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1.
J Phys Chem A ; 111(32): 7695-702, 2007 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-17629253

RESUMO

This paper presents the experimental demonstration of the corpuscular-wave dualism theory. The correlation between the de Broglie wavelength related to the thermal motion and the potential barrier width and height is reported. The stochastic jumps of light atoms (hydrogen, deuterium) between two equilibrium sites A and B (identical geometry) occur via different pathways; one pathway is over the barrier (classical dynamics), and the other one is through the barrier (tunneling). On the over-the-barrier pathway, there are no obstacles for the de Broglie waves, and this pathway exists from high to low temperatures up to 0 K because the thermal energy is subjected to the Maxwell distribution and a certain number of particles owns enough energy for the hopping over the barrier. On the tunneling pathway, the particles pass through the barrier, or they are reflected from the barrier. Only particles with the energy lower than barrier heights are able to perform a tunneling hopping. The de Broglie waves related to these energies are longer than the barrier width. The Schrödinger equation is applied to calculate the rate constant of tunneling dynamics. The Maxwell distribution of the thermal energy has been taken into account to calculate the tunneling rate constant. The equations for the total spectral density of complex motion derived earlier by us together with the expression for the tunneling rate constant, derived in the present paper, are used in analysis of the temperature dependence of deuteron spin-lattice relaxation of the ammonium ion in the deuterated analogue of ammonium hexachloroplumbate ((ND4)2PbCl6). It has been established that the equation CpTtun = EH (thermal energy equals activation energy), where Cp is the molar heat capacity (temperature-dependent, known from literature), determines directly the low temperature Ttun at which the de Broglie wavelength, lambdadeBroglie, related to the thermal energy, CpT, is equal to the potential barrier width, L. Above Ttun, the lambdadeBroglie wavelength related to the CpT energy is shorter than the potential barrier width and not able to overcome the barrier. The activation energy EH equals 7.5 kJ/mol, and therefore, the Ttun temperature for deuterons in ((ND4)2PbCl6 is 55.7 K. The agreement between the potential barrier width following from the simple geometrical calculations (L = 0.722 A) and de Broglie wavelength at Ttun (L = 0.752 A) is good. The temperature plots of the deuteron correlation times for (ND4)2PbCl6 reveal comparable values of the correlation times of the tunneling, (tau(T)), and over-the-barrier jumps (tau(H)) near 34.8 K. Matsuo, on the basis of the molar heat capacity study, found the first-order phase transition at this temperature.


Assuntos
Transferência de Energia , Modelos Teóricos , Modelos Químicos , Temperatura , Termodinâmica
2.
Brain ; 128(Pt 1): 213-26, 2005 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-15563515

RESUMO

We report a whole-brain MRI morphometric survey of asymmetry in children with high-functioning autism and with developmental language disorder (DLD). Subjects included 46 boys of normal intelligence aged 5.7-11.3 years (16 autistic, 15 DLD, 15 controls). Imaging analysis included grey-white segmentation and cortical parcellation. Asymmetry was assessed at a series of nested levels. We found that asymmetries were masked with larger units of analysis but progressively more apparent with smaller units, and that within the cerebral cortex the differences were greatest in higher-order association cortex. The larger units of analysis, including the cerebral hemispheres, the major grey and white matter structures and the cortical lobes, showed no asymmetries in autism or DLD and few asymmetries in controls. However, at the level of cortical parcellation units, autism and DLD showed more asymmetry than controls. They had a greater aggregate volume of significantly asymmetrical cortical parcellation units (leftward plus rightward), as well as a substantially larger aggregate volume of right-asymmetrical cortex in DLD and autism than in controls; this rightward bias was more pronounced in autism than in DLD. DLD, but not autism, showed a small but significant loss of leftward asymmetry compared with controls. Right : left ratios were reversed, autism and DLD having twice as much right- as left-asymmetrical cortex, while the reverse was found in the control sample. Asymmetry differences between groups were most significant in the higher-order association areas. Autism and DLD were much more similar to each other in patterns of asymmetry throughout the cerebral cortex than either was to controls; this similarity suggests systematic and related alterations rather than random neural systems alterations. We review these findings in relation to previously reported volumetric features in these two samples of brains, including increased total brain and white matter volumes and lack of increase in the size of the corpus callosum. Larger brain volume has previously been associated with increased lateralization. The sizeable right-asymmetry increase reported here may be a consequence of early abnormal brain growth trajectories in these disorders, while higher-order association areas may be most vulnerable to connectivity abnormalities associated with white matter increases.


