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. Author manuscript; available in PMC: 2013 Jun 12.
Published in final edited form as: Curr Opin Neurol. 2012 Apr;25(2):112–124. doi: 10.1097/WCO.0b013e328351823c

Table 1.

Cognitive/behavioral phenotypes and putative neural correlates of fragile X syndrome and Williams syndrome

Cognitive/behavioral features
Putative neural correlate
Fragile X syndrome Williams syndrome Fragile X syndrome Williams syndrome
Social Similarities: Similarities:

Deficits in recognizing subtle social cues and impaired effectiveness in social interaction with peers. Amygdala and fusiform cortex are affected, albeit in different directions.

Contrasts: Contrasts:

Avoidance of social interactions [13]. Poor eye contact [15]; gaze aversion [16]. hcreased social anxiety [15]. Hypersociability [17,18]; approachable [19]; greater attention bias towards happy faces than angry faces [21]. Difficulty in disengaging eye contact in children and adolescents [20]. Ieased phobic like-fears and general anxiety [23]. Smaller amygdala [24,25]. Greater sensitization in the left amygdala with successive exposure to direct gaze [16]. Reduced response to facial expressions within the fusiform cortex [32]. Larger amygdala [26,27]. Reduced amygdala response to fearful facial expressions [28,29]. Abnormally greater response to facial expressions within fusiform cortex face area [31]. Right lateral OFC activation in response to positive faces [33]; right medial OFC activation in response to negative faces [33].

Response inhibition Similarities: Similarities:

Both FraX [34,35] and WS [36] show deficits in response inhibition. Dysfunction of frontostriatal circuitry (FXS [38]; WS[39]), albeit in opposite directions.

Contrasts: Contrasts:

Response inhibition is dysfunctional in male [35] and female [34] adolescents. Deficits in disengaging attention and set-shifting in toddlers [37]. Difficulty inhibiting inappropriately high appetitive drive towards social interaction [36]. Deficits in selective attention in toddlers [37]. Reduced volume of frontal lobe [30]. Dramatically increased caudate nucleus volume [25,40,41,42▪▪,43]. Ineased density of white matter tracts in left ventral frontostriatal pathway [38]. Significant correlation between FMRP and neural responses in right VLPFC and both left and right striatum [34]. Disproportionately large frontal areas [44]. Reduced volume of caudate nucleus [45].

Visuospatial Similarities: Similarities:

Impairments in visuospatial working memory tasks (FraX [8]; WS [46]) and visuomotor coordination (FraX [2]; WS [47,48]). Deficits in the magnocellular/dorsal pathway functioning (FraX [49,50]; WS [51,52]). Decreased activation in SPL during visuospatial working memory task (FraX [53]; WS [54]).

Contrasts: Contrasts:

Deficits in lower level visual processing have been rarely documented, except for aberrant saccade behavior [55], which may confound assessment of visuospatial functioning. Deficits in lower level visualprocessing (strabismus [56], reduced visual acuity [57], reduced stereopsis [58], and impairment in making simple saccades [59]) may confound assessment of visuospatial functioning. Deficits on tasks with stimuli targeting the magnocellular pathway [49,50], Increased size of IPL [25,30]. Reduced IPL activation during visuospatial working memory tasks [53]. White matter connectivity in postcentral gyrus is decreased [60]. DTI reveals that white matter tracts within the magnocellular pathway such as the SLF exhibit an abnormal structural integrity [51,52]. Visuomotor abilities are associated with gray matter density of left IPL [61]. Greater gray matter density within the postcentral gyrus [62].

Language Similarities: Similarities:

Impairments in auditory working memory (FraX [8]; WS [63]) Abnormalities in size of STG and cerebellum, although the deviations from normal are in opposite directions.

Contrasts: Contrasts:

Atypical speech, limited expressive communication. Unusually loquacious and highly expressive [64]. Small STG volume [32]. Reduced volume of cerebellar vermis [65]. Asymmetric STG [66] and disproportionately larger STG volume [45]. Enlarged cerebellar vermis [67].

DTI, diffusion tensor imaging; FraX, fragile X syndrome; IFC, inferior prefrontal cortex; IPL, inferior parietal lobe; OFC, orbitofrontal cortex; SLF, superior longitudinal fasciculus; SPL, superior parietal lobe; STG, superior temporal gyrus; VLPFC, ventral lateral prefrontal cortex; WS, Williams syndrome.