BackgroundGaze processing deficits are a seminal, early, and enduring behavioral deficit in autism spectrum disorder (ASD); however, a comprehensive characterization of the neural processes mediating abnormal gaze processing in ASD has yet to be conducted.MethodsThis study investigated whole-brain patterns of neural synchrony during passive viewing of direct and averted eye gaze in ASD adolescents and young adults (M Age = 16.6) compared to neurotypicals (NT) (M Age = 17.5) while undergoing magnetoencephalography. Coherence between each pair of 54 brain regions within each of three frequency bands (low frequency (0 to 15 Hz), beta (15 to 30 Hz), and low gamma (30 to 45 Hz)) was calculated.ResultsSignificantly higher coherence and synchronization in posterior brain regions (temporo-parietal-occipital) across all frequencies was evident in ASD, particularly within the low 0 to 15 Hz frequency range. Higher coherence in fronto-temporo-parietal regions was noted in NT. A significantly higher number of low frequency cross-hemispheric synchronous connections and a near absence of right intra-hemispheric coherence in the beta frequency band were noted in ASD. Significantly higher low frequency coherent activity in bilateral temporo-parieto-occipital cortical regions and higher gamma band coherence in right temporo-parieto-occipital brain regions during averted gaze was related to more severe symptomology as reported on the Autism Diagnostic Interview-Revised (ADI-R).ConclusionsThe preliminary results suggest a pattern of aberrant connectivity that includes higher low frequency synchronization in posterior cortical regions, lack of long-range right hemispheric beta and gamma coherence, and decreased coherence in fronto-temporo-parietal regions necessary for orienting to shifts in eye gaze in ASD; a critical behavior essential for social communication.
Much has been gained in our understanding of the psychopathology, assessment, and treatment of TBI. Still lacking is the breadth and depth that an integrative and multi-disciplinary approach to TBI portends. While there is a greater awareness of a need for such a systems-based approach as evidenced by the number of professional organizations and government agencies recently advocating a need for standardization in the collection data in TBI, the application of multi-dimensional approach, and the development novel strategies to deliver prevention, assessment and treatment to large, diverse populations, we are still in the early stages in making this important shift. In the nearer term, there are clinical assessment and interventional programs that can be developed and empirically validated to bring us closer to this integrative, multi-disciplinary ideal. The following review calls for a universal diagnostic classification system for TBI, integration of pathophysiology and pharmacological and rehabilitative therapies, development of treatments addressing disorders comorbid with TBI, and the delivery of assessment and treatment services to large underserved populations.
This study investigates the functional connectivity of neuronal networks critical for working memory in individuals with dyslexia by means of magnetoenchephalographic (MEG) coherence imaging. Individuals with dyslexia showed an early onset of activation in anterior cortical regions (precentral gyrus and the superior frontal gyrus), which differed from controls where activation initiated in posterior cortical regions (supramarginal gyrus and superior temporal gyrus). Further, individuals with dyslexia showed lower brain activity in the right superior temporal gyrus and right middle temporal gyrus than controls during a spatial working memory (SWM) task. In contrast, during a verbal working memory (VWM) task, individuals with dyslexia showed lower activity in the right insular cortex and right superior temporal gyrus and higher, likely compensatory, activity in the right fusiform gyrus, left parahippocampal gyrus, and left precentral gyrus. When performing a SWM task, individuals with dyslexia showed significantly lower coherent activity and synchronization in 1) right frontal connectivity, 2) right fronto-temporal connectivity, 3) left and right frontal connectivity, 4) left temporal and right frontal connectivity, and 5) left occipital and right frontal connectivity. MEG coherence source imaging (CSI) by frequency bands showed lower * Corresponding author. A. Mansour et al. 1880 mean coherence values in individuals with dyslexia compared to controls for each frequency range during the SWM task. In contrast, during the VWM task, individuals with dyslexia showed higher coherent low frequency (3-15 Hz) and lower coherent high frequency (30-45 Hz) synchronization than control subjects. Logistic regression of coherent activity by group membership was significant, with an overall predictive success of 84.4% (88.9% for controls and 77.8% for dyslexia). Coherence between the right lateral orbitofrontal and middle orbitofrontal gyri pair substantially contributed to group membership. The results suggest a pattern of aberrant connectivity as evidenced by the early onset and reliance on prefrontal cortical areas, the differential activation of fronto-temporal brain systems, and an altered pattern of functional connectivity in the frontotemporal pathways mediating these behaviors.
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