Rightward hemispheric asymmetries in auditory language cortex in children with autistic disorder: an MRI investigation

J Neurodev Disord. 2009 Sep;1(3):205-14. doi: 10.1007/s11689-009-9010-2. Epub 2009 Apr 4.

Abstract

Purpose: determine if language disorder in children with autistic disorder (AD) corresponds to abnormalities in hemispheric asymmetries in auditory language cortex.

Methods: MRI morphometric study in children with AD (n = 50) to assess hemispheric asymmetries in auditory language cortex. A key region of interest was the planum temporale (PT), which is larger in the left hemisphere in most healthy individuals.

Results: (i) Heschl's gyrus and planum polare showed typical hemisphere asymmetry patterns; (ii) posterior Superior Temporal Gyrus (pSTG) showed significant rightward asymmetry; and (iii) PT showed a trend for rightward asymmetry that was significant when constrained to right-handed boys (n = 30). For right-handed boys, symmetry indices for pSTG were significantly positively correlated with those for PT. PT asymmetry was age dependent, with greater rightward asymmetry with age.

Conclusions: results provide evidence for rightward asymmetry in auditory association areas (pSTG and PT) known to subserve language processing. Cumulatively, our data provide evidence for a differing maturational path for PT for lower functioning children with AD, with both pre- and post-natal experience likely playing a role in PT asymmetry.

Electronic supplementary material: The online version of this article (doi:10.1007/s11689-009-9010-2) contains supplementary material, which is available to authorized users.

Keywords: Auditory cortex; Developmental disorder; Heschl’s gyrus; Language cortex; Posterior superior temporal gyrus.