PL EN


Preferencje help
Widoczny [Schowaj] Abstrakt
Liczba wyników
2018 | 78 | 1 |

Tytuł artykułu

Cerebral hypoperfusion in autism spectrum disorder

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
Cerebral hypoperfusion, or insufficient blood flow in the brain, occurs in many areas of the brain in patients diagnosed with autism spectrum disorder (ASD). Hypoperfusion was demonstrated in the brains of individuals with ASD when compared to normal healthy control brains either using positron emission tomography (PET) or single-photon emission computed tomography (SPECT). The affected areas include, but are not limited to the: prefrontal, frontal, temporal, occipital, and parietal cortices; thalami; basal ganglia; cingulate cortex; caudate nucleus; the limbic system including the hippocampal area; putamen; substantia nigra; cerebellum; and associative cortices. Moreover, correlations between symptom scores and hypoperfusion in the brains of individuals diagnosed with an ASD were found indicating that the greater the autism symptom pathology, the more significant the cerebral hypoperfusion or vascular pathology in the brain. Evidence suggests that brain inflammation and vascular inflammation may explain a part of the hypoperfusion. There is also evidence of a lack of normal compensatory increase in blood flow when the subjects are challenged with a task. Some studies propose treatments that can address the hypoperfusion found among individuals diagnosed with an ASD, bringing symptom relief to some extent. This review will explore the evidence that indicates cerebral hypoperfusion in ASD, as well as the possible etiological aspects, complications, and treatments.

Słowa kluczowe

Wydawca

-

Rocznik

Tom

78

Numer

1

Opis fizyczny

p.21-29,ref.

Twórcy

autor
  • Council for Nutritional and Environmental Medicine, Mo i Rana, Norway
autor
  • Institute of Chronic Illnesses, Inc., Silver Spring, MD, USA
  • CONEM US Autism Research Group, Allen, TX, USA
autor
  • Departamento de Zoología, Facultad de Ciencias Naturales y Oceanograficas, Universidad de Concepcion, Casilla 160‑C, Concepcion, Chile
autor
  • Department of Pediatrics, Faculty of Medicine, Assiut University, Assiut, Egypt
autor
  • Department of Community Health Nursing, Faculty of Nursing, Assiut University, Assiut, Egypt
autor
  • Institute of Chronic Illnesses, Inc., Silver Spring, MD, USA
  • CoMeD, Inc., Silver Spring, MD, USA
  • Department of Neurological and Movement Sciences, University of Verona, Verona, Italy
autor
  • Institute of Chronic Illnesses, Inc., Silver Spring, MD, USA
  • CoMeD, Inc., Silver Spring, MD, USA
autor
  • Department of Communication Sciences and Disorders, Texas Woman’s University, Denton, Texas, USA
autor
  • Faculty of Public Health, Inland Norway University of Applied Sciences, Elverum, Norway
  • Department of Research, Innlandet Hospital Trust, Brumunddal, Norway

