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从行为神经学角度看儿童自闭症

Childhood autism from the point of view of behavioral neurology.

作者信息

Maurer R G, Damasio A R

出版信息

J Autism Dev Disord. 1982 Jun;12(2):195-205. doi: 10.1007/BF01531309.

DOI:10.1007/BF01531309
PMID:7174608
Abstract

Analysis of the abnormalities present in autistic patients, using standard methods of clinical inference, leads to the conclusion that the manifestations of childhood autism correlate best with the manifestations of dysfunction in the frontal tier of the ring of phylogenetically older cortex located on the mesial surface of the frontal and temporal lobes ("mesocortex" or "mesolimbic cortex") and with the manifestations of dysfunction in the striatum. These structures are distinctive in ways that suggest possible etiologies. The observations and inferences that lead to these conclusions are outlined and are supplemented by data from recent studies by the authors. Emphasis is placed on disorders of motility, communication, and attention and perception.

摘要

运用临床推理的标准方法对自闭症患者存在的异常情况进行分析,得出的结论是,儿童自闭症的表现与位于额叶和颞叶内侧表面的进化上较古老的皮质环的额叶层(“中间皮质”或“边缘叶皮质”)功能障碍的表现以及纹状体功能障碍的表现最为相关。这些结构具有独特之处,提示了可能的病因。本文概述了得出这些结论的观察和推理,并补充了作者近期研究的数据。重点放在运动、交流以及注意力和感知方面的障碍。

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1
Childhood autism from the point of view of behavioral neurology.从行为神经学角度看儿童自闭症
J Autism Dev Disord. 1982 Jun;12(2):195-205. doi: 10.1007/BF01531309.
2
A neurological model for childhood autism.一种儿童自闭症的神经学模型。
Arch Neurol. 1978 Dec;35(12):777-86. doi: 10.1001/archneur.1978.00500360001001.
3
Autism and Asperger's disorder: are they movement disorders involving the cerebellum and/or basal ganglia?自闭症与阿斯伯格综合征:它们是涉及小脑和/或基底神经节的运动障碍吗?
Brain Res Bull. 2005 Oct 30;67(4):327-34. doi: 10.1016/j.brainresbull.2005.07.011.
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Annotation: autism, executive functions and theory of mind: a neuropsychological perspective.注释:自闭症、执行功能与心理理论:神经心理学视角
J Child Psychol Psychiatry. 1993 Mar;34(3):279-93. doi: 10.1111/j.1469-7610.1993.tb00992.x.
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Spatial orientation adjustments in children with autism in Hong Kong.香港自闭症儿童的空间定向调整
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Demonstrations of decreased sensitivity to complex motion information not enough to propose an autism-specific neural etiology.对复杂运动信息敏感性降低的表现不足以推断出自闭症特有的神经病因。
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The microgenesis of global perception in autism.自闭症中整体感知的微观发生。
J Autism Dev Disord. 2006 Jan;36(1):107-16. doi: 10.1007/s10803-005-0047-0.
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Gait function in high-functioning autism and Asperger's disorder : evidence for basal-ganglia and cerebellar involvement?高功能自闭症和阿斯伯格综合征中的步态功能:基底神经节和小脑受累的证据?
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Parietal lobe abnormalities detected with MR in patients with infantile autism.婴儿孤独症患者中通过磁共振成像检测到的顶叶异常。
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Gait function in newly diagnosed children with autism: Cerebellar and basal ganglia related motor disorder.新诊断自闭症儿童的步态功能:与小脑和基底神经节相关的运动障碍。
Dev Med Child Neurol. 2006 Oct;48(10):819-24. doi: 10.1017/S0012162206001769.

