Temporal lobe connects regression and macrocephaly to autism spectrum disorders.

Interictal electroencephalogram (EEG) abnormalities are frequently associated with autism spectrum disorders (ASD), although their relationship with the clinical features of ASD, particularly the regressive onset, remains controversial. The aim of this study was to investigate whether the characteri...

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Publicado en:European Child & Adolescent Psychiatry Vol. 25; no. 4; pp. 421 - 430
Autores principales: Valvo, Giulia, Baldini, Sara, Retico, Alessandra, Rossi, Giuseppe, Tancredi, Raffaella, Ferrari, Anna, Calderoni, Sara, Apicella, Fabio, Muratori, Filippo, Santorelli, Filippo, Sicca, Federico
Formato: diagnostic images research tables/charts tracings Journal Article
Publicado: Springer Nature Apr2016
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2016
      vid: 25
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00787-015-0746-9
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        atl: Temporal lobe connects regression and macrocephaly to autism spectrum disorders.
      aug:
        au:
          Valvo, Giulia
          Baldini, Sara
          Retico, Alessandra
          Rossi, Giuseppe
          Tancredi, Raffaella
          Ferrari, Anna
          Calderoni, Sara
          Apicella, Fabio
          Muratori, Filippo
          Santorelli, Filippo
          Sicca, Federico
        affil: Department of Developmental Neuroscience, IRCCS Stella Maris Foundation, Via dei Giacinti 2 - Calambrone 56128 Pisa Italy
      sug:
        subj:
          Autism Spectrum Disorder
          Temporal Lobe
          Regression (Psychology)
          Human
          Electroencephalography
          Chi Square Test
          Pearson's Correlation Coefficient
          Male
          Female
          Child, Preschool
          Child
          Adolescence
          Adult
          Descriptive Statistics
          Data Analysis Software
          T-Tests
          Magnetic Resonance Imaging
          Funding Source
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: Interictal electroencephalogram (EEG) abnormalities are frequently associated with autism spectrum disorders (ASD), although their relationship with the clinical features of ASD, particularly the regressive onset, remains controversial. The aim of this study was to investigate whether the characteristics of interictal EEG abnormalities might help to distinguish and predict definite phenotypes within the heterogeneity of ASD. We reviewed the awake and sleep interictal EEGs of 220 individuals with idiopathic ASD, either with or without a history of seizures. EEG findings were analyzed with respect to a set of clinical variables to explore significant associations. A brain morphometry study was also carried out on a subgroup of patients. EEG abnormalities were seen in 154/220 individuals (70 %) and were mostly focal ( p < 0.01) with an anterior localization ( p < 0.001). They were detected more frequently during sleep ( p < 0.01), and were associated with a regressive onset of ASD ( p < 0.05), particularly in individuals with focal temporal localization ( p < 0.05). This association was also stronger in regressive patients with concurrent macrocephaly, together with a relative volumetric reduction of the right temporal cortex ( p < 0.05). Indeed, concurrence of temporal EEG abnormalities, regression and macrocephaly might possibly define a distinct endophenotype of ASD. EEG-based endophenotypes could be useful to untangle the complexity of ASD, helping to establish anatomic or pathophysiologic subtypes of the disorder.
      pubtype: Academic Journal
      doctype:
        diagnostic images
        research
        tables/charts
        tracings
        Journal Article
      ougenre: Article
    language: English
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