Bibliografia

  • American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders, 5th ed. American Psychiatric Publishing, Arlington.
  • Al-Ayadhi LY, Camel NE (2013) Milk as a potential therapy as an antioxidant in autism spectrum disorder (ASD). Evid Based Complement Alternat Med 2013: 602834.
  • Allen G, Courchesne E (2003) Differential effects of developmental cerebellar abnormality on cognitive and motor functions in the cerebellum: an fMRI study of autism. Am J Psychiatry 160: 262–273.
  • Araghi-Niknam, M, Fatemi, SH (2003) Levels of Bcl-2 and P53 are altered in superior frontal and cerebellar cortices of autistic subjects. Cell Mol Neurobiol 23: 945–952.
  • Augustine JR (1996) Circuitry and functional aspects of the insular lobe in primates including humans. Brain Res Rev Brain Res 22: 229–244.
  • Ballabh P, Braun A, Nedergaard M (2004) The blood–brain barrier: an overview: structure, regulation, and clinical implications. Neurobiol Dis 16:1–13.
  • Battistin L, Pizzolato G, Dam M, Da Col C, Perlotto N, Saitta B, Borsato N, Calvani M, Ferlin G (1989) Single-photon emission computed tomography studies with 99mTc-hexamethylpropyleneamine oxime in dementia: effects of acute administration of L-acetylcarnitine. Eur Neurol 29: 261–265.
  • Bauman ML (2000) Medical comorbidities in autism: challenges to diagnosis and treatment. Neurotherapeutics 7: 320–327.
  • Bent S, Bertogolio K, Ashood P, Nemeth E (2012) Pilot study of the effect of HBOT on behavioral and biomarker measures in children with autism. J Autism Develop Dis 42: 1127–1132.
  • Bjorklund G (2013) The role of zinc and copper in autism spectrum disorders. Acta Neurobiol Exp 73: 225–236.
  • Boddaert N, Zilbovicius M (2002) Functional neuroimaging and childhood autism. Pediatr Radiol 32: 1–7.
  • Brogi E, Schatteman G, Wu T, Kim EA, Varticovski L, Keyt B (1996) Hypoxia-induced paracrine regulation of vascular endothelial growth factor receptor expression. J Clin Invest 97: 469–476.
  • Bruneau N, Dourneau MC, Garreau B, Pourcelot L, Lelord G (1992) Blood flow response to auditory stimulations in normal, mentally retarded, and autistic children: a preliminary transcranial Doppler ultrasonographic study of the middle cerebral arteries. Biol Psychiatry 32: 691–699.
  • Brunelle F, Boddaert N, Zilbovicius M (2009) Autism and brain imaging. Bull Acad Natl Med 193: 287–297.
  • Burroni L, Orsi A, Monti L, Hayek Y, Rocchi R, Vattimo AG (2008) Regional cerebral blood flow in childhood autism: a SPET study with SPM evaluation. Nucl Med Commun 29: 150–156.
  • Busija DW, Heistad DD (1984) Factors involved in the physiological regulation of the cerebral circulation. Rev Physiol Biochem Pharamacol 101: 161–211.
  • Choi BR, Kim DH, Back DB, Kang CH, Moon WJ, Han JS, Choi DH, Kwon KJ, Shin CY, Kim BR, Lee J, Han SH, Kim HY (2016) Characterization of white matter injury in a rat model of chronic cerebral hypoperfusion. Stroke 47: 542–547.
  • Cipolla MJ, Smith J, Kohlmeyer MM, Godfrey JA (2009) SKCa and IKCa Channels, myogenic tone, and vasodilator responses in middle cerebral arteries and parenchymal arterioles: effect of ischemia and reperfusion. Stroke 40: 1451–1457.
  • Clarke DD, Sokoloff L (1989) Circulation and energy metabolism of the brain. In: Basic Neurochemistry (Siegel G, Agrano BV, Albers RW, Molino PV, eds.). Raven Press, New York, p. 565–590.
  • Coleman M, Gillberg C (2011) The Autisms, 4th ed. Oxford University Press, Oxford.
  • Critchley HD, Daly EM, Bullmore ET, Williams SC, Van Amelsvoort T, Robertson DM, Rowe A, Phillips M, McAlonan G, Howlin P, Murphy DG (2000) The functional neuroanatomy of social behaviour: changes in cerebral blood flow when people with autistic disorder process facial expressions. Brain 123 (Pt 11): 2203–2212.
  • Dawson G, Klinger LG, Panagiotides H, Lewy A, Castelloe P (1995) Subgroups of autistic children based on social behavior display distinct patterns of brain activity. J Abnorm Child Psychol 23: 569–583.
