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Perfusion impairments on brain SPECT in patients with infantile autism and nonautistic pervasive developmental disorders: comparison with MR findings

Abstract

Neuroimaging findings of autism has been the subjects of continuing investigation. Because previous study had not demonstrated consistent and specific neuroimaging findings of autism and most studies comprised adults and school-aged children, we performed a retrospective review in search of common functional and structural abnormalities in pre-school aged autistic children using Tc-99m ECD brain SPECT and MRI and compared them with age-matched children with nonautistic pervasive developmental disorders (PDD). 58 children between 3 and 8 years of age infantile autism (n=37) and non-autistic PDD (n=21) were performed Tc-99m ECD brain SPECT and MRI. Diagnosis of autism and non-autistic PDD was based on the criteria of DSM-IV and Childhood Autism Rating Scale (CARS). Of the 37 autistic patients, 32 revealed decreased perfusion of cerebellar hemisphere, followed by hypoperfusion of thalami (n=30), parietal cortex (n=16), temporal cortex (n=12). Of those 21 PDD patients, 14 patients showed hypoperfusion of the thalami and 10 patients showed temporal hypoperfusion. However, cerebellar hemispheric (n=8) and parietal (n=1) hypoperfusion was infrequently seen. All autistic and nonautistic PDD patients had normal MRI scan. Cerebellar hemispheric and parietal hypoperfusion on brain SPECT showed statistically significant correlation with CARS. Cerebellar hemispheric and parietal hypoperfusion is significantly frequently noted in autistic  More>>
Authors:
Ryu, Young Hoon; Lee, Jong Doo; Yoon, Pyeong Ho; Kim, Dong Ik; Jeon, Tae Joo; Shin, Yee Jin; Lee, Byung Hee; Shin, Hyung Cheol [1] 
  1. College of Medecine, Soonchunhyang Univ., Chonan (Korea, Republic of)
Publication Date:
Jul 01, 1998
Product Type:
Conference
Resource Relation:
Conference: 37. Annual Autumn Meeting of the Korean Society Nuclear Medicine, Seoul (Korea, Republic of), 13-14 Nov 1998; Other Information: 10 refs; PBD: 1998; Related Information: In: Proceedings of the Korean Society Nuclear Medicine Autumn Meeting 1998, [660] pages.
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; BRAIN; NMR IMAGING; PATIENTS; SINGLE PHOTON EMISSION COMPUTED TOMOGRAPHY; TECHNETIUM 99; THALLIUM
OSTI ID:
20306665
Research Organizations:
KSNM, Seoul (Korea, Republic of)
Country of Origin:
Korea, Republic of
Language:
English
Other Identifying Numbers:
TRN: KR0202998067878
Availability:
Available from KSNM, Seoul (KR)
Submitting Site:
KRN
Size:
7 pages
Announcement Date:
Dec 23, 2002

Citation Formats

Ryu, Young Hoon, Lee, Jong Doo, Yoon, Pyeong Ho, Kim, Dong Ik, Jeon, Tae Joo, Shin, Yee Jin, Lee, Byung Hee, and Shin, Hyung Cheol. Perfusion impairments on brain SPECT in patients with infantile autism and nonautistic pervasive developmental disorders: comparison with MR findings. Korea, Republic of: N. p., 1998. Web.
Ryu, Young Hoon, Lee, Jong Doo, Yoon, Pyeong Ho, Kim, Dong Ik, Jeon, Tae Joo, Shin, Yee Jin, Lee, Byung Hee, & Shin, Hyung Cheol. Perfusion impairments on brain SPECT in patients with infantile autism and nonautistic pervasive developmental disorders: comparison with MR findings. Korea, Republic of.
Ryu, Young Hoon, Lee, Jong Doo, Yoon, Pyeong Ho, Kim, Dong Ik, Jeon, Tae Joo, Shin, Yee Jin, Lee, Byung Hee, and Shin, Hyung Cheol. 1998. "Perfusion impairments on brain SPECT in patients with infantile autism and nonautistic pervasive developmental disorders: comparison with MR findings." Korea, Republic of.
@misc{etde_20306665,
title = {Perfusion impairments on brain SPECT in patients with infantile autism and nonautistic pervasive developmental disorders: comparison with MR findings}
author = {Ryu, Young Hoon, Lee, Jong Doo, Yoon, Pyeong Ho, Kim, Dong Ik, Jeon, Tae Joo, Shin, Yee Jin, Lee, Byung Hee, and Shin, Hyung Cheol}
abstractNote = {Neuroimaging findings of autism has been the subjects of continuing investigation. Because previous study had not demonstrated consistent and specific neuroimaging findings of autism and most studies comprised adults and school-aged children, we performed a retrospective review in search of common functional and structural abnormalities in pre-school aged autistic children using Tc-99m ECD brain SPECT and MRI and compared them with age-matched children with nonautistic pervasive developmental disorders (PDD). 58 children between 3 and 8 years of age infantile autism (n=37) and non-autistic PDD (n=21) were performed Tc-99m ECD brain SPECT and MRI. Diagnosis of autism and non-autistic PDD was based on the criteria of DSM-IV and Childhood Autism Rating Scale (CARS). Of the 37 autistic patients, 32 revealed decreased perfusion of cerebellar hemisphere, followed by hypoperfusion of thalami (n=30), parietal cortex (n=16), temporal cortex (n=12). Of those 21 PDD patients, 14 patients showed hypoperfusion of the thalami and 10 patients showed temporal hypoperfusion. However, cerebellar hemispheric (n=8) and parietal (n=1) hypoperfusion was infrequently seen. All autistic and nonautistic PDD patients had normal MRI scan. Cerebellar hemispheric and parietal hypoperfusion on brain SPECT showed statistically significant correlation with CARS. Cerebellar hemispheric and parietal hypoperfusion is significantly frequently noted in autistic patients although they had normal MRI and SPECT may be useful and more sensitive modality in reflecting pathophysiology of autism as evidenced by previous MRI and postmortem studies. Thalamic and temporal hypoperfusion can be seen in both autistic and nonautistic patients and further studies are necessary to determine the significance of the thalamic hypoperfusion.}
place = {Korea, Republic of}
year = {1998}
month = {Jul}
}