Hashimoto T, Tayama M, Miyazaki M, Murakawa K, Kuroda Y
Department of Pediatrics, University of Tokushima School of Medicine.
No To Hattatsu. 1994 Jan;26(1):3-8.
To determine involvements of the brain stem and/or cerebellum in autism, we compared midsagittal magnetic resonance images of the brains of high functioning autistic children with those of normal controls. We found that the midbrain and medulla oblongata were significantly smaller in these autistic children than in the control children. The pons area did not differ between the two groups, nor was there any difference in the cerebellar vermis area. The ratio of the brain stem and cerebellum to the posterior fossa area did not differ significantly between the high functioning autistic and the control children. The development of the cerebellar vermis area was delayed in autistic children as compared with that in the control children. Thus, it was suggested that significant anatomical changes in the midbrain and medulla oblongata existed in the autistic children.
为了确定脑干和/或小脑在自闭症中的受累情况,我们比较了高功能自闭症儿童与正常对照组儿童大脑的正中矢状面磁共振图像。我们发现,这些自闭症儿童的中脑和延髓明显小于对照组儿童。两组之间脑桥面积无差异,小脑蚓部面积也无差异。高功能自闭症儿童与对照组儿童脑干和小脑与后颅窝面积的比值无显著差异。与对照组儿童相比,自闭症儿童小脑蚓部面积的发育延迟。因此,提示自闭症儿童中脑和延髓存在明显的解剖学改变。