Volume réduit du faisceau arqué chez des adultes présentant des troubles du spectre autistique à haut niveau de fonctionnement
Titre original en anglais : Reduced Volume of the Arcuate Fasciculus in Adults with High-Functioning Autism Spectrum Conditions
Moseley, R., Correia, M., Baron-Cohen, S., Shtyrov, Y., Pulvermüller, F., & Mohr, B. (2016). Reduced Volume of the Arcuate Fasciculus in Adults with High-Functioning Autism Spectrum Conditions. Frontiers in Human Neuroscience, 10, 214-214. https://doi.org/10.3389/fnhum.2016.00214
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Auteurs
Résumé
Le langage atypique est une caractéristique fondamentale des troubles du spectre autistique (TSA), mais peu d'études ont examiné l'intégrité structurelle du faisceau arqué, le principal tractus de substance blanche reliant les régions frontales et temporales du langage, qui est généralement impliqué comme principale voie de transfert utilisée par le cerveau pour traiter les informations linguistiques. Des anomalies du faisceau arqué ont été rapportées chez de jeunes enfants présentant des TSA, principalement chez des individus à faible niveau de fonctionnement ou non verbaux, mais on sait peu de choses concernant les propriétés structurelles du faisceau arqué chez les adultes présentant des TSA ou, en particulier, chez les individus présentant des TSA dont le langage est préservé, tels que ceux ayant un autisme à haut niveau de fonctionnement ou un syndrome d'Asperger. Nous avons utilisé la tractographie probabiliste d'imagerie pondérée en diffusion afin d'isoler et d'examiner minutieusement le faisceau arqué dans un échantillon mixte de 18 adultes à haut niveau de fonctionnement présentant des TSA (17 avec syndrome d'Asperger) et de 14 témoins au développement typique appariés selon l'âge et le QI. Le volume du faisceau arqué était significativement réduit bilatéralement, les différences les plus nettes étant observées dans l'hémisphère droit. Ce résultat est resté significatif dans une analyse incluant uniquement tous les participants masculins. La réduction volumétrique du faisceau arqué était significativement corrélée à la sévérité des symptômes autistiques telle que mesurée par l'Autism-Spectrum Quotient. Ces données révèlent que des différences structurelles sont présentes même chez des adultes à haut niveau de fonctionnement présentant des TSA, qui ne présentaient aucun déficit langagier cliniquement manifeste et n'avaient aucun retard du développement du langage signalé. L'intégrité structurelle du faisceau arqué pourrait être utile comme indice de la sévérité des TSA et ainsi comme prédicteur et biomarqueur des TSA. Les implications pour les recherches futures sont discutées.
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