Increased Laterality of the Thalamus in Children and Adolescents with Asperger’s Disorder: An MRI and Proton Spectroscopy Study
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective Thalamic abnormalities have been reported in people with pervasive developmental disorders (PDD) including Asperger’s Disorder (ASP). The aim of the present study was to compare the volume and volume fraction of the thalamus and the metabolite concentrations in children and adolescents with ASP using the magnetic resonance imaging and proton magnetic resonance spectroscopy. Additionally, the relationships between thalamic abnormalities and clinical features were examined. Methods Volume and volume fractional and metabolic measurements of bilateral thalamus were collected from 15 boys with ASP with a total IQ over 70 (age range 7–18 years, mean age 11.6±3.79 years), and 15 healthy controls matching age, sex and IQ. The thalamic volumes, hemisphere volumes and total brain volumes (TBV) were estimated using the stereological methods on magnetic resonance images. Chemical metabolites of thalamus were evaluated by 1H spectroscopy. Results No differences in thalamic volumes, volume fractions and metabolites were observed between the groups. There were significant correlation between thalamic volume and total brain volume in both groups. The ASP group showed a significant left-minus-right thalamus difference as well as a significantly greater laterality index. In addition, a significant correlation between the laterality index and Autism Behavior Checklist language scores was observed. Conclusion Findings from this investigation point to a significant increase in laterality of the thalamus and a relationship with language problems in individuals with ASP. Our findings suggest that thalamic abnormalities may be related to mild language problems observed in ASP.
Abstract
Objective Thalamic abnormalities have been reported in people with pervasive developmental disorders (PDD) including Asperger’s Disorder (ASP). The aim of the present study was to compare the volume and volume fraction of the thalamus and the metabolite concentrations in children and adolescents with ASP using the magnetic resonance imaging and proton magnetic resonance spectroscopy. Additionally, the relationships between thalamic abnormalities and clinical features were examined. Methods Volume and volume fractional and metabolic measurements of bilateral thalamus were collected from 15 boys with ASP with a total IQ over 70 (age range 7–18 years, mean age 11.6±3.79 years), and 15 healthy controls matching age, sex and IQ. The thalamic volumes, hemisphere volumes and total brain volumes (TBV) were estimated using the stereological methods on magnetic resonance images. Chemical metabolites of thalamus were evaluated by 1H spectroscopy. Results No differences in thalamic volumes, volume fractions and metabolites were observed between the groups. There were significant correlation between thalamic volume and total brain volume in both groups. The ASP group showed a significant left-minus-right thalamus difference as well as a significantly greater laterality index. In addition, a significant correlation between the laterality index and Autism Behavior Checklist language scores was observed. Conclusion Findings from this investigation point to a significant increase in laterality of the thalamus and a relationship with language problems in individuals with ASP. Our findings suggest that thalamic abnormalities may be related to mild language problems observed in ASP.
참고문헌 (20)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition" (2000), American Psychiatric Press
- Katz LC, "Synaptic activity and the construction of cortical circuits", Science, 274, pp.1133~1138 (1996)
- Tsatsanis KD, "Reduced thalamic volume in high-functioning individuals with autism", Biol Psychiatry, 53, pp.121~129 (2003)
- Hardan AY, "Abnormal brain size effect on the thalamus in autism", Psychiatry Res, 147, pp.145~151 (2006)
- Hardan AY, "Brief report: abnormal association between the thalamus and brain size in Asperger’s disorder", J Autism Dev Disord, 38, pp.390~394 (2008)
- Hardan AY, "An MRI and proton spectroscopy study of the thalamus in children with autism", Psychiatry Res, 163, pp.97~105 (2008)
- Tamura R, "Reduced thalamic volume observed across different subgroups of autism spectrum disorders", Psychiatry Res, 184, pp.186~188 (2010)
- Perich-Alsina J, "Thalamic spectroscopy using magnetic resonance in autism", Rev Neurol, 34(Suppl 1), pp.S68~S71 (2002)
- Yilmaz-Irmak T, "An investigation of validity and reliability of Autism Behavior Checklist (ABC)", Turk J Child Adolesc Ment Health, 14, pp.13~23 (2007)
- Kaufman J, "for affective disorders and schizophrenia for school-age children-present and lifetime version (K-SADS-PL): initial reliability and validity data", J Am Acad Child Adolesc Psychiatry, 36, pp.980~988 (1997)
- Gokler B, "Reliability and validity of schedule for affective disorders and schizophrenia for school age children-present and lifetime version-turkish version (K-SADS-PL-T)", Turk J Child Adolesc Ment Health, 11, pp.109~116 (2004)
- Sahin B, "Assessment of the optimum section thickness for the estimation of liver volume using magnetic resonance images: a stereological gold standard study", Eur J Radiol, 57, pp.96~101 (2006)
- Sahin B, "Estimation of the volume and volume fraction of brain and brain structures on radiological images", Neuroquantology, 10, pp.87~97 (2012)
- Haznedar MM, "Volumetric analysis and three-dimensional glucose metabolic mapping of the striatum and thalamus in patients with autism spectrum disorders", Am J Psychiatry, 163, pp.1252~1263 (2006)
- Hebb AO, "The thalamus and language revisited", Brain Lang, 126, pp.99~108 (2013)
- Müller RA, "Impairment of dentato-thalamo-cortical pathway in autistic men: language activation data from positron emission tomography", Neurosci Lett, 245, pp.1~4 (1998)
- Gillberg CA, "Guide to Asperger Syndrome" (2002), Cambridge University Press
- Levitt JG, "Proton magnetic resonance spectroscopic imaging of the brain in childhood autism", Biol Psychiatry, 54, pp.1355~1366 (2003)
- Friedman SD, "Regional brain chemical alterations in young children with autism spectrum disorder", Neurology, 60, pp.100~107 (2003)
- Aoki Y, "Age-related change in brain metabolite abnormalities in autism: a meta-analysis of proton magnetic resonance spectroscopy studies", Transl Psychiatry, 2, pp.e69~ (2012)
