Trouble du spectre de l'autisme

Un trouble du spectre de l'autisme (anciennement trouble du spectre autistique) ou TSA (en autism spectrum disorder ou ASD) est un diagnostic de l'autisme depuis 2013, dans la du Manuel diagnostique et statistique de l'Association américaine de psychiatrie (DSM-5). Les éditions antérieures du DSM, et la de la Classification internationale des maladies de l'Organisation mondiale de la santé (CIM-10), utilisent la dénomination troubles envahissants du développement (ou TED). L'expression « trouble du spectre de l'autisme » témoigne d'une façon différente d'envisager l'autisme. Ses critères diagnostiques ont été modifiés. Critères diagnostiques D'après le DSM-5, le diagnostic est posé à partir de la présence de deux groupes de symptômes (A et B). La sévérité est spécifiée sur la base des déficits dans ces deux catégories. Social

A – Des déficits persistants dans la communication sociale et les interactions sociales dans de multiples contextes : déficits de l

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Emotional contagion for pain is intact in autism spectrum disorders

Nouchine Hadjikhani, Loyse Hippolyte, Ophélie Rogier, Torsten Ruest

Perceiving others in pain generally leads to empathic concern, consisting of both emotional and cognitive processes. Empathy deficits have been considered as an element contributing to social difficulties in individuals with autism spectrum disorders (ASD). Here, we used functional magnetic resonance imaging and short video clips of facial expressions of people experiencing pain to examine the neural substrates underlying the spontaneous empathic response to pain in autism. Thirty-eight adolescents and adults of normal intelligence diagnosed with ASD and 35 matched controls participated in the study. In contrast to general assumptions, we found no significant differences in brain activation between ASD individuals and controls during the perception of pain experienced by others. Both groups showed similar levels of activation in areas associated with pain sharing, evidencing the presence of emotional empathy and emotional contagion in participants with autism as well as in controls. Differences between groups could be observed at a more liberal statistical threshold, and revealed increased activations in areas involved in cognitive reappraisal in ASD participants compared with controls. Scores of emotional empathy were positively correlated with brain activation in areas involved in embodiment of pain in ASD group only. Our findings show that simulation mechanisms involved in emotional empathy are preserved in high-functioning individuals with autism, and suggest that increased reappraisal may have a role in their apparent lack of caring behavior.

Nature Publishing Group2014

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Improving emotional face perception in autism with diuretic bumetanide: A proof-of-concept behavioral and functional brain imaging pilot study

Nouchine Hadjikhani, Loyse Hippolyte, Ophélie Rogier, Torsten Ruest

Clinical observations have shown that GABA-acting benzodiazepines exert paradoxical excitatory effects in autism, suggesting elevated intracellular chloride (Cl-)(i) and excitatory action of GABA. In a previous double-blind randomized study, we have shown that the diuretic NKCC1 chloride importer antagonist bumetanide, that decreases (Cl-)(i) and reinforces GABAergic inhibition, reduces the severity of autism symptoms. Here, we report results from an open-label trial pilot study in which we used functional magnetic resonance imaging and neuropsychological testing to determine the effects of 10 months bumetanide treatment in adolescents and young adults with autism. We show that bumetanide treatment improves emotion recognition and enhances the activation of brain regions involved in social and emotional perception during the perception of emotional faces. The improvement of emotion processing by bumetanide reinforces the usefulness of bumetanide as a promising treatment to improve social interactions in autism.

Sage Publications Ltd2015

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Perception of Social Cues of Danger in Autism Spectrum Disorders

Nouchine Hadjikhani, Loyse Hippolyte, Ophélie Rogier, Torsten Ruest, Britt Russo

Intuitive grasping of the meaning of subtle social cues is particularly affected in autism spectrum disorders (ASD). Despite their relevance in social communication, the effect of averted gaze in fearful faces in conveying a signal of environmental threat has not been investigated using real face stimuli in adults with ASD. Here, using functional MRI, we show that briefly presented fearful faces with averted gaze, previously shown to be a strong communicative signal of environmental danger, produce different patterns of brain activation than fearful faces with direct gaze in a group of 26 normally intelligent adults with ASD compared with 26 matched controls. While implicit cue of threat produces brain activation in attention, emotion processing and mental state attribution networks in controls, this effect is absent in individuals with ASD. Instead, individuals with ASD show activation in the subcortical face-processing system in response to direct eye contact. An effect of differences in looking behavior was excluded in a separate eye tracking experiment. Our data suggest that individuals with ASD are more sensitive to direct eye contact than to social signals of danger conveyed by averted fearful gaze.

Public Library Science2013

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Schizophrénie

La schizophrénie est un trouble mental sévère et chronique, dans le groupe des troubles psychotiques. Il apparaît généralement au début de l'âge adulte et affecterait près de 0,72 % de la population,

Trouble psychique

Un trouble psychique, qui peut être également désigné sous les termes de trouble psychiatrique ou encore de trouble mental, désigne un ensemble d'affections et troubles d'origines très différentes e

Trouble du déficit de l'attention avec ou sans hyperactivité

Le trouble déficit de l'attention avec ou sans hyperactivité (TDAH ; en anglais : attention deficit hyperactivity disorder, ADHD) est un trouble du neurodéveloppement caractérisé par trois types de s

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CH-401: Advanced nuclear magnetic resonance

Principles of Magnetic Resonance Imaging (MRI) and applications to medical imaging. Principles of modern multi-dimensional NMR in liquids and solids. Structure determination of proteins & materials. Measurement of molecular dynamics. Principles of Hyperpolarization.

ENV-410: Science of climate change

The course equips students with a comprehensive scientific understanding of climate change covering a wide range of topics from physical principles, historical climate change, greenhouse gas emissions, the IPCC assessment to future scenarios and climate action.