[The role of the prefrontal cortex in the sensory problems of children with autism spectrum disorder and its involvement in social aspects]

Rev Neurol. 2015 Feb 25:60 Suppl 1:S19-24.
[Article in Spanish]

Abstract

Introduction: In persons with autism spectrum disorders (ASD), aberrant sensory perceptions could be as characteristic and disruptive as the presence of anomalies in social communication and interaction or restricted and repetitive interests. Most of them present sensory modulation disorders (hyper- or hypo-responsiveness) in several sensory channels. Furthermore, there is a deficit in the integration of the information from a number of sensory systems (for example, auditory and visual). All this would worsen the core symptoms related with communication and increase the appearance of behavioural problems.

Aims: This study aims to review the experimental evidence that addresses the role played by the prefrontal cortex in unusual sensory experiences in ASD and its involvement in social aspects. There is evidence of hypoactivation and dysfunction of the neural networks, which include the prefrontal cortex and participate in social cognition, such as the default mode and the mirror neuron system in children with ASD.

Conclusions: Sensory-motor problems at an early age correspond to a disruption in the organisation and regulation not only of perception and action but also language, thought, emotion and even memory.

Title: Papel de la corteza prefrontal en los problemas sensoriales de los niños con trastornos del espectro autista y su implicacion en los aspectos sociales.

Introduccion. En las personas con trastornos del espectro autista (TEA), las percepciones sensoriales aberrantes podrian ser tan caracteristicas y disruptivas como la presencia de anomalias en la comunicacion e interaccion social, asi como de intereses restringidos y repetitivos. La mayoria presenta trastornos de la modulacion sensorial (hiper o hiporresponsividad) en varios canales sensoriales. Ademas, muestra un deficit en la integracion de la informacion procedente de varios sistemas sensoriales (por ejemplo, auditivo y visual). Todo ello agravaria los sintomas nucleares relacionados con la comunicacion y aumentaria la aparicion de problemas conductuales. Objetivo. Revisar la evidencia experimental que aborda el papel de la corteza prefrontal en las experiencias sensoriales inusuales en los TEA y su implicacion en los aspectos sociales. Hay evidencia de hipoactivacion y disfuncion en redes neurales, que incluyen la corteza prefrontal y participan en la cognicion social, como la red por defecto y el sistema de neuronas espejo en niños con TEA. Conclusiones. Los problemas sensoriomotores a edad temprana suponen una disrupcion de la organizacion y regulacion no solo de la percepcion y la accion, sino tambien del lenguaje, el pensamiento, la emocion e incluso la memoria.

Publication types

  • English Abstract

MeSH terms

  • Autism Spectrum Disorder / complications*
  • Autism Spectrum Disorder / physiopathology*
  • Autism Spectrum Disorder / psychology
  • Child
  • Humans
  • Nerve Net / physiopathology
  • Prefrontal Cortex / physiopathology*
  • Sensation Disorders / etiology*
  • Social Behavior Disorders / etiology*