De Volder A G, Bol A, Michel C, Cogneau M, Goffinet A M
Laboratoire de Tomographie par Emission de Positrons, Université de Louvain, Belgique.
Acta Neurol Belg. 1988 Mar-Apr;88(2):75-90.
Brain glucose metabolism was measured in 18 autistic children, using high resolution positron emission tomography (PET Scan), with fluorodeoxyglucose (FDG) as tracer. Measurements were performed on an ECAT III tomograph (CTI). Global brain glucose utilization in the autistic population was slightly more elevated than in young adult volunteers, particularly in frontal cortical regions, an observation previously reported for adult autists (Rumsey et al., 1985). However, mean brain glucose metabolism did not differ significantly from that of control children. Regional metabolic maps were also normal, although there was evidence for heterogeneities, particularly at the level of prefrontal and parieto-occipital association areas: 6 children showed a relative hyperfrontality whilst hypofrontality was found in 2 cases. These data suggest that PET might be useful for a better definition of subsets of autistic syndrome in children.
采用高分辨率正电子发射断层扫描(PET扫描),以氟脱氧葡萄糖(FDG)作为示踪剂,对18名自闭症儿童的脑葡萄糖代谢进行了测量。测量在一台ECAT III断层扫描仪(CTI)上进行。自闭症人群的全脑葡萄糖利用率比年轻成年志愿者略高,尤其是在额叶皮质区域,这一观察结果此前在成年自闭症患者中已有报道(拉姆齐等人,1985年)。然而,平均脑葡萄糖代谢与对照儿童并无显著差异。区域代谢图谱也正常,尽管有证据表明存在异质性,特别是在额叶前部和顶枕联合区水平:6名儿童表现出相对额叶前部功能亢进,而2例发现额叶前部功能减退。这些数据表明,PET可能有助于更好地界定儿童自闭症综合征的亚组。