Tsai L Y, Jacoby C G, Stewart M A
Biol Psychiatry. 1983 Mar;18(3):317-27.
A group of 36 children with infantile autism and various neurological disorders matched closely on age, sex, and handedness underwent computerized tomographic (CT) scanning of the brain. All CT scans were assessed blindly and independently by a neuroradiologist. Two techniques modified from two published CT studies concerning cerebral asymmetries were used for measuring frontal and parieto-occipital asymmetries. The present study found that the CT pattern of cerebral asymmetries in autistic children is the same as observed in the neurological patients. Contradictory results were noted when the distributions of such asymmetries between the present autistic group and normal adults included in two previous studies were compared. One of the striking findings in this study is that the brains of the present autistic patients seem to be more symmetric than those of the normals. This finding, however, is also noted in the present matched controls as well as in the dyslexic children previously studied by other investigators. Further sophisticated studies are needed to explain the difference in the brain morphology between normals and children with a developmental disorder or a neurological disorder.
一组36名患有婴儿自闭症及各种神经疾病的儿童,在年龄、性别和用手习惯上进行了严格匹配,接受了脑部计算机断层扫描(CT)。所有CT扫描均由一名神经放射科医生进行盲法独立评估。采用了两项基于两项已发表的关于大脑不对称性的CT研究改进的技术,来测量额叶和顶枕叶的不对称性。本研究发现,自闭症儿童大脑不对称性的CT模式与神经疾病患者中观察到的相同。当比较本自闭症组与之前两项研究中纳入的正常成年人之间这种不对称性的分布时,发现了相互矛盾的结果。本研究的一个显著发现是,本自闭症患者的大脑似乎比正常人的大脑更对称。然而,这一发现也在本匹配对照组以及其他研究者之前研究过的诵读困难儿童中被观察到。需要进一步深入研究来解释正常人与患有发育障碍或神经疾病儿童之间大脑形态的差异。