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Right-hemisphere dysfunction in Asperger's syndrome

J R McKelvey1, R Lambert, L Mottron

  • 1Department of Neurology/Neurosurgery, McGill University, Montreal, Quebec, Canada.

Journal of Child Neurology
|July 1, 1995
PubMed
Summary
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This study investigated Asperger's syndrome, finding evidence of abnormal right-hemisphere function using SPECT imaging. These results support the theory that Asperger's syndrome stems from a developmental issue in the right brain hemisphere.

Area of Science:

  • Neuroscience
  • Developmental Neuroscience
  • Clinical Neurology

Background:

  • Asperger's syndrome shares clinical features with acquired right-hemisphere dysfunction.
  • Previous research suggested a developmental abnormality of the right hemisphere in Asperger's syndrome but lacked neuroimaging evidence.

Observation:

  • Three patients diagnosed with Asperger's syndrome underwent neuroimaging, including computed tomographic (CT) scanning, magnetic resonance imaging (MRI), and single photon emission computed tomographic (SPECT) scanning.
  • While CT and MRI showed mild right hemispheric atrophy in one subject, the other two had normal results.
  • SPECT imaging revealed distinct right-hemisphere functional abnormalities in all three patients.

Findings:

  • SPECT scans indicated varied patterns of abnormal cerebral blood flow in the right hemisphere, including hypoperfusion and hyperperfusion in specific regions (temporal, frontal polar).

Related Experiment Videos

  • Abnormalities were also noted in the cerebellum, with variations in size and tracer uptake in the right hemisphere and vermis.
  • These functional and structural imaging findings provide direct evidence of right-hemisphere dysfunction in individuals with Asperger's syndrome.
  • Implications:

    • The study's findings support the hypothesis that Asperger's syndrome is associated with a developmental abnormality of the right cerebral hemisphere.
    • This research may guide future investigations into the neurobiological underpinnings of Asperger's syndrome and related neurodevelopmental disorders.
    • The results highlight the potential role of advanced neuroimaging techniques in understanding the pathophysiology of Asperger's syndrome.