Floris Dorothea L, Howells Henrietta
Department of Child and Adolescent Psychiatry, Hassenfeld Children's Hospital at NYU Langone Health, Child Study Center, New York, NY, United States.
Laboratory of Motor Control, Department of Medical Biotechnologies and Translational Medicine, Humanitas Research Hospital, University of Milan, Milan, Italy.
Prog Brain Res. 2018;238:207-248. doi: 10.1016/bs.pbr.2018.06.010. Epub 2018 Jul 18.
Structural and functional differences between the two cerebral hemispheres constitute one of the most fundamental aspects of brain organization. It is well established that functions related to language and motor behaviors are more strongly represented in the left hemisphere. Individuals with autism spectrum disorder (ASD) show impairments particularly in social communication, language, and a variety of motor-related symptoms, alongside intact or enhanced right hemisphere functions. This pattern of deficits and strengths has given rise to theories, suggesting that the neuropathology of ASD involves atypical hemispheric specialization. Here, we review the literature on atypical hemispheric specialization in the motor domain, which is an understudied field, but one that bears great potential for finding meaningful subgroups within the heterogeneous autism spectrum. It appears that atypical motor lateralization constitutes a candidate neural phenotype of ASD, in being a stable measure across structure, function, and behavior.
大脑两个半球之间的结构和功能差异是大脑组织最基本的方面之一。众所周知,与语言和运动行为相关的功能在左半球的表现更为强烈。自闭症谱系障碍(ASD)患者尤其在社交沟通、语言和各种与运动相关的症状方面存在障碍,同时右半球功能完整或增强。这种缺陷和优势模式催生了一些理论,表明ASD的神经病理学涉及非典型的半球特化。在这里,我们回顾了关于运动领域非典型半球特化的文献,这是一个研究较少的领域,但在寻找异质性自闭症谱系中有意义的亚组方面具有巨大潜力。似乎非典型运动偏侧化构成了ASD的一种候选神经表型,因为它是跨越结构、功能和行为的稳定指标。