伴有或不伴有离散性白质异常的极早产儿大脑皮层发育和全智商的运动预测因子。

IF 2.7 3区 医学 Q1 ANATOMY & MORPHOLOGY Brain Structure & Function Pub Date : 2024-12-24 DOI:10.1007/s00429-024-02874-5
L Fernández de Gamarra-Oca, D Nosko, H Kvanta, L Broström, M Strindberg, J Svoboda, N Canto Moreira, N Ojeda, L Zubiaurre-Elorza, M Örtqvist, N Padilla, U Ådén
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引用次数: 0

摘要

目的:探讨极早产儿(EPT)出生后考虑离散性白质异常(WMA)的中学年龄儿童脑皮质发育和全智商表现。此外,评估可能的早期运动预测因素,在10岁时诊断为有或没有离散性WMA的EPT儿童中,大脑皮质发育和全智商。方法:51例妊娠27周前出生的婴儿和40例足月出生的对照组的t1加权MRI图像(年龄=10.09岁;SDage=0.77)对离散WMA进行评分,并使用Freesurfer (v7.2.0)进行分析。评估包括运动评估(即,精细和大运动功能)的贝利婴幼儿发展量表-第三版(BSID-III),平均年龄为2岁半。12岁时用韦氏儿童智力量表第五版(WISC-V)进行全智商测试。结果:出生时患有和不患有离散性WMA的EPT儿童在10岁时的运动功能或全智商评分没有差异。此外,在皮质体积上没有发现整体差异。然而,双侧平均皮质厚度(CTh)在出生时患有离散性WMA的EPT患儿中表现得更厚。离散型WMA患儿在出生时主要表现为额叶、颞叶及左尾前扣带回的区域增加(平均差值= -0.11 (-0.22,-0.01),p = 0.026)。患有离散性WMA的先天性EPT儿童的精细运动技能受损可以预测全智商,解释了42.9%的方差。结论:10岁时患有离散性WMA的EPT患儿的双侧平均CTh和局部CTh高于未患离散性WMA的患儿。2岁半时的精细运动功能是离散型WMA儿童完全依赖智商的有力预测因子。
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Motor predictors of cortical brain development and full-IQ in children born extremely preterm with and without discrete white matter abnormalities.

Aim: To describe the cortical brain development and full-IQ performance in middle school age children after extremely preterm (EPT) birth considering discrete white matter abnormalities (WMA). In addition, to assess possible early motor predictors of cortical brain development and full-IQ in children born EPT with and without discrete WMA diagnosed at 10 years.

Methods: T1-weighted MRI images from fifty-one children born before 27 weeks' gestation and 40 full-term born controls (Mage=10.09 years; SDage=0.77) were scored for discrete WMA and analyzed with Freesurfer (v7.2.0). The assessments included motor assessments (i.e., fine- and gross motor function) of Bayley Scales of Infant and Toddler Development - Third Edition (BSID-III) at a mean age of 2½ years. Full-IQ was also assessed with Wechsler Intelligence Scale for Children - Fifth Edition (WISC-V) at 12 years.

Results: No differences were displayed in motor function or full-IQ score between children born EPT with and without discrete WMA at 10 years. Moreover, no global differences were found in cortex volume. However, bilateral mean cortical thicknesses (CTh) were exhibited to be thicker in children born EPT with discrete WMA. Children born EPT with discrete WMA exhibited regional increases mainly in the frontal and temporal lobes apart from left caudal anterior cingulate gyrus (mean difference = -0.11 (-0.22, -0.01), p = 0.026). Full-IQ was predicted by impairments in fine motor skills in children born EPT with discrete WMA, explaining 42.9% of the variance.

Conclusions: Bilateral mean and regional CTh were found to be greater in children born EPT with discrete WMA at 10 years compared to those without. Fine motor function at 2½ years was a strong predictor of full-IQ dependent in children with discrete WMA.

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来源期刊
Brain Structure & Function
Brain Structure & Function 医学-解剖学与形态学
CiteScore
6.00
自引率
6.50%
发文量
168
审稿时长
8 months
期刊介绍: Brain Structure & Function publishes research that provides insight into brain structure−function relationships. Studies published here integrate data spanning from molecular, cellular, developmental, and systems architecture to the neuroanatomy of behavior and cognitive functions. Manuscripts with focus on the spinal cord or the peripheral nervous system are not accepted for publication. Manuscripts with focus on diseases, animal models of diseases, or disease-related mechanisms are only considered for publication, if the findings provide novel insight into the organization and mechanisms of normal brain structure and function.
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