Assuntos
Transtorno Autístico/patologia , Encéfalo/patologia , Transtornos do Desenvolvimento da Linguagem/patologia , Córtex Cerebral/patologia , Criança , Pré-Escolar , Dominância Cerebral , Humanos , Imageamento por Ressonância Magnética/métodos , Masculino , Córtex Motor/patologia
3.
Cytogenet Genome Res ; 98(4): 233-9, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-12826745

RESUMO

In a sporadic case of autism and language deficit due to auditory processing defects, molecular genetic studies revealed that a chromosomal deletion occurred in the 13q12-->q13 region. No chromosome abnormalities were detected in the parents. We determined that the deletion occurred on the paternally derived chromosome 13. There are two previous reports of chromosome 13 abnormalities in patients with autism. The deletion in the subject described in this paper maps between the two chromosome 13 linkage peaks described by Bradford et al. (2001) in studies of subjects with autism and language deficits. The 9-Mb region deleted in the patient described here contains at least four genes that are expressed in brain and that play a role in brain development. They are NBEA, MAB21L1, DCAMKL1 and MADH9. These genes therefore represent candidate genes for autism and specific language deficits.


Assuntos
Transtorno Autístico/genética , Aberrações Cromossômicas , Cromossomos Humanos Par 13 , Transtornos da Audição/genética , Percepção da Fala , Pré-Escolar , Mapeamento Cromossômico , Ligação Genética , Humanos , Hibridização in Situ Fluorescente , Transtornos da Linguagem/genética , Masculino
4.
Cytogenet Cell Genet ; 94(1-2): 15-22, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11701947

RESUMO

We recently studied a patient who meets criteria for autistic disorder and has a 2q37 deletion. Molecular cytogenetic studies were carried out using DNA isolated from 22 different 2q37 mapped BACs to more precisely define the extent of the chromosome deletion. We also analyzed 2q37 mapped polymorphic markers. In addition DNA sequences of BACs in the deletion region were scanned to identify microsatellite repeats. We describe four new polymorphic microsatellite repeat markers in the 2q37.3 region. These markers enabled us to determine the parental origin of the deletion in our patient. DNA from 8-13 unrelated individuals was used to determine heterozygosity estimates for these markers. We review four genes deleted in our patient - genes whose known functions and sites of expression in the brain and/or bone make them candidates for involvement in autism and/or the osteodystrophy observed in patients with 2q37.3 deletions.


Assuntos
Transtorno Autístico/complicações , Transtorno Autístico/genética , Doenças Ósseas/complicações , Doenças Ósseas/genética , Deleção Cromossômica , Cromossomos Humanos Par 2/genética , Adolescente , Adulto , Transtorno Autístico/fisiopatologia , Osso e Ossos/metabolismo , Encéfalo/metabolismo , Criança , Pré-Escolar , Cromossomos Artificiais Bacterianos , Mapeamento de Sequências Contíguas , Sondas de DNA , Feminino , Deleção de Genes , Marcadores Genéticos/genética , Humanos , Hibridização in Situ Fluorescente , Masculino , Repetições de Microssatélites/genética , Polimorfismo Genético/genética , Psicometria
5.
J Am Acad Child Adolesc Psychiatry ; 40(11): 1293-9, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11699803

RESUMO

OBJECTIVE: To examine the efficacy of intravenous porcine secretin for the treatment of autistic disorder. METHOD: Randomized, double-blind, placebo-controlled, crossover design. Fifty-six subjects with autistic disorder received either a secretin or placebo infusion at baseline and the other substance at week 4. Subjects were given the Autism Diagnostic Observation Schedule (ADOS) and other pertinent developmental measures at baseline and at weeks 4 and 8 to assess drug effects. RESULTS: For the primary efficacy analysis, change of ADOS social-communication total score from week 0 to week 4, no statistically significant difference was obtained between placebo (-0.8 +/- 2.9) and secretin groups (-0.6 +/- 1.4; t54 = 0.346, p < .73). The other measures showed no treatment effect for secretin compared with placebo. CONCLUSION: There was no evidence for efficacy of secretin in this randomized, placebo-controlled, double-blind trial.


