Autism Flashcards

1
Q

what is the two main identifiers of Aspergers syndrome?

A

-impaired social interaction
-impaired restricted activity particularly focussed to inanimate objects

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2
Q

what is the three original main identifiers of autism? (only one differentiates aspergers to autism).

A

-impaired social interaction
-impaired restricted activity particularly focussed to inanimate objects
- verbal communication or reduced language skills

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3
Q

what type of disorder is autism?

A

Pervasive Developmental Disorder

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4
Q

What two syndromes present autistic traits but are actually mental retardation?

A
  • Rett’s Syndrome
  • Fragile X syndrome
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5
Q

Name some mental pervasive developmental disorders

A

Aspergers
Autism
PDD-NOS
Heller’s Childhood Disintegrative Disorder
Fragile X syndrome
Rett’s syndrome

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6
Q

What are the theorised causes of autism?

A

-Monozygotic twins and significant sibling indicate genetic component
-Clear complex (polygenic) underpinnings
-Further enviromental interactions

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7
Q

what is Heller’s Childhood Disintergrative Disorder?

A

Normal development followed by dysfunction in many areas beyond seen in autism. Docial skills less disrupted than classic autistic. Severe decline in language skills.

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8
Q

What is Fragile X syndrome?

A

Single gene mutation in fragile X gene causes RNA binding protein to become mutated (ends up developing into a worse condition of mental retardation).

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9
Q

What causes Rett’s Syndrome?

A

Single gene mutation in MECP methylation enzyme involved in DNA binding protein.

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10
Q

What is DSM V?

A

Diagnostic and Statistical manual of mental disorders

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11
Q

What is the triad by which Mental disorders are acessed?

A

1) Persistent deficits in social communication and social interaction
2)Restricted, repetitive patterns of behaviour, interests or activities as manifested
3)Symptoms must be present in early childhood but may not become fully manifest until social demands excedd limited capacities

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12
Q

What is the Sally Anne Test doll?

A

Two dolls, each with two chests with treasure inside. One is sweet and one is naughty, the naughty one steals sweet boys treasure and puts in his own chest when the sweet boy leaves. When the sweet boy comes back the psychologist asks where the sweet boy will look for his treasure.
Atypical child - will say the naughty dolls chest

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13
Q

What gender is autism more prevalent or more diagnosed in ?

A

Male population

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14
Q

What does it mean by females emphathise?

A

They do well in behavioural scores of ability to predict and respond appropriately to others (normally peoples) mental state

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15
Q

What does it mean by males systemise?

A

They predict and respond to the behaviour of nonagentive deterministic systems by predicting rules that govern the system

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16
Q

Whats one possible reason men are more likely to develop autism?

A
  • men have increased white matter subserving local neuronal connections that underpin systemising the increased proportion of local circuits promote focussed behaviour
  • in autistic men may underpin focussed and act against empathising nerve activity
  • argues for a role in prenatal androgens exposure in mechanisms that give rise to the autistic phenotype. Androgen production does impact on early brain development.
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17
Q

Where in brain imaging needs to be explored for social aspects ?

A

Cortcal regions:
- medial frontal cortex
- temporpaieatal junction
-temporal suculus and poles

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18
Q

In brain imaging where would you focus on for repetitive traits?

A

Caudate putamen

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18
Q

In brain imaging where would you focus on for repetitive traits?

A

Caudate putamen

19
Q

In brain imaging where would you focus on for verbal disruption in autism?

A

Dysfunction in voice centres of the cortex

20
Q

What things could be seen in a brain with autism?

A
  • cell number increases or decreases
  • cell size might change
  • cell density increases
  • connectivity may change
21
Q

Whats the coincidence in monozygotic twinsn of autism?

A

90%

22
Q

What does a neuroligin deficiency in animal models show?

A

Has an autistic phenotype

23
Q

what is a neuroligin?

A

a postsynaptic molecule important in cell adhesion with presynaptic neuron (faces out into synaptic cleft)

24
Q

what does neuroligin’s bind to?

A

neurexin

25
Q

What occurs in neuroligin deficient mice?

A

The ratio of inhibitory/ excitatory transmission is reduced so excitatory transmission dominates

26
Q

Name three behavioural therapies used to induce ‘behavioural plasticity’ ?

A

1) Sensory or play therapy
2 Encourage interaction with enviroment and others
3)Cognitive therapy

27
Q

How does Haloperidol and Resperidone work?

A

Haloperidol - dopamine receptor antagonist

Resperidon - dopamine and serotonin antagonist

28
Q

Where do drug therapies aim to treat the symptoms?

A
  • target neurochemistry that underpins the autistic triad
  • transmitter pathways that underlie behavioural disorders associated with autism
  • organic interventions associated with vitamin supplements or diet (including Mg2+, vitamin B6 and B12)
29
Q

What is the thalamus?

A

Central relay station for sensory and motor systems

30
Q

what is the basic pathway of sensory information?

A

goes to the thalamus via sensory tract then is synapsed to the primary somatosensory cortex

31
Q

what other part of the brain does the thalamus form a circuit loop with?

A

forms a circuit loop with the striatum that is important in controlling input to the cortex

32
Q

What nuclei are part of the basal ganglia?

A
  • caudate nucleus
  • putamen
  • globus pallidus
  • substantia nigra
33
Q

what nuclei the striatum made up of ?

A

caudate and putamen

34
Q

what is hemiballismus?

A

a basal ganglia syndrome that results from damage to the subthalamic nucleus in the basal ganglia

35
Q

What three nuclei are main components of the limibic system?

A
  • amygdala
  • hypothalamus
  • hippocampus
36
Q

What other parts of the brain are part of the limbic system?

A
  • hippocampus
  • fornix
  • mammilary body
  • thalamus
  • cingulate gyrus
  • amygdala
  • ventral striatum
37
Q

What happens to people with Urbach-Wiethe disease?

A

Lesions of the amygdala can occur causing calcium to be deposited there. Patients with these bilateral amygdala lesions cannot discriminate emotion in facial expressions but their ability to identify faces remains.

38
Q

explain cerebral cortex in autistic patients

A
  • increased cell density
  • smaller cortical minicolumns
  • ecotopic neurons
  • neuronal disorganisation
  • areas of increased cortical thickness
  • poor lamination in the anterior cingulate cortex
39
Q

explain cerebellar cortex in autistic patients

A
  • decreased purkinje cell number
  • modest decrease in granule cell counts
40
Q

explain deep cerebellar nuclei in autistic patients

A
  • increased cell size before age 12 and decreased cell counts after age 22
  • dysplasia in the denate nucleus
  • subcortical actopic gray matter
41
Q

explain inferior olivary nucleus in autistic patients

A
  • increased cell size before age 12 and decreased cell size after age 22
  • olivary dysplasia
42
Q

explain entorhinal cortex in autistic patients

A

Increased cell density and reduced neuronal size

43
Q

explain hippocampus in autistic patients

A
  • Increased cell density and reduced neuronal size
  • Decreased dendritic branching
44
Q

explain facial nucleus in autistic patients

A

Cell density decreased by 95%

45
Q

explain amygdala in autistic patients

A

increased cell density and reduced neuronal size