Motor cortex hyperexcitability in Rett Syndrome (RS) has been ascribed to the failure of an inhibiting system arising from the frontal lobes, a system needed in childhood and early adolescence. It is also presumed that, on a virtually dysfunctional (nonstructural) basis, motor cortex hyperexcitability in ADHD is also due to insufficient frontal lobe inhibition (“lazy frontal lobe”).
A series of schematic illustrations is added for the sake of easier comprehension of the presented concept.
RichterCPBiological Clocks in Medicine and Psychiatry. Springfield: Thomas; 1965.
2.
RettA.Über ein eigenartiges hirnatrophisches Syndrom bei Hyperammonaemie im Kindesalter. Wien med Wochenschr1966;116:723–738.
3.
HagbergHAicardiJDiasKRamosO.A progressive syndrome of autism, dementia, ataxia and loss of purposeful hand movements in girls. Ann Neurol1983;14:471–479.
4.
NiedermeyerERettARennerHMurphyMNaiduS.Rett syndrome and the electroencephalogram. Am J Med Genetics1986;24:195–199.
5.
NiedermeyerENaiduS.Further EEG observations in children with Rett syndrome. Brain Devel1990;12:53–54.
6.
NiedermeyerENaiduS.The usefulness of EEG in Rett syndrome. Am J EEG Technol1991;31:27–37.
7.
NiedermeyerENaiduSPlateC.Unusual EEG theta rhythms over central region in Rett syndrome. Clin Electroencephalogr1997;28:36–43.
8.
NiedermeyerENaiduS.EEG and the motor cortex as a model for better understanding of Attention Deficit Hyperactivity Disorder (ADHD). Europ Child Adolesc Psychiatry1998;7:69–71.
9.
NiedermeyerENaiduS.Attention Deficit Hyperactivity Disorder (ADHD) and frontal-motor-cortex disconnection. Clin Electroencephalogr1997;28:130–136.
10.
NiedermeyerE.Frontal lobe functions and dysfunctions. Clin Electroencephalogr1998;29:79–90.
11.
ArmstrongDDThe neuropathology of Rett syndrome: Overview 1994. Neuropediatrics1995;26:100–104.
12.
CrawfordMPFultonJFJacobsenCFWolfJB (eds). Frontal Lobe Ablation in Chimpanzee: A Resume of “Becky” and “Lucie,” 1948. Quoted after Jasper HH. A Historical Perspective. The Rise and Fall of Prefrontal Lobotomy. In: JasperHHRiggioSGoldman-RakicPS (eds). Epilepsy and the Functional Anatomy of the Frontal Lobe. New York: Raven; 1995: 97–114.
13.
GilbergC.Clinical Child Neuropsychiatry. Cambridge: University of Cambridge Press; 1995.
14.
LhermitteFPillonBSerdaruM.Human autonomy and the frontal lobes. Part II: Patient behavior in complex and social situations: the “environmental dependency syndrome.”Ann Neurol1986;19:335–343.
15.
KnightRTGraboweckyMFScabiniD.Role of the human prefrontal cortex in attention control. In: JasperHHRiggioSGoldman-RakicPS (eds). Epilepsy and the Functional Anatomy of the Frontal Lobe. New York: Raven; 1995: 21–36.
16.
LouHCHenriksenLBruhnP.Focal cerebral hypoperfusion in children with aphasia and/or attention deficit disorder. Arch Neurol1984;41:825–829.
17.
AmenDGCarmichaelBDHigh resulation brain SPECT imaging in ADHD. Ann Clin Psychiatry1997;9:81–86.
18.
NashJKTreatment of Attention Deficit Hyperactivity Disorder with Neurotherapy. Clin Electroencephalogr2000;31:30–37.
19.
RizzolattiGLuppinoGMatelliM.The classic supplementary motor area is formed by two independent areas. In: LüdersHO (ed). Supplementary Sensorimotor Area. Philadelpha: Lippincott-Raven; 1996: 45–56.