Assuntos
Transtorno Autístico/tratamento farmacológico , Secretina/administração & dosagem , Transtorno Autístico/diagnóstico , Transtorno Autístico/psicologia , Criança , Pré-Escolar , Estudos Cross-Over , Método Duplo-Cego , Feminino , Humanos , Lactente , Infusões Intravenosas , Masculino , Determinação da Personalidade , Secretina/efeitos adversos
6.
Am J Med Genet ; 96(6): 765-70, 2000 Dec 04.
Artigo em Inglês | MEDLINE | ID: mdl-11121177

RESUMO

We have identified a one megabase deletion in the 15q22-15q23 region in a patient with autism, developmental delay, and mild dysmorphism. Genes that map within the deletion region and genes that are interrupted or rearranged at the deletion breakpoints are candidate genes for autism. Fluroescence in situ hybridization studies in this patient revealed that part or all of the PML gene is absent from one chromosome 15 and a BAC clone containing the D15S124 gene locus hybridizes to only one chromosome 15. BAC clones containing the PTPN9, and SLP-1[hUNC24] genes showed markedly reduced hybridization in the 15q22-q23 region on one chromosome 15 in the patient. These BACs also hybridize to the 15q11-q13 region in close proximity to SNRPN and HERC2, and in this region there is equal intensity of signal on the normal and on the deleted chromosome. There are previous reports of deletions and duplications of the 15q11-q13 region in patients with autism. Our patient represents the first report of a 15q22-q23 deletion. Hybridization of the PTPN9 and Slp-1 Bac clones to the 15q11-q13 and the 15q22-q23 regions of chromosome 15 may be due to the presence of PTPN9 or SLP-1 gene sequences or to the presence of other gene sequences or to non-coding homologous DNA sequences. The PTPN9 gene encodes a non-receptor protein tyrosine phosphatase. The Slp-1 [hUNC24] gene is expressed mainly in the brain. Am. J. Med. Genet. (Neuropsychiatr. Genet.) 96:765-770, 2000.


Assuntos
Transtorno Autístico/genética , Deleção Cromossômica , Cromossomos Humanos Par 15/genética , Adulto , Transtorno Autístico/patologia , Criança , Predisposição Genética para Doença/genética , Humanos , Hibridização in Situ Fluorescente , Repetições de Microssatélites
7.
Dev Neuropsychol ; 17(3): 339-60, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-11056848

RESUMO

The heritable nature of reading disability has been well documented (DeFries & Alarcón, 1996), and possible abnormalities of brain structures have been associated with the disorder (Filipek, 1995). However, the etiology of individual differences in morphological brain measures has not been examined extensively. The purpose of this study was to apply behavioral genetic methods to assess the etiology of individual differences in neuroanatomical structures. Measures of reading performance, cognitive ability, and magnetic resonance imaging scans were obtained from 25 monozygotic (MZ) and 23 same-sex dizygotic (DZ) twin pairs with reading disability, and 9 MZ and 9 DZ control twin pairs participating in the Colorado Learning Disabilities Research Center. Results obtained from multiple regression analyses (DeFries & Fulker, 1985, 1988) of these twin data indicated that individual differences in the size of most cortical and subcortical structures were largely due to heritable influences. Moreover, estimates of heritability did not change appreciably after controlling for IQ and total brain size.


Assuntos
Encéfalo/anormalidades , Dislexia/etiologia , Adolescente , Criança , Dislexia/diagnóstico , Feminino , Humanos , Masculino , Gêmeos
8.
Neurology ; 55(4): 468-79, 2000 Aug 22.
Artigo em Inglês | MEDLINE | ID: mdl-10953176

RESUMO

Autism is a common disorder of childhood, affecting 1 in 500 children. Yet, it often remains unrecognized and undiagnosed until or after late preschool age because appropriate tools for routine developmental screening and screening specifically for autism have not been available. Early identification of children with autism and intensive, early intervention during the toddler and preschool years improves outcome for most young children with autism. This practice parameter reviews the available empirical evidence and gives specific recommendations for the identification of children with autism. This approach requires a dual process: 1) routine developmental surveillance and screening specifically for autism to be performed on all children to first identify those at risk for any type of atypical development, and to identify those specifically at risk for autism; and 2) to diagnose and evaluate autism, to differentiate autism from other developmental disorders.


