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Neural Substrates of Inhibitory Control Deficits in 22q11.2 Deletion Syndrome.
[22q11.2 deletion syndrome]
22
q
11
.
2
deletion
syndrome
(
22
q
11
DS
)
is
associated
with
elevated
levels
of
impulsivity
,
inattention
,
and
distractibility
,
which
may
be
related
to
underlying
neurobiological
dysfunction
due
to
haploinsufficiency
for
genes
involved
in
dopaminergic
neurotransmission
(
i
.
e
.
catechol-
O-
methyltransferase
)
.
The
Stop-signal
task
has
been
employed
to
probe
the
neural
circuitry
involved
in
response
inhibition
(
RI
)
;
findings
in
healthy
individuals
indicate
that
a
fronto-
basal
ganglia
network
underlies
successful
inhibition
of
a
prepotent
motor
response
.
However
,
little
is
known
about
the
neurobiological
substrates
of
RI
difficulties
in
22
q
11
DS
.
Here
,
we
investigated
this
using
functional
magnetic
resonance
imaging
while
45
adult
participants
(
15
22
q
11
DS
patients
,
30
matched
controls
)
performed
the
Stop-signal
task
.
Healthy
controls
showed
significantly
greater
activation
than
22
q
11
DS
patients
within
frontal
cortical
and
basal
ganglia
regions
during
successful
RI
,
whereas
22
q
11
DS
patients
did
not
show
increased
neural
activity
relative
to
controls
in
any
regions
.
Using
the
Barratt
Impulsivity
Scale
,
we
also
investigated
whether
neural
dysfunction
during
RI
was
associated
with
cognitive
impulsivity
in
22
q
11
DS
patients
.
RI
-related
activity
within
left
middle
frontal
gyrus
and
basal
ganglia
was
associated
with
severity
of
self-reported
cognitive
impulsivity
.
These
results
suggest
reduced
engagement
of
RI
-related
brain
regions
in
22
q
11
DS
patients
,
which
may
be
relevant
to
characteristic
behavioral
manifestations
of
the
disorder
.
Diseases
Validation
Diseases presenting
"functional magnetic resonance imaging"
symptom
22q11.2 deletion syndrome
locked-in syndrome
phenylketonuria
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