Clinical and anatomical heterogeneity in autistic spectrum disorder: a structural MRI study

Autistic spectrum disorder (ASD) is characterized by stereotyped/obsessional behaviours and social and communicative deficits. However, there is significant variability in the clinical phenotype; for example, people with autism exhibit language delay whereas those with Asperger syndrome do not. It r...

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Veröffentlicht in:Psychological medicine 2010-07, Vol.40 (7), p.1171-1181
Hauptverfasser: Toal, F., Daly, E. M., Page, L., Deeley, Q., Hallahan, B., Bloemen, O., Cutter, W. J., Brammer, M. J., Curran, S., Robertson, D., Murphy, C., Murphy, K. C., Murphy, D. G. M.
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container_end_page 1181
container_issue 7
container_start_page 1171
container_title Psychological medicine
container_volume 40
creator Toal, F.
Daly, E. M.
Page, L.
Deeley, Q.
Hallahan, B.
Bloemen, O.
Cutter, W. J.
Brammer, M. J.
Curran, S.
Robertson, D.
Murphy, C.
Murphy, K. C.
Murphy, D. G. M.
description Autistic spectrum disorder (ASD) is characterized by stereotyped/obsessional behaviours and social and communicative deficits. However, there is significant variability in the clinical phenotype; for example, people with autism exhibit language delay whereas those with Asperger syndrome do not. It remains unclear whether localized differences in brain anatomy are associated with variation in the clinical phenotype. We used voxel-based morphometry (VBM) to investigate brain anatomy in adults with ASD. We included 65 adults diagnosed with ASD (39 with Asperger syndrome and 26 with autism) and 33 controls who did not differ significantly in age or gender. VBM revealed that subjects with ASD had a significant reduction in grey-matter volume of medial temporal, fusiform and cerebellar regions, and in white matter of the brainstem and cerebellar regions. Furthermore, within the subjects with ASD, brain anatomy varied with clinical phenotype. Those with autism demonstrated an increase in grey matter in frontal and temporal lobe regions that was not present in those with Asperger syndrome. Adults with ASD have significant differences from controls in the anatomy of brain regions implicated in behaviours characterizing the disorder, and this differs according to clinical subtype.
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M. ; Page, L. ; Deeley, Q. ; Hallahan, B. ; Bloemen, O. ; Cutter, W. J. ; Brammer, M. J. ; Curran, S. ; Robertson, D. ; Murphy, C. ; Murphy, K. C. ; Murphy, D. G. M.</creator><creatorcontrib>Toal, F. ; Daly, E. M. ; Page, L. ; Deeley, Q. ; Hallahan, B. ; Bloemen, O. ; Cutter, W. J. ; Brammer, M. J. ; Curran, S. ; Robertson, D. ; Murphy, C. ; Murphy, K. C. ; Murphy, D. G. M.</creatorcontrib><description>Autistic spectrum disorder (ASD) is characterized by stereotyped/obsessional behaviours and social and communicative deficits. However, there is significant variability in the clinical phenotype; for example, people with autism exhibit language delay whereas those with Asperger syndrome do not. It remains unclear whether localized differences in brain anatomy are associated with variation in the clinical phenotype. We used voxel-based morphometry (VBM) to investigate brain anatomy in adults with ASD. 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subjects Adolescent
Adult
Adult and adolescent clinical studies
Anatomy
Asperger syndrome
Asperger Syndrome - epidemiology
Asperger's syndrome
Autism
Autistic Disorder - epidemiology
Autistic Disorder - psychology
Autistic spectrum disorders
Biological and medical sciences
Brain
Brain - anatomy & histology
brain anatomy
clinical phenotype
Cognition Disorders - diagnosis
Cognition Disorders - epidemiology
Female
Genotype & phenotype
Heterogeneity
Humans
Language Development Disorders - diagnosis
Language Development Disorders - epidemiology
Magnetic Resonance Imaging
Male
Medical sciences
Middle Aged
Miscellaneous
neuroimaging
Neurology
Neuropsychological Tests
NMR
Nuclear magnetic resonance
Obsessive-Compulsive Disorder - epidemiology
Phenotype
Phenotypes
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Severity of Illness Index
Stereotypic Movement Disorder - epidemiology
Young Adult
title Clinical and anatomical heterogeneity in autistic spectrum disorder: a structural MRI study
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