Assuntos
Transtorno Autístico/diagnóstico , Programas de Rastreamento/métodos , Programas de Rastreamento/normas , Síndrome de Asperger/diagnóstico , Transtorno Autístico/genética , Pré-Escolar , Deficiências do Desenvolvimento/diagnóstico , Diagnóstico Diferencial , Gerenciamento Clínico , Eletrofisiologia , Humanos , Lactente , Intoxicação do Sistema Nervoso por Chumbo na Infância/diagnóstico , Testes Neuropsicológicos , Valor Preditivo dos Testes , Medição de Risco
9.
J Am Acad Child Adolesc Psychiatry ; 39(4): 477-84, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10761350

RESUMO

OBJECTIVE: The relationship between neuropsychological measures of inhibition and sustained attention and structural brain differences in the regions of the caudate and the frontal region was examined in males with attention deficit disorder with hyperactivity (ADD/H). METHOD: Ten males with ADD/H (aged 8-17) and 11 male controls (aged 9-18) participated in a neuropsychological evaluation and had a magnetic resonance imaging scan. RESULTS: As had been reported previously by these authors, the children with ADD/H were found to have reversed asymmetry of the head of the caudate, smaller volume of the left caudate head, and smaller volume of the white matter of the right frontal lobe. Children with ADD/H were found to score more poorly on measures of inhibition and sustained attention but not on measures of IQ, achievement, or motor speed. Comparison of neuropsychological measures and brain structure measures indicated a significant relationship between reversed caudate asymmetry and measures of inhibition and externalizing behavior; i.e., children with reversed caudate asymmetry performed more poorly on measures of inhibition regardless of group membership. Poorer performance on sustained attention tasks was related to smaller volume of the right-hemispheric white matter. CONCLUSIONS: There is emerging evidence that compromised brain morphology of selected regions is related to behavioral measures of inhibition and attention.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/patologia , Transtorno do Deficit de Atenção com Hiperatividade/psicologia , Atenção , Núcleo Caudado/patologia , Dominância Cerebral , Lobo Frontal/patologia , Inibição Psicológica , Imageamento por Ressonância Magnética , Adolescente , Encéfalo/patologia , Estudos de Casos e Controles , Criança , Humanos , Masculino , Testes Neuropsicológicos
10.
J Cogn Neurosci ; 12(1): 223-32, 2000 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10769318

RESUMO

Although it is well known that there is considerable variation among individuals in the size of the human brain, the etiology of less extreme individual differences in brain size is largely unknown. We present here data from the first large twin sample (N=132 individuals) in which the size of brain structures has been measured. As part of an ongoing project examining the brain correlates of reading disability (RD), whole brain morphometric analyses of structural magnetic response image (MRI) scans were performed on a sample of adolescent twins. Specifically, there were 25 monozygotic (MZ) and 23 dizygotic (DZ) pairs in which at least one member of each pair had RD and 9 MZ and 9 DZ pairs in which neither member had RD. We first factor-analyzed volume data for 13 individual brain structures, comprising all of the neocortex and most of the subcortex. This analysis yielded two factors ("cortical" and "subcortical") that accounted for 64% of the variance. We next tested whether genetic and environmental influences on brain size variations varied for these two factors or by hemisphere. We computed intraclass correlations within MZ and DZ pairs in each sample for the cortical and subcortical factor scores, for left and right neocortex, and for the total cerebral volume. All five MZ correlations were substantial (r's=.78 to.98) and significant in both samples, as well as being larger than the corresponding DZ correlations, (r's=0.32 to 0.65) in both samples. The MZ-DZ difference was significant for 3 variables in the RD sample and for one variable in the smaller control sample. These results indicate significant genetic influences on these variables. The magnitude of genetic influence did not vary markedly either for the 2 factors or the 2 hemispheres. There was also a positive correlation between brain size and full-scale IQ, consistent with the results of earlier studies. The total cerebral volume was moderately correlated (r=.42, p<.01, two-tailed) with full-scale IQ in the RD sample; there was a similar trend in the smaller control sample (r=.31, p<.07, two-tailed). Corrections of similar magnitude were found between the subcortical factor and full-scale IQ, whereas the results for the cortical factor (r=.16 and.13) were smaller and not significant. In sum, these results provide evidence for the heritability of individual differences in brain size which do not vary markedly by hemisphere or for neocortex relative to subcortex. Since there are also correlations between brain size and full-scale IQ in this sample, it is possible that genetic influences on brain size partly contribute to individual differences in IQ.


