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自闭症谱系障碍儿童和青少年的失配负波

Mismatch Negativity in Children and Adolescents with Autism Spectrum Disorder.

作者信息

Mayerle Maria Clara Clack da Silva, Riesgo Rudimar, Gregory Letícia, Borges Viviann Magalhães Silva, Sleifer Pricila

机构信息

Departamento de Patologia, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil.

Departamento de Pediatria, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.

出版信息

Int Arch Otorhinolaryngol. 2023 Apr 28;27(2):e218-e225. doi: 10.1055/s-0043-1768209. eCollection 2023 Apr.

Abstract

Individuals with autism spectrum disorder (ASD) have abnormalities in auditory perception and sensitivity. The mismatch negativity (MMN) component of the evoked potential demonstrates a brain detection response to an auditory change due to memory, and enables the identification of changes in the auditory system.  To analyze MMN responses in children and adolescents with ASD and compare them with those of a control group.  Cross-sectional and comparative study. The sample was composed of 68 children and adolescents, divided into study group (SG), which contained those diagnosed with ASD, and the control group (CG), which contained those with typical development, normal hearing thresholds, and without hearing complaints. All participants were submitted to peripheral and central electrophysiological auditory evaluations. For the electrophysiological auditory evaluation and MMN recording, the electrodes were fixed in the following positions: Fz (active electrode), M1 and M2 (reference electrodes), and on the forehead (ground electrode). Auditory stimuli were presented in both ears simultaneously, with a frequency of 1,000 Hz for the frequent stimulus, and of 2,000 Hz for the rare stimulus, in an intensity of 80 dBNA.  Latency and amplitude values were increased in the SG, with a statistically significant difference in comparison with the CG. In the MMN analysis, there was no statistically significant difference in the comparison between right and left ears and between genders.  Children and adolescents with ASD had higher latency and amplitude values in the MMN component than the individuals in the CG.

摘要

患有自闭症谱系障碍(ASD)的个体在听觉感知和敏感度方面存在异常。诱发电位的失匹配负波(MMN)成分显示了大脑对因记忆而产生的听觉变化的检测反应,并能够识别听觉系统中的变化。

为了分析患有ASD的儿童和青少年的MMN反应,并将其与对照组进行比较。

横断面比较研究。样本由68名儿童和青少年组成,分为研究组(SG),其中包含被诊断为ASD的个体,以及对照组(CG),其中包含发育正常、听力阈值正常且无听力主诉的个体。所有参与者都接受了外周和中枢听觉电生理评估。对于听觉电生理评估和MMN记录,电极固定在以下位置:Fz(活性电极)、M1和M2(参考电极)以及前额(接地电极)。双耳同时呈现听觉刺激,频繁刺激的频率为1000Hz,罕见刺激的频率为2000Hz,强度为80dBNA。

研究组的潜伏期和振幅值增加,与对照组相比有统计学显著差异。在MMN分析中,左右耳之间以及不同性别之间的比较没有统计学显著差异。

患有ASD的儿童和青少年在MMN成分中的潜伏期和振幅值高于对照组个体。

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本文引用的文献

1
Long-latency auditory evoked potential in children with stuttering.口吃儿童的长潜伏期听觉诱发电位
Einstein (Sao Paulo). 2020 Jun 3;18:eAO5225. doi: 10.31744/einstein_journal/2020AO5225. eCollection 2020.
5
Mismatch Negativity in Children: Reference Values.儿童中的失配负波:参考值
Int Arch Otorhinolaryngol. 2019 Apr;23(2):142-146. doi: 10.1055/s-0038-1667313. Epub 2018 Oct 24.
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Autism spectrum disorder.自闭症谱系障碍。
Lancet. 2018 Aug 11;392(10146):508-520. doi: 10.1016/S0140-6736(18)31129-2. Epub 2018 Aug 2.

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