Autism Clinical Trial
Official title:
Deep rTMS(Repetitive Transcranial Magnetic Stimulation) for Treatment of Autism Symptoms in Children With Low Functioning ASD (Autism Spectrum Disorders)
Autism is a developmental disorder characterized by abnormalities in speech and
communication, impaired social functioning, and repetitive behaviors and interests. The term
"Autism spectrum disorders" or ASD is often used to include autistic disorder, Asperger
syndrome and pervasive developmental disorder-not otherwise specified (PDD-NOS).
Epidemiological research suggests that ASDs affect at least 60 per 10,000 youth, with
estimates as high as 120 per 10,000.
Severity of autistic features is not easily defined and the use of different diagnostic tools
compounds the ability to lay a clear cut definition. It is, though, generally accepted that
children with autism and normal IQ (>70) are "high functioning" regardless of the severity of
their autistic features. The investigators will use the terms "autism" and "ASD"
interchangeably, and the term "low functioning autism" will be used to describe those
children with autism who have, or are presumed to have, IQ<70.
The pathophysiology of autism has been studied extensively in the last decade. Abnormal
neuronal connectivity has been implicated in a growing body of research. In addition, areas
of over and/or under neuronal activation have been detected on functional MRI(Magnetic
Resonance Imaging).
Repetitive Transcranial Magnetic Stimulation (rTMS) is a noninvasive technique that allows to
affect brain activity. The pulses are administered by passing high currents through an
electromagnetic coil placed adjacent to a patient's scalp. The pulses induce an electric
field in the underlying brain tissue. When the induced field is above a certain threshold,
and is directed in an appropriate orientation relative to the brain's neuronal pathways,
localized axonal depolarizations are produced, thus activating the neurons in the relevant
brain structure.
rTMS has been studied in individuals with high functioning autism. rTMS treatment was found
to have an electrophysiological effect and to reduce repetitive behaviors and improved social
functioning.
In the context of existing pilot data suggesting effect of rTMS treatment in individuals with
high functioning autism, the investigators propose a pilot study to assess the efficacy of
rTMS in children and adolescents with low functioning autism.
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