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2011, Number 2

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Rev Neurol Neurocir Psiquiat 2011; 44 (2)

Functional impairment of brain perfusion SPECT measures brain in children with autistic disorder

Rivas ÁR, Millán SS, Guitiérrez GZ, Polo SM
Full text How to cite this article

Language: Spanish
References: 31
Page: 43-48
PDF size: 91.65 Kb.


Key words:

Autism, SPECT brain asymmetry, cerebral perfusion.

ABSTRACT

Introduction. Autistic disorder is formed by a group of abnormalities, which include qualitative impairments in communication, reciprocal social interactions, as well as the adoption of stereotyped repetitive behavior patterns and restrictive.
Objective. Identify the differences in regional cerebral perfusion measured by SPECT technique in children with autistic disorder compared to control children.
Material and methods. We performed a prospective, transversal, comparative, observational pediatric patients with autism and a control group, conducted a brain scan technique to quantify cerebral perfusion SPECT in the frontal lobes, parietal, occipital, temporal and Brodman areas in its left and right hemispheric parts: 1, 2, 3, 4, 6, 8, 9, 10, 17, 18, 19, 22, 41, 44, 45. Drug was used radio tc- 99m ethyl cysteine dimer bike, images were processed using the protocol Talairach brain imaging that allowed quantification of brain activity in account activity for each area of interest, we analyzed the characteristics and differences in cerebral perfusion for each of the segments studied in both study groups.
Results. Autistic patients show an increase in cerebral perfusion of the right frontal lobe (54.4 vs. 48.7%) (p ‹ 0.04385). Also have loss of cortical perfusion asymmetry of the frontal lobes (54.4 vs. 54.7%) (p = 0.6816).
Conclusions. Patients showed asymmetry constant control of cerebral perfusion between right and left frontal lobe (55.1 vs. 48.6%) (p ‹ 0.004586). Autistic patients show increased cerebral perfusion in Brodmann area 45 of right. (60.4 vs. 54.3%) (p = 0.0500).


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Rev Neurol Neurocir Psiquiat. 2011;44