  • Degirmenci B, Miral S, Kaya GC, Iyilikçi L, Arslan G, Baykara A, Evren I, Durak H (2008) Technetium-99m HMPAO brain SPECT in autistic children and their families. Psychiatry Res 162: 236–243.
  • Deth R, Muratore C, Benzecry J, Power-Charnitsky VA, Waly M (2008) How environmental and genetic factors combine to cause autism: A redox/methylation hypothesis. Neurotoxicology 29: 190–201.
  • Dichter GS (2012) Functional magnetic resonance imaging of autism spectrum disorders. Dialogues Clin Neurosci 14: 319–351.
  • Dobrogowska DH, Lossinsky AS, Tarnawski M, Vorbrodt AW (1998) Increased blood–brain barrier permeability and endothelial abnormalities induced by vascular endothelial growth factor. J Neurocytol 27: 63–173.
  • El-Ansary A, Al-Ayadhi L (2012) Neuroinflammation in autism spectrum disorders. J Neuroinflammation 9: 265.
  • El-Baz F, Elhossiny RM, Abdel Azeem Y, Girgis M (2014) Study the effect of hyperbaric oxygen therapy in Egyptian autistic children: A clinical trial, The Egyptian Journal of Medical Human Genetics 15: 155–162.
  • Essa MM, Guillemin GJ, Waly MI, Al-Sharbati MM, Al-Farsi YM, Hakkim FL, Ali A, Al-Shafaee MS (2002) Increased markers of oxidative stress in autistic children of the Sultanate of Oman. Biol Trace Elem Res 147: 25–27.
  • Fahmy SF, El-Hamamsy MH, Zaki OK, Badary OA (2013) L-carnitine supplementation improves behavioral symptoms in autistic children. Res Autism Spectr Disord 7: 159–166.
  • Faraci FM, Heistad DD (1990) Regulation of large cerebral arteries and cerebral microvascular pressure. Circ Res 66: 8–17.
  • Fatemi SH, Stary JM, Halt AR, Realmuto GR (2001) Dysregulation of Reelin and Bcl-2 proteins in autistic cerebellum. J Autism Dev Disord 31: 529–535.
  • Fatemi SH, Halt AR (2001) Altered levels of Bcl2 and p53 proteins in parietal cortex reflect deranged apoptotic regulation in autism. Synapse 42: 281–284.
  • Gallagher CM, Goodman MS (2010) Hepatitis B vaccination of male neonates and autism diagnosis, NHIS 1997–2002. J Toxicol Environ Health A 73: 1665–1677.
  • Galuska L, Szakáll S Jr, Emri M, Oláh R, Varga J, Garai I, Kollár J, Pataki I, Trón L (2002) PET and SPECT scans in autistic children. Orv Hetil 143: 1302–1304.
  • Geier DA, Kern JK, Geier MR (2012) Health, physical, and behavioral symptoms; a qualitative evaluation of autism. Maedica (Buchar) 7: 193–200.
  • Geier DA, Hooker BS, Kern JK, King PG, Sykes LK, Geier MR (2014) A dose-response relationship between organic mercury exposure from Thimerosal-containing vaccines and neurodevelopmental disorders. Int J Environ Res Public Health 11: 9156–9170.
  • Geier DA, Kern JK, Davis G, King PG, Adams JB, Young JL, Geier MR (2011) A prospective double-blind, randomized clinical trial of levocarnitine to treat autism spectrum disorders. Med Sci Monit 17: PI15–23.
  • Gendry Meresse I, Zilbovicius M, Boddaert N, Robel L, Philippe A, Sfaello I, Laurier L, Brunelle F, Samson Y, Mouren MC, Chabane N (2005) Autism severity and temporal lobe functional abnormalities. Ann Neurol 58: 466–469.
  • George MS, Costa DC, Kouris K, Ring HA, Ell PJ (1992) Cerebral blood flow abnormalities in adults with infantile autism. J Nerv Ment Dis 180: 413–417.
  • Gupta SK, Ratnam BV (2009) Cerebral perfusion abnormalities in children with autism and mental retardation: a segmental quantitative SPECT study. Indian Pediatr 46: 161–164.
  • Haidich AB (2010) Meta-analysis in medical research. Hippokratia 14 (Suppl 1): 29–37.
  • Hamel E (2006) Perivascular nerves and the regulation of cerebrovascular tone. J Appl Physiol 100: 1059–1064.
  • Hashimoto T, Sasaki M, Fukumizu M, Hanaoka S, Sugai K, Matsuda H (2000) Single-photon emission computed tomography of the brain in autism: effect of the developmental level. Pediatr Neurol 23: 416–420.