Assuntos
Dislexia/patologia , Imageamento por Ressonância Magnética , Neocórtex/patologia , Adolescente , Adulto , Interpretação Estatística de Dados , Eletroencefalografia , Feminino , Lateralidade Funcional , Humanos , Masculino
11.
Neurology ; 53(4): 723-9, 1999 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-10489032

RESUMO

OBJECTIVE: To test for brain structure differences in reading disability (RD) by means of MRI-based morphometry. BACKGROUND: Consensus is lacking on the brain structural correlates of RD. The current study reports on a wider set of structures in the largest sample yet studied, controlling for age, gender, IQ, and attention deficit hyperactivity disorder (ADHD). METHODS: A case-control study was performed that was comprised of 75 individuals with RD (mean age, 17.43+/-4.29 years) and 22 control subjects without RD (mean age, 18.69+/-3.75 years), each a single member of a twin pair. The two groups were similar in age, gender, and handedness, but differed in full-scale IQ (FSIQ), with the RD group having a lower mean FSIQ (101.8+/-9.9 versus 118.3+/-10.3). Using three group-by-structure analyses of covariance, groups were compared in terms of volume (in cubic centimeters) of major neocortical subdivisions, subcortical structures, and midsagittal areas (in square millimeters) of three subdivisions of the corpus callosum. RESULTS: Controlling for age, gender, and IQ, the authors found a significant group-by-structure interaction for the major neocortical subdivisions (p = 0.002), reflecting a different developmental pattern in the RD group, with the insula and anterior superior neocortex being smaller and the retrocallosal cortex being larger in the RD group. In contrast, they found no group main or interaction effects for the subcortical or callosal structures. The pattern of results was essentially the same in subjects without ADHD. CONCLUSIONS: Most brain structures do not differ in size in RD, but cortical development is altered subtly. This study replicates in a larger sample previous findings of insular differences in RD and demonstrates further that those differences are not attributable to comorbid ADHD.


Assuntos
Encéfalo/patologia , Doenças em Gêmeos , Deficiências da Aprendizagem/patologia , Leitura , Adolescente , Adulto , Feminino , Humanos , Deficiências da Aprendizagem/psicologia , Imageamento por Ressonância Magnética , Masculino , Testes Neuropsicológicos
12.
J Child Psychol Psychiatry ; 40(1): 113-28, 1999 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10102728

RESUMO

The developmental disorders of childhood autistic, developmental language, reading (dyslexia), and attention deficit-hyperactivity disorders-manifest with deficits in the traditional behavioral domains of cognition, language, visual-spatial function, attention, and socialization. However, none of these disorders has been associated with characteristic discrete focal lesions or recognized encephaloclastic processes. Developmental cognitive neuroscientists must therefore begin with the spectrum of sometimes divergent behaviors occurring within these disorders and work backward in an attempt to identify the responsible anomalous neural systems. Since the advent of "brain imaging" two decades ago, much effort has focused on identifying brain-behavior correlates in these disorders. The results of these neuropathologic, structural, and functional neuroimaging studies are presented and the reasons for the often divergent findings are discussed. As we approach the end of the Decade of the Brain, current neuroimaging techniques give us the technology for the first time to apply a fundamental cognitive approach to brain-behavior relationships in the developmental disorders, to eliminate the conglomeration of "apples and camels" phenomenon. Researchers are working together to create comparable protocols and to adhere to methods that can be replicated across sites. The future prospects for a greater understanding of the developmental disorders are now much brighter with neuroimaging technology.


