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The Journal of Neuroscience, May 26, 2004, 24(21):5009-5015; doi:10.1523/JNEUROSCI.5272-03.2004

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Neurobiology of Disease
An Experiment of Nature: Brain Anatomy Parallels Cognition and Behavior in Williams Syndrome

Allan L. Reiss,1 Mark A. Eckert,1 Fredric E. Rose,2 Asya Karchemskiy,1 Shelli Kesler,1 Melody Chang,1 Margaret F. Reynolds,1 Hower Kwon,1 and Al Galaburda3

1Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California 94305, 2Laboratory for Cognitive Neuroscience, Salk Institute, La Jolla, California 92037 and 3Harvard Medical School, Department of Neurology, Boston, Massachusetts 02215

Williams syndrome (WS) is a neurogenetic-neurodevelopmental disorder characterized by a highly variable and enigmatic profile of cognitive and behavioral features. Relative to overall intellect, affected individuals demonstrate disproportionately severe visual-spatial deficits and enhanced emotionality and face processing. In this study, high-resolution magnetic resonance imaging data were collected from 43 individuals with WS and 40 age- and gender-matched healthy controls. Given the distinct cognitive-behavioral dissociations associated with this disorder, we hypothesized that neuroanatomical integrity in WS would be diminished most in regions comprising the visual-spatial system and most "preserved" or even augmented in regions involved in emotion and face processing. Both volumetric analysis and voxel-based morphometry were used to provide convergent approaches for detecting the hypothesized WS neuroanatomical profile. After adjusting for overall brain volume, participants with WS showed reduced thalamic and occipital lobe gray matter volumes and reduced gray matter density in subcortical and cortical regions comprising the human visual-spatial system compared with controls. The WS group also showed disproportionate increases in volume and gray matter density in several areas known to participate in emotion and face processing, including the amygdala, orbital and medial prefrontal cortices, anterior cingulate, insular cortex, and superior temporal gyrus. These findings point to specific neuroanatomical correlates for the unique topography of cognitive and behavioral features associated with this disorder.

Key words: emotion; neuron; imaging; morphometry; visual; Williams syndrome; neuroanatomy


Received Nov 28, 2003; revised March 31, 2004; accepted April 8, 2004.




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