Functional imbalance of visual pathways indicates alternative face processing strategies in autism
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Updated: Aug 30, 2026

Comparing Eye-tracking Data of Children with High-functioning ASD, Comorbid ADHD, and of a Control Watching Social Videos
Published on: December 7, 2018
D Hubl1, S Bölte, S Feineis-Matthews
1Department of Psychiatric Neurophysiology, University Hospital of Clinical Psychiatry, Bern, Switzerland. hubl@puk.unibe.ch
Objective:
To investigate whether autistic subjects show a different pattern of neural activity than healthy individuals during processing of faces and complex patterns.
Methods:
Blood oxygen level-dependent (BOLD) signal changes accompanying visual processing of faces and complex patterns were analyzed in an autistic group (n = 7; 25.3 [6.9] years) and a control group (n = 7; 27.7 [7.8] years).
Results:
Compared with unaffected subjects, autistic subjects demonstrated lower BOLD signals in the fusiform gyrus, most prominently during face processing, and higher signals in the more object-related medial occipital gyrus. Further signal increases in autistic subjects vs controls were found in regions highly important for visual search: the superior parietal lobule and the medial frontal gyrus, where the frontal eye fields are located.
Conclusions:
The cortical activation pattern during face processing indicates deficits in the face-specific regions, with higher activations in regions involved in visual search. These findings reflect different strategies for visual processing, supporting models that propose a predisposition to local rather than global modes of information processing in autism.
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