Cheng Shu, Xu Xuan, Yan Chao Shan, Mao Meng Chai, Luo Kai Xuan, Zhang Xiao Fan, Liang Qi Hui, Long Xiao Jing, Ao Li Juan, Chen Mo Xian
School of Rehabilitation, Kunming Medical University, Kunming, China.
Department of Rehabilitation Medicine, Wuhan University of Science and Technology Affiliated Wuhan Resources and Wisco General Hospital, Wuhan, China.
Front Psychiatry. 2025 Jul 22;16:1606300. doi: 10.3389/fpsyt.2025.1606300. eCollection 2025.
Presently, no biomedical therapies are available that specifically address the core symptoms of autism spectrum disorders. Given the evidence of cortical malfunction in ASD, low-intensity transcranial focused ultrasound stimulation has been discussed as a prospective therapeutic technique.
We describe the application of transcranial focused ultrasound to the left dorsolateral prefrontal cortex in a boy with ASD, which was applied for 30 minutes each consecutive weekday for four weeks (20 sessions in total). Social interaction, stereotyped behavior and language were assessed by scales before the first transcranial focused ultrasound session, immediately after 2 and 4 weeks of treatment. Besides, functional near-infrared spectroscopy was used to detect functional connections between regions of interest and the whole brain in individuals with ASD.
Scale assessments revealed several improvements in social and stereotypical behavior after low-intensity transcranial focused ultrasound. The results of functional near-infrared spectroscopy indicated increasing functional connections between the SM1 and other cortical regions as well as the whole brain, which accounted for the outcomes evaluated by the scale.
Low-intensity transcranial focused ultrasound in ASD potentially rectified cortical dysfunction, thereby presenting a novel pathway for the advancement of biomedical interventions targeting the impaired social and stereotypical behaviors in ASD.
目前,尚无专门针对自闭症谱系障碍核心症状的生物医学疗法。鉴于自闭症谱系障碍存在皮质功能障碍的证据,低强度经颅聚焦超声刺激已被视为一种潜在的治疗技术进行讨论。
我们描述了对一名患有自闭症谱系障碍的男孩的左侧背外侧前额叶皮质应用经颅聚焦超声的情况,在连续四个工作日每天应用30分钟,共四周(总计20次治疗)。在首次经颅聚焦超声治疗前、治疗2周和4周后,立即通过量表对社交互动、刻板行为和语言进行评估。此外,使用功能近红外光谱技术检测自闭症谱系障碍个体中感兴趣区域与全脑之间的功能连接。
量表评估显示,低强度经颅聚焦超声治疗后,社交和刻板行为有多项改善。功能近红外光谱技术的结果表明,体感运动区1与其他皮质区域以及全脑之间的功能连接增加,这解释了量表评估的结果。
自闭症谱系障碍中的低强度经颅聚焦超声可能纠正皮质功能障碍,从而为推进针对自闭症谱系障碍中受损社交和刻板行为的生物医学干预提供了一条新途径。