Assuntos
Encefalopatias/diagnóstico , Encéfalo/patologia , Transtornos Globais do Desenvolvimento Infantil/etiologia , Deficiências do Desenvolvimento/etiologia , Adolescente , Encéfalo/diagnóstico por imagem , Encéfalo/metabolismo , Encefalopatias/complicações , Criança , Pré-Escolar , Diagnóstico por Imagem/métodos , Feminino , Humanos , Lactente , Espectroscopia de Ressonância Magnética/métodos , Masculino , Radiografia , Cintilografia
13.
J Autism Dev Disord ; 29(6): 439-84, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10638459

RESUMO

The Child Neurology Society and American Academy of Neurology recently proposed to formulate Practice Parameters for the Diagnosis and Evaluation of Autism for their memberships. This endeavor was expanded to include representatives from nine professional organizations and four parent organizations, with liaisons from the National Institutes of Health. This document was written by this multidisciplinary Consensus Panel after systematic analysis of over 2,500 relevant scientific articles in the literature. The Panel concluded that appropriate diagnosis of autism requires a dual-level approach: (a) routine developmental surveillance, and (b) diagnosis and evaluation of autism. Specific detailed recommendations for each level have been established in this document, which are intended to improve the rate of early suspicion and diagnosis of, and therefore early intervention for, autism.


Assuntos
Transtorno Autístico/diagnóstico , Síndrome de Asperger/classificação , Síndrome de Asperger/diagnóstico , Síndrome de Asperger/psicologia , Transtorno Autístico/classificação , Transtorno Autístico/psicologia , Criança , Transtornos Globais do Desenvolvimento Infantil/classificação , Transtornos Globais do Desenvolvimento Infantil/diagnóstico , Transtornos Globais do Desenvolvimento Infantil/psicologia , Pré-Escolar , Diagnóstico Diferencial , Feminino , Humanos , Lactente , Masculino , Testes Neuropsicológicos , Determinação da Personalidade , Escalas de Graduação Psiquiátrica
14.
Neurology ; 48(3): 589-601, 1997 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9065532

RESUMO

OBJECTIVE: To test by MRI-based morphometry the a priori hypotheses that developmental anomalies exist in attention-deficit hyperactivity disorder (ADHD) in left caudate and right prefrontal/frontal/ and/or posterior parietal hemispheric regions, in accord with neurochemical, neuronal circuitry and attentional network hypotheses, and prior imaging studies. DESIGN: Case-control study. SETTING: Academic medical center. PARTICIPANTS: Fifteen male subjects with ADHD without comorbid diagnoses (aged 12.4 +/- 3.4 years) and 15 male normal controls (aged 14.4 +/- 3.4), group-matched for age, IQ, and handedness. MAIN OUTCOME MEASURES: Global and hemispheric regional volumes (in cm3) of cerebral hemispheres, cortex, white matter, ventricles, caudate, lenticulate, central gray nuclei, insula, amygdala, and hippocampus. RESULTS: Despite similar hemispheric volumes, ADHD subjects had smaller volumes of (1) left total caudate and caudate head (p < 0.04), with reversed asymmetry (p < 0.03); (2) right anterior-superior (frontal) region en bloc (p < 0.03) and white matter (p < 0.01); (3) bilateral anterior-inferior region en bloc (p < 0.04); and (4) bilateral retrocallosal (parietal-occipital) region white matter (p < 0.03). Possible structural correlates of ADHD response to stimulants were noted in an exploratory analysis, with the smallest and symmetric caudate, and smallest left anterior-superior cortex volumes found in the responders, but reversed caudate asymmetry and the smallest retrocallosal white matter volumes noted in the nonresponders. CONCLUSIONS: This study is the first to report localized hemispheric structural anomalies in ADHD, which are concordant with theoretical models of abnormal frontal-striatal and parietal function, and with possible differing morphologic substrates of response to stimulant medication.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/diagnóstico , Imageamento por Ressonância Magnética/métodos , Adolescente , Análise de Variância , Transtorno do Deficit de Atenção com Hiperatividade/tratamento farmacológico , Encéfalo/patologia , Núcleo Caudado/patologia , Criança , Humanos , Testes de Inteligência , Masculino , Análise de Regressão , Estudos Retrospectivos
16.
Cereb Cortex ; 6(5): 726-36, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-8921207

