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自闭症患者脑部的磁共振成像研究。

Magnetic resonance imaging study of the brain in autism.

作者信息

Saitoh O, Courchesne E

机构信息

Department of Neuropsychiatry, Faculty of Medicine Toyama Medical and Pharmaceutical University, Japan.

出版信息

Psychiatry Clin Neurosci. 1998 Dec;52 Suppl:S219-22. doi: 10.1111/j.1440-1819.1998.tb03226.x.

Abstract

Autism is a neuropsychiatric disorder of social, cognitive, and language development. Cerebellar abnormality in autism has been shown consistently from autopsy and magnetic resonance image (MRI) studies. A new MRI study with careful methodologic designs identified two subgroups of autistic patients: hypoplasia and hyperplasia of cerebellar vermian lobules VI-VII. The existence of these two subtypes was also supported via the meta-analysis of data from separate research groups. In addition to the cerebellar abnormality, recent MRI studies in autism demonstrated abnormalities in the parietal lobe and the posterior subregions of the corpus callosum where parietal cortical fibers are concentrated. Furthermore, neurobehavioral correlates of cerebellar and parietal abnormalities have also been investigated. In contrast, there is a lack of significant difference in the cross-sectional size of the posterior hippocampal formation between autistic and normal subjects, which is discrepant with predictions based on some autopsy studies.

摘要

自闭症是一种神经精神障碍,涉及社交、认知和语言发展。尸检和磁共振成像(MRI)研究一致表明自闭症患者存在小脑异常。一项采用精心设计方法的新MRI研究确定了自闭症患者的两个亚组:小脑蚓部小叶VI - VII发育不全和增生。来自不同研究小组的数据荟萃分析也支持这两种亚型的存在。除了小脑异常外,近期针对自闭症的MRI研究还表明,顶叶以及胼胝体后区(顶叶皮质纤维集中的区域)存在异常。此外,还对小脑和顶叶异常的神经行为相关性进行了研究。相比之下,自闭症患者和正常受试者之间海马后体的横截面积没有显著差异,这与一些尸检研究的预测结果不一致。

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