Table 1.
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.