RESUMO

Volumetric magnetic resonance image (MRI)-based morphometry was performed on the brains of 30 normal children (15 males and 15 males) with a mean age of 9 years (range 7-11 years). This age range lies in a late but critical phase of brain growth where not volumetric increment will be small but when the details of brain circuity are being fine-tuned to support the operations of the adult brain. The brain at this age is 95% the volume of the adult brain. The brain of the female child is 93% the volume of the male child. For more than 95% of brain structures, the volumetric differences in male and female child brain are uniformly scaled to the volume difference of the total brain in the two sexes. Exceptions to this pattern of uniform scaling are the caudate, hippocampus and pallidum, which are disproportionately larger in female than male child brain, and the amygdala, which is disproportionately smaller in the female child brain. The patterns of uniform scaling are generally sustained during the final volumetric increment in overall brain size between age 7-11 and adulthood. There are exceptions to this uniform scaling of child to adult brain, and certain of these exceptions are sexually dimorphic. Thus, with respect to major brain regions, the cerebellum in the female but not the male child is already at adult volume while the brainstem in both sexes must enlarge more than the brain as a whole. The collective subcortical gray matter structures of the forebrain of the female child are already at their adult volumes. The volumes of these same structures in the male child, by contrast, are greater than their adult volumes and, by implication, must regress in volume before adulthood. The volume of the central white matter, on the other hand, is disproportionately smaller in female than male child brain with respect to the adult volumes of cerebral central white matter. By implication, relative volumetric increase of cerebral central white matter by adulthood must be greater in the female than male brain. The juxtaposed progressive and regressive patterns of growth of brain structures implied by these observations in the human brain have a soundly established precedent in the developing rhesus brain. There is emerging evidence that sexually dimorphic abnormal regulation of these terminal patterns of brain development are associated with gravely disabling human disorders of obscure etiology.


Assuntos
Encéfalo/anatomia & histologia , Desenvolvimento Infantil , Adolescente , Adulto , Encéfalo/crescimento & desenvolvimento , Criança , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Caracteres Sexuais
17.
Arch Gen Psychiatry ; 53(7): 625-32, 1996 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-8660129

RESUMO

BACKGROUND: A previous pilot study of only posterior brain regions found lower white-matter volume in patients with obsessive-compulsive disorder than in normal control subjects. We used new cohorts of patients and matched normal control subjects to study whole-brain volume differences between these groups with magnetic resonance imaging-based morphometry. METHODS: Ten female patients with obsessive-compulsive disorder and 10 female control subjects, matched for handedness, age, weight, education, and verbal IQ, underwent magnetic resonance imaging with a 3-dimensional volumetric protocol. Scans were blindly normalized and segmented by means of well-characterized semiautomated intensity contour mapping and differential intensity contour algorithms. Brain structures investigated included the cerebral hemispheres, cerebral cortex, diencephalon, caudate, putamen, globus pallidus, hippocampus amygdala, third and fourth ventricles, corpus callosum, operculum, cerebellum, and brain stem. Anterior to posterior neocortical regions, including precallosum, anterior pericallosum, posterior pericallosum, and retrocallosum, with adjacent white matter were also measured. Volumes found different between groups were correlated with Yale-Brown Obsessive Compulsive Scale score and Rey-Osterieth Complex Figure Test measures. RESULTS: Confirming results of our earlier pilot study and expanding the findings to the whole brain, patients with obsessive-compulsive disorder had significantly less total white matter but, in addition, significantly greater total cortex and opercular volumes. Severity of obsessive-compulsive disorder and nonverbal immediate memory correlated with opercular volume. CONCLUSIONS: Replication of volumetric white-matter differences suggests a widely distributed structural brain abnormality in obsessive-compulsive disorder. Whereas determining the etiogenesis may require research at a microscopic level, understanding its functional significance can be further explored via functional neuroimaging and neuropsychological studies.


Assuntos
Encéfalo/anatomia & histologia , Imageamento por Ressonância Magnética , Transtorno Obsessivo-Compulsivo/diagnóstico , Adulto , Núcleo Caudado/anatomia & histologia , Corpo Caloso/anatomia & histologia , Feminino , Lateralidade Funcional , Humanos , Testes Neuropsicológicos , Escalas de Graduação Psiquiátrica , Índice de Gravidade de Doença
19.
Curr Opin Neurol ; 8(2): 134-8, 1995 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-7620587

RESUMO

Two recent magnetic resonance imaging studies, including a retrospective analysis of apparently 'contradictory' data from other investigators, appear to confirm earlier reports of vermal hypoplasia in autism. However, a review of the methodology used in these two studies suggests that definitive conclusions concerning cerebellar vermal pathology in autism are still premature.


Assuntos
Transtorno Autístico/diagnóstico , Cerebelo/patologia , Imageamento por Ressonância Magnética , Adolescente , Adulto , Transtorno Autístico/psicologia , Mapeamento Encefálico , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Valores de Referência
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