  • Homs A, Codina-Solà M, Rodríguez-Santiago B, Villanueva CM, Monk D, Cuscó I, Pérez-Jurado LA (2016) Genetic and epigenetic methylation defects and implication of the ERMN gene in autism spectrum disorders. Transl Psychiatry 6: e855.
  • Hossmann KA (1994) Viability thresholds and the penumbra of focal ischemia. Ann Neurol 36: 557–565.
  • Huguet G, Ey E, Bourgeron T (2013) The genetic landscapes of autism spectrum disorders. Annu Rev Genomics Hum Genet 14: 191–213.
  • Hülsmann WC, Dubelaar ML (1992) Carnitine requirement of vascular endothelial and smooth muscle cells in imminent ischemia. Mol Cell Biochem 116: 125–129.
  • Iadecola C (1998) Cerebral circulatory dysregulation in ischemia. In: Cerebrovascular Diseases (Ginsberg MD, Bogousslavsky J, eds.). Blackwell Science, Cambridge, p. 319–332.
  • Ito H, Mori K, Hashimoto T, Miyazaki M, Hori A, Kagami S, Kuroda Y (2005) Findings of brain 99mTc-ECD SPECT in high-functioning autism-3-dimensional stereotactic ROI template analysis of brain SPECT. J Med Invest 52: 49–56.
  • Jagust W, Thisted R, Devous MD Sr, Van Heertum R, Mayberg H, Jobst K, Smith AD, Borys N (2001) SPECT perfusion imaging in the diagnosis of Alzheimer’s disease: a clinical-pathologic study. Neurology 56: 950–956.
  • Jann K, Hernandez LM, Beck-Pancer D, McCarron R, Smith RX, Dapretto M, Wang DJ (2015) Altered resting perfusion and functional connectivity of default mode network in youth with autism spectrum disorder. Brain Behav 5: e00358.
  • Jepson B, Granpeesheh D, Tarbox J, Oliver ML, Stott C, Braud S, Yoo JH, Wakefield A, Allen MS (2011) Controlled evaluation of the effects of hyperbaric oxygen therapy on the behavior of 16 children with autism spectrum disorders. J Autism Dev Disord 41: 575–588.
  • Kaya M, Karasalihoğlu S, Ustün F, Gültekin A, Cermik TF, Fazlioğlu Y, Türe M, Yiğitbaşi ON, Berkarda S (2002) The relationship between 99mTc-HMPAO brain SPECT and the scores of real life rating scale in autistic children. Brain Dev 24: 77–81.
  • Kempuraj D, Asadi S, Zhang B, Manola A, Hogan J, Peterson E, Theoharides TC (2010) Mercury induces inflammatory mediatory release from human mast cells. J Neuroinflammation 7: 20.
  • Kern JK, Geier DA, Sykes LK, Homme KG, Geier MR (2014) Medical conditions in autism and events associated with the initial onset of autism. OA Autism 2: 9.
  • Kern JK, Geier DA, Audhya T, King PG, Sykes LK, Geier MR (2012) Evidence of parallels between mercury intoxication and the brain pathology in autism. Acta Neurobiol Exp 72: 113–153.
  • Kern JK, Geier DA, Sykes LK, Geier MR (2015) Relevance of neuroinflammation and encephalitis in autism. Front Cell Neurosci 9: 519.
  • Kirino E (2014) Efficacy and tolerability of pharmacotherapy options for the treatment of irritability in autistic children. Clin Med Insights Pediatr. 8: 17–30.
  • Li SO, Wang JL, Bjørklund G, Zhao WN, Yin CH (2014) Serum copper and zinc levels in individuals with autism spectrum disorders. Neuroreport. 25: 1216–1220.
  • Ji L, Chauhan A, Brown WT, Chauhan V (2009) Increased activities of Na+/K+-ATPase and Ca2+/Mg2+-ATPase in the frontal cortex and cerebellum of autistic individuals. Life Sci 85: 788–793.
  • Morgan JT, Chana G, Pardo CA, Achim C, Semendeferi K, Buckwalter J, Courchesne E, Everall IP (2010) Microglial activation and increased microglial density observed in the dorsolateral prefrontal cortex in autism. Biol Psychiatry 68: 368–376.
  • Mountz JM, Tolbert LC, Lill DW, Katholi CR, Liu HG (1995) Functional deficits in autistic disorder: characterization by technetium-99m-HMPAO and SPECT. J Nucl Med 36: 1156–1162.
  • Müller RA, Behen ME, Rothermel RD, Chugani DC, Muzik O, Mangner TJ, Chugani HT (1999) Brain mapping of language and auditory perception in high-functioning autistic adults: a PET study. J Autism Dev Disord 29: 19–31.
  • Murohara T, Horowitz JR, Silver M, Tsurumi Y, Chen D, Sullivan A (1998) Vascular endothelial growth factor/vascular permeability factor enhances vascular permeability via nitric oxide and prostacyclin. Circulation 97: 99–107.