引用本文的文献

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Increased Temporal Variability of Gait in ASD: A Motion Capture and Machine Learning Analysis.自闭症谱系障碍中步态时间变异性增加:一项动作捕捉与机器学习分析。
Biology (Basel). 2025 Jul 8;14(7):832. doi: 10.3390/biology14070832.
2
Children with Autism Spectrum Disorder and Abnormalities of Clinical EEG: A Qualitative Review.患有自闭症谱系障碍且临床脑电图异常的儿童:一项定性综述。
J Clin Med. 2024 Jan 3;13(1):279. doi: 10.3390/jcm13010279.
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The Parvalbumin Hypothesis of Autism Spectrum Disorder.自闭症谱系障碍的小清蛋白假说

本文引用的文献

1
Autism and mental retardation: neuropathologic studies performed in four retarded persons with autistic behavior.自闭症与智力迟钝:对四名有自闭症行为的智力迟钝患者进行的神经病理学研究。
Arch Neurol. 1980 Dec;37(12):749-53. doi: 10.1001/archneur.1980.00500610029003.
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A physiological mechanism of bradykinesia.运动迟缓的一种生理机制。
Brain. 1980 Jun;103(2):301-14. doi: 10.1093/brain/103.2.301.
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Gait disturbances in patients with autistic behavior: a preliminary study.
Arch Neurol. 1981 Oct;38(10):646-9. doi: 10.1001/archneur.1981.00510100074013.
Front Cell Neurosci. 2020 Dec 18;14:577525. doi: 10.3389/fncel.2020.577525. eCollection 2020.
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Aging with Autism Departs Greatly from Typical Aging.自闭症患者的衰老与典型衰老有很大不同。
Sensors (Basel). 2020 Jan 20;20(2):572. doi: 10.3390/s20020572.
5
Neuromodulation and a Reconceptualization of Autism Spectrum Disorders: Using the Locus Coeruleus Functioning as an Exemplar.神经调节与自闭症谱系障碍的重新概念化:以蓝斑功能为例
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Striatal Circuits as a Common Node for Autism Pathophysiology.纹状体回路作为自闭症病理生理学的共同节点
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Hyperlexia and dyslexia: A family study.超阅读与阅读障碍:一项家族研究。
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Atypical basic movement kinematics in autism spectrum conditions.自闭症谱系障碍的非典型基本运动运动学。
Brain. 2013 Sep;136(Pt 9):2816-24. doi: 10.1093/brain/awt208.
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Noise from the periphery in autism.自闭症中来自外周的噪音。
Front Integr Neurosci. 2013 Jul 24;7:34. doi: 10.3389/fnint.2013.00034. eCollection 2013.
10
Autism: the micro-movement perspective.自闭症:微观运动视角。
Front Integr Neurosci. 2013 Jul 24;7:32. doi: 10.3389/fnint.2013.00032. eCollection 2013.
4
Thalamic neglect. Possible role of the medial thalamus and nucleus reticularis in behavior.丘脑忽视。内侧丘脑和网状核在行为中的可能作用。
Arch Neurol. 1981 Aug;38(8):501-6. doi: 10.1001/archneur.1981.00510080063009.
5
Computerized tomographic scan findings in patients with autistic behavior.自闭症行为患者的计算机断层扫描结果
Arch Neurol. 1980 Aug;37(8):504-10. doi: 10.1001/archneur.1980.00500570052008.
6
Acute onset of autistic features following brain damage in a ten-year-old.一名10岁儿童脑损伤后急性出现自闭症特征。
J Autism Dev Disord. 1980 Jun;10(2):185-91. doi: 10.1007/BF02408469.
7
The duality of the cingulate gyrus in monkey. Neuroanatomical study and functional hypothesis.猴子扣带回的双重性。神经解剖学研究与功能假说。
Brain. 1980 Sep;103(3):525-54. doi: 10.1093/brain/103.3.525.
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Selective vulnerability of neural cells to viral infections.神经细胞对病毒感染的选择性易损性。
Brain. 1980 Sep;103(3):447-72. doi: 10.1093/brain/103.3.447.
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Acquired reversible autistic syndrome in acute encephalopathic illness in children.儿童急性脑病性疾病中的获得性可逆性自闭症综合征
Arch Neurol. 1981 Mar;38(3):191-4. doi: 10.1001/archneur.1981.00510030085013.
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The development of infantile autism.婴儿自闭症的发展
Psychol Med. 1974 May;4(2):147-63. doi: 10.1017/s0033291700041982.