism spectrum disorder: a child-customised magnetoencephalography (MEG) study.

机构信息

Research Centre for Child Mental Development, Kanazawa University, Kanazawa, Japan.

出版信息

Mol Autism. 2013 Oct 8;4(1):38. doi: 10.1186/2040-2392-4-38.

Abstract

BACKGROUND

Magnetoencephalography (MEG) is used to measure the auditory evoked magnetic field (AEF), which reflects language-related performance. In young children, however, the simultaneous quantification of the bilateral auditory-evoked response during binaural hearing is difficult using conventional adult-sized MEG systems. Recently, a child-customised MEG device has facilitated the acquisition of bi-hemispheric recordings, even in young children. Using the child-customised MEG device, we previously reported that language-related performance was reflected in the strength of the early component (P50m) of the auditory evoked magnetic field (AEF) in typically developing (TD) young children (2 to 5 years old) [Eur J Neurosci 2012, 35:644-650]. The aim of this study was to investigate how this neurophysiological index in each hemisphere is correlated with language performance in autism spectrum disorder (ASD) and TD children.

METHODS

We used magnetoencephalography (MEG) to measure the auditory evoked magnetic field (AEF), which reflects language-related performance. We investigated the P50m that is evoked by voice stimuli (/ne/) bilaterally in 33 young children (3 to 7 years old) with ASD and in 30 young children who were typically developing (TD). The children were matched according to their age (in months) and gender. Most of the children with ASD were high-functioning subjects.

RESULTS

The results showed that the children with ASD exhibited significantly less leftward lateralisation in their P50m intensity compared with the TD children. Furthermore, the results of a multiple regression analysis indicated that a shorter P50m latency in both hemispheres was specifically correlated with higher language-related performance in the TD children, whereas this latency was not correlated with non-verbal cognitive performance or chronological age. The children with ASD did not show any correlation between P50m latency and language-related performance; instead, increasing chronological age was a significant predictor of shorter P50m latency in the right hemisphere.

CONCLUSIONS

Using a child-customised MEG device, we studied the P50m component that was evoked through binaural human voice stimuli in young ASD and TD children to examine differences in auditory cortex function that are associated with language development. Our results suggest that there is atypical brain function in the auditory cortex in young children with ASD, regardless of language development.

摘要

背景

脑磁图(MEG)用于测量听觉诱发电磁场(AEF),其反映了与语言相关的表现。然而,在年幼的儿童中,使用传统的成人大小的 MEG 系统同时量化双侧听觉反应是困难的。最近,一种儿童定制的 MEG 设备促进了双半球记录的获取,即使是在年幼的儿童中也是如此。使用儿童定制的 MEG 设备,我们之前报道过,在典型发育(TD)的幼儿(2 至 5 岁)中,语言相关的表现反映在听觉诱发电磁场(AEF)的早期成分(P50m)的强度中[欧洲神经科学杂志 2012 年,35:644-650]。本研究的目的是调查在自闭症谱系障碍(ASD)和 TD 儿童中,每个半球的这种神经生理指数如何与语言表现相关。

方法

我们使用脑磁图(MEG)测量听觉诱发电磁场(AEF),其反映了与语言相关的表现。我们研究了双侧语音刺激(/ne/)诱发的 P50m,在 33 名 ASD 和 30 名 TD 年轻儿童中。儿童根据年龄(月)和性别进行匹配。大多数 ASD 儿童都是高功能的受试者。

结果

结果表明,与 TD 儿童相比,ASD 儿童的 P50m 强度表现出明显的左侧偏侧化减少。此外,多元回归分析的结果表明,双侧半球的 P50m 潜伏期较短与 TD 儿童的语言相关表现呈特异性相关,而与非语言认知表现或实际年龄无关。ASD 儿童的 P50m 潜伏期与语言相关表现之间没有相关性;相反,实际年龄的增加是右半球 P50m 潜伏期较短的一个重要预测因素。

结论

使用儿童定制的 MEG 设备,我们研究了通过双耳人类语音刺激诱发的 P50m 成分,以检查与语言发展相关的听觉皮层功能差异。我们的结果表明,无论语言发育如何,ASD 幼儿的听觉皮层都存在异常的大脑功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9654/4021603/ce58d6e5d70c/2040-2392-4-38-1.jpg

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