  • Namiki A, Brogi E, Kearney M, Kim EA, Wu T, Couffinhal T (1995) Hypoxia induces vascular endothelial growth factor in cultured human endothelial cells. J Biol Chem 270: 31189–31195.
  • Nguyen A, Rauch TA, Pfeifer GP, Hu VW (2010) Global methylation profiling of lymphoblastoid cell lines reveals epigenetic contributions to autism spectrum disorders and a novel autism candidate gene, RORA, whose protein product is reduced in autistic brain. FASEB J 24: 3036–3051.
  • Ohnishi T, Matsuda H, Hashimoto T, Kunihiro T, Nishikawa M, Uema T, Sasaki M (2000) Abnormal regional cerebral blood flow in childhood autism. Brain 123(Pt 9): 1838–1844.
  • Olczak M, Duszczyk M, Mierzejewski P, Wierzba-Bobrowicz T, Majewska MD (2000) Lasting neuropathological changes in rat brain after intermittent neonatal administration of thimerosal. Folia Neuropathol 48: 258–269.
  • Ozdemir DF, Karabacak NI, Akkaş B, Akdemir O, Unal F, Senol S (2009) Differences in cerebral blood flow following risperidone treatment in children with autistic disorder (in Turkish). Turk Psikiyatri Derg 20: 346–356.
  • Pagani M, Manouilenko I, Stone-Elander S, Odh R, Salmaso D, Hatherly R, Brolin F, Jacobsson H, Larsson SA, Bejerot S (2012) Brief report: alterations in cerebral blood flow as assessed by PET/CT in adults with autism spectrum disorder with normal IQ. J Autism Dev Disord 42: 313–318.
  • Paulson OB, Strandgaard S, Edvinsson L (1990) Cerebral autoregulation. Cerebrovasc Brain Metab Rev 2: 161–192.
  • Philip RC, Dauvermann MR, Whalley HC, Baynham K, Lawrie SM, Stanfield AC (2012) A systematic review and meta-analysis of the fMRI investigation of autism spectrum disorders. Neurosci Biobehav Rev 36: 901-942.
  • Pierce K, Haist F, Sedaghat F, Courchesne E (2004) The brain response to personally familiar faces in autism: findings of fusiform activity and beyond. Brain 127(Pt 12): 2703–2716.
  • Postiglione A, Cicerano U, Soricelli A, De Chiara S, Gallotta G, Salvatore M, Mancini M (1999) Cerebral blood flow in patients with chronic cerebrovascular disease: effect of acetyl L-carnitine. Int J Clin Pharmacol Res 10: 129–132.
  • Postiglione A, Soricelli A, Cicerano U, Mansi L, De Chiara S, Gallotta G, Schettinie G, Salvatore M (1992) Effect of acute administration of L-acetyl carntine on cerebral blood flow in patients with chronic cerebral infarct. Pharmacol Res 23: 241–246.
  • Prandota J (2010) Neuropathological changes and clinical features of autism spectrum disorder participants are similar to that reported in congenital and chronic cerebral toxoplasmosis in humans and mice. Res Autism Spectr Disord 4: 103–118.
  • Raymond LJ, Deth RC, Ralston NV (2014) Potential role of selenoenzymes and antioxidant metabolism in relation to autism etiology and pathology. Autism Res Treat 2014: 164938.
  • Roberts WG, Palade GE (1995) Increased microvascular permeability and endothelial fenestration induced by vascular endothelial growth factor. J Cell Sci 108: 2369–2379.
  • Rossignol DA, Bradstreet JJ, Van Dyke K, Schneider C, Freedenfeld SH, O’Hara N, Cave S, Buckely JA, Mumper EA, Frye RE (2012) Hyperbaric oxygen treatment in autism spectrum disorders. Med Gas Res 2: 16.
  • Rossignol DA, Rossignol LW, James SJ, Melnyk S, Mumper E (2007) The effects of hyperbaric oxygen therapy on oxidative stress, inflammation, and symptoms in children with autism: an open-label pilot study. BMC Pediatr 7: 36.
  • Ryu YH, Lee JD, Yoon PH, Kim DI, Lee HB, Shin YJ (1999) Perfusion impairments in infantile autism on technetium-99m ethyl cysteinate dimerbrain single-photon emission tomography: comparison with findings on magnetic resonance imaging. Eur J Nucl Med 26: 253–259.
