Disruption of the Social Visual Pathway in Autism Spectrum Disorder

The social visual pathway, which diverges from the dorsal pathway at the visual motion area (MT/V5) and runs from posterior down to anterior portions of the superior temporal sulcus (STS), specializes in processing dynamic social information. This study examined resting-state functional connectivity within this pathway in children with autism spectrum disorder (ASD) and typically developing (TD) children. Using data from the ABIDE (Autism Brain Imaging Data Exchange) repository, we found significant underconnectivity between the posterior and middle STS (pSTS-mSTS) in the right hemisphere in children with ASD compared to TD children. Weaker connectivity in this region of the pathway correlated with more severe social impairment symptoms in ASD and reduced social function across both ASD and TD groups. These findings suggest a specific disruption in the right hemisphere social visual pathway in ASD, potentially contributing to social deficits observed in the disorder.