Effets de la thérapie par stimulation magnétique transcrânienne sur les oscillations gamma évoquées et induites chez des enfants présentant un trouble du spectre de l'autisme

Titre original en anglais : Effects of Transcranial Magnetic Stimulation Therapy on Evoked and Induced Gamma Oscillations in Children with Autism Spectrum Disorder

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.

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Casanova, M. F., Shaban, M., Ghazal, M., El-baz, A., Casanova, M., Opris, I., & Sokhadze, E. M. (2020). Effects of Transcranial Magnetic Stimulation Therapy on Evoked and Induced Gamma Oscillations in Children with Autism Spectrum Disorder. Brain Sciences, 10(7), 423. https://doi.org/10.3390/brainsci10070423

Publication date: 03/07/2020 Ajout dans AutiHub: 14/09/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
7
Auteur·ices de la publication identifié·es comme autistes
1 / 7 (14,3 %)
  1. Manuel F. Casanova
  2. Mohamed Shaban
  3. Mohammed Ghazal
  4. Ayman El-baz
  1. Manuel Casanova *
  2. Ioan Opris
  3. Estate M Sokhadze

Résumé

Le trouble du spectre de l'autisme (TSA) est une affection neurodéveloppementale diagnostiquée sur le plan comportemental, dont la pathologie est inconnue. Les recherches suggèrent que des anomalies des oscillations gamma de l'électroencéphalogramme (EEG) pourraient fournir un biomarqueur de cette affection. Dans cette étude, l'analyse de l'enveloppe des formes d'onde démodulées pour les oscillations gamma évoquées et induites en réponse à des figures de Kanizsa dans une tâche oddball a été analysée et comparée chez 19 enfants présentant un TSA et 19 enfants neurotypiques appariés selon l'âge et le sexe. Le groupe TSA a été traité par stimulation magnétique transcrânienne (SMT) à basse fréquence (1,0 Hz, 90 % du seuil moteur, 18 séances hebdomadaires) ciblant le cortex préfrontal dorsolatéral. Chez les sujets présentant un TSA, comparativement aux sujets neurotypiques, des différences significatives dans les oscillations gamma évoquées et induites étaient évidentes, avec une amplitude plus élevée des oscillations gamma avant la SMT, particulièrement en réponse aux indices non cibles. Les enregistrements après le traitement par SMT chez les sujets présentant un TSA ont révélé une réduction significative des réponses gamma aux stimuli non pertinents pour la tâche. Les participants ont commis moins d'erreurs après la SMT. Les questionnaires comportementaux ont montré une diminution des scores d'irritabilité, d'hyperactivité et de comportements répétitifs. L'utilisation d'une nouvelle métrique pour les oscillations gamma, c'est-à-dire l'analyse de l'enveloppe utilisant la transformation en ondelettes, a permis de caractériser l'impédance du circuit neuronal d'origine. Les résultats suggèrent que les oscillations gamma pourraient fournir un biomarqueur reflétant l'équilibre excitateur/inhibiteur du cortex et une mesure de résultat putative pour les interventions dans l'autisme.

Autism spectrum disorder (ASD) is a behaviorally diagnosed neurodevelopmental condition of unknown pathology. Research suggests that abnormalities of elecltroencephalogram (EEG) gamma oscillations may provide a biomarker of the condition. In this study, envelope analysis of demodulated waveforms for evoked and induced gamma oscillations in response to Kanizsa figures in an oddball task were analyzed and compared in 19 ASD and 19 age/gender-matched neurotypical children. The ASD group was treated with low frequency transcranial magnetic stimulation (TMS), (1.0 Hz, 90% motor threshold, 18 weekly sessions) targeting the dorsolateral prefrontal cortex. In ASD subjects, as compared to neurotypicals, significant differences in evoked and induced gamma oscillations were evident in higher magnitude of gamma oscillations pre-TMS, especially in response to non-target cues. Recordings post-TMS treatment in ASD revealed a significant reduction of gamma responses to task-irrelevant stimuli. Participants committed fewer errors post-TMS. Behavioral questionnaires showed a decrease in irritability, hyperactivity, and repetitive behavior scores. The use of a novel metric for gamma oscillations. i.e., envelope analysis using wavelet transformation allowed for characterization of the impedance of the originating neuronal circuit. The results suggest that gamma oscillations may provide a biomarker reflective of the excitatory/inhibitory balance of the cortex and a putative outcome measure for interventions in autism.

Bibliographie citée par cette référence

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Références citées
79
Avec un DOI
69
Sans DOI, à partir du texte brut de la bibliographie
10
2 / 79 (2,5 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
9 / 79 (11,4 %)
Références avec noms d’auteurices détectés
70 / 79 (88,6 %)
Sans nom d’auteurice détecté
9
Sans titre structuré
8
Sans identifiant stable
9
Références avec noms bruts d’auteurices restant à vérifier
9
Références avec problème de récupération des métadonnées externes
0
Ces indicateurs portent sur les références citées affichées sur cette page, après fusion des doublons techniques. Une référence sans DOI peut quand même soutenir les statistiques d’auteurices lorsqu’un titre et des noms d’auteurices sont disponibles.
Noms d’auteurices détectés dans la bibliographie citée
304
À partir du DOI ou de métadonnées externes
304
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
24
55 / 304 (18,1 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 249 / 304 (81,9 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
2 / 304 (0,7 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 2 / 55 (3,6 %). Personnes distinctes identifiées comme autistes : 1 / 252 (0,4 %).
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