Morphological Features of Language Regions in Individuals with Tuberous Sclerosis Complex.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL Journal of Autism and Developmental Disorders Pub Date : 2024-08-01 Epub Date: 2023-05-24 DOI:10.1007/s10803-023-06004-8
Banu Ahtam, Hyuk Jin Yun, Rutvi Vyas, Rudolph Pienaar, Josephine H Wilson, Caroline P Goswami, Laura F Berto, Simon K Warfield, Mustafa Sahin, P Ellen Grant, Jurriaan M Peters, Kiho Im
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Abstract

A significant number of individuals with tuberous sclerosis complex (TSC) exhibit language difficulties. Here, we examined the language-related brain morphometry in 59 participants (7 participants with TSC and comorbid autism spectrum disorder (ASD) (TSC + ASD), 13 with TSC but no ASD (TSC-ASD), 10 with ASD-only (ASD), and 29 typically developing (TD) controls). A hemispheric asymmetry was noted in surface area and gray matter volume of several cortical language areas in TD, ASD, and TSC-ASD groups, but not in TSC + ASD group. TSC + ASD group demonstrated increased cortical thickness and curvature values in multiple language regions for both hemispheres, compared to other groups. After controlling for tuber load in the TSC groups, within-group differences stayed the same but the differences between TSC-ASD and TSC + ASD were no longer statistically significant. These preliminary findings suggest that comorbid ASD in TSC as well as tuber load in TSC is associated with changes in the morphometry of language regions. Future studies with larger sample sizes will be needed to confirm these findings.

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结节性硬化综合症患者语言区域的形态特征
相当多的结节性硬化综合征(TSC)患者表现出语言障碍。在此,我们研究了 59 名患者(7 名 TSC 患者合并自闭症谱系障碍(ASD)(TSC + ASD)、13 名 TSC 患者但无自闭症谱系障碍(ASD)(TSC-ASD)、10 名仅有自闭症谱系障碍(ASD)的患者和 29 名发育正常(TD)的对照组患者)与语言相关的大脑形态测量。在 TD、ASD 和 TSC-ASD 组中,多个皮质语言区域的表面积和灰质体积存在半球不对称现象,而在 TSC + ASD 组中则没有这种现象。与其他组别相比,TSC + ASD 组两个半球多个语言区域的皮质厚度和曲率值均有所增加。在控制了TSC组的结核负荷后,组内差异保持不变,但TSC-ASD组和TSC + ASD组之间的差异不再具有统计学意义。这些初步研究结果表明,TSC合并ASD以及TSC的结核负荷与语言区域形态的变化有关。未来的研究需要更大的样本量来证实这些发现。
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来源期刊
CiteScore
8.00
自引率
10.30%
发文量
433
期刊介绍: The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.
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