  • Saad K, Abdel-Rahman AA, Elserogy YM, Al-Atram AA, Cannell JJ, Bjørklund G, Abdel-Reheim MK, Othman HA, El-Houfey AA, Abd El-Aziz NH, Abd El-Baseer KA, Ahmed AE, Ali AM (2016) Vitamin D status in autism spectrum disorders and the efficacy of vitamin D supplementation in autistic children. Nutr Neurosci 19: 346–351.
  • Sampanthavivat M, Singkhwa W, Chaiyakul T, Karoonyawanich S, Ajpru H (2012) Hyperbaric oxygen in the treatment of childhood autism: a randomised controlled trial. Diving Hyperb Med 42: 128–133.
  • Sasaki M (2015) SPECT findings in autism spectrum disorders and medically refractory seizures. Epilepsy Behav 47: 167–171.
  • Sasaki M, Nakagawa E, Sugai K, Shimizu Y, Hattori A, Nonoda Y, Sato N (2010) Brain perfusion SPECT and EEG findings in children with autism spectrum disorders and medically intractable epilepsy. Brain Dev 32: 776–782.
  • Sheikh AM, Li X, Wen G, Tauqeer Z, Brown WT, Malik M (2010) Cathepsin D and apoptosis related proteins are elevated in the brain of autistic subjects. Neuroscience 165: 363–370.
  • Shimizu S, Eguchi Y, Kamiike W, Itoh Y, Hasegawa J, Yamabe K, Otsuki Y, Matsuda H, Tsujimoto Y (1996) Induction of apoptosis as well as necrosis by hypoxia and predominant prevention of apoptosis by Bcl-2 and Bcl-XL. Cancer Res 56: 2161–2166.
  • Starkstein SE Vazquez S, Vrancic D, Nanclares V, Manes F, Piven J, Plebst, C (2000) SPECT findings in mentally retarded autistic individuals. J Neuropsychiatry Clin Neurosci 12: 370–375.
  • Talman WT, Nitschke-Dragon D (2007) Neuronal nitric oxide mediates cerebral vasodilatation during acute hypertension. Brain Res 1139: 126–132.
  • Ueno Y, Koike M, Shimada Y, Shimura H, Hira K, Tanaka R, Uchiyama Y, Hattori N, Urabe T (2015) L-carnitine enhances axonal plasticity and improves white-matter lesions after chronic hypoperfusion in rat brain. J Cereb Blood Flow Metab 35: 382–391.
  • Vargas DL, Nascimbene C, Krishnan C, Zimmerman AW, Pardo CA (2005) Neuroglial activation and neuroinflammation in the brain of patients with autism. Ann Neurol 57: 67–81.
  • Vecchione R, Picariello N, Khodor HH, Del Corso F, Corcos L, Nappi A, Mauro U, Antonucci N (2016) Applications of low pressure hyperbaric chamber oxygen therapy in autism spectrum disorder. Int J Curr Res 8: 30587–30598.
  • Veenstra-VanderWeele J, Cook EH Jr. (2004) Molecular genetics of autism spectrum disorder. Mol Psychiatry 9: 819–832.
  • Wilcox J, Tsuang MT, Ledger E, Algeo J, Schnurr T (2002) Brain perfusion in autism varies with age. Neuropsychobiology 46: 13–16.
  • Yang WH, Jing J, Xiu LJ, Cheng MH, Wang X, Bao P, Wang QX (2011) Regional cerebral blood flow in children with autism spectrum disorders: a quantitative ⁹⁹mTc-ECD brain SPECT study with statistical parametric mapping evaluation. Chin Med J (Engl) 124: 1362–1366.
  • Yao Y, Walsh WJ, McGinnis WR, Pratico D (2006) Altered vascular phenotype in autism: Correlation with oxidative stress. Arch Neurol 63: 1161–1164.
  • Zádori A, Agoston VA, Demeter K, Hádinger N, Várady L, Köhídi T, Göbl A, Nagy Z, Madarász E (2011) Survival and differentiation of neuroectodermal cells with stem cell properties at different oxygen levels. Exp Neurol 227: 136–148.
  • Zhao ZQ, Jia SW, Hu S, Sun W (2014) Evaluating the effectiveness of electro-acupuncture as a treatment for childhood autism using single photon emission computed tomography. Chin J Integr Med 20: 19–23.
  • Zilbovicius M, Garreau B, Samson Y, Remy P, Barthélémy C, Syrota A, Lelord G (1995) Delayed maturation of the frontal cortex in childhood autism. Am J Psychiatry 152: 248–252.
  • Zilbovicius M, Boddaert N, Belin P, Poline JB, Remy P, Mangin JF, Thivard L, Barthelemy C, Samson Y (2000) Temporal lobe dysfunction in childhood autism: a PET study. Positron emission tomography. Am J Psychiatry 157: 1988–1993.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

bwmeta1.element.agro-77655a7a-3bf7-4486-a909-920844082391
JavaScript jest wyłączony w Twojej przeglądarce internetowej. Włącz go, a następnie odśwież stronę, aby móc w pełni z niej korzystać.