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注意缺陷多动障碍-多动型(ADHD-H)儿童的神经代谢功能及神经心理学相关性:初步研究结果

Neurometabolic functioning and neuropsychological correlates in children with ADHD-H: preliminary findings.

作者信息

Courvoisie Helen, Hooper Stephen R, Fine Camille, Kwock Lester, Castillo Mauricio

机构信息

Department of Psychniatry and Behavioral Sciences, Johns Hopkins University Medical School, Baltimore, Maryland 21287, USA.

出版信息

J Neuropsychiatry Clin Neurosci. 2004 Winter;16(1):63-9. doi: 10.1176/jnp.16.1.63.

DOI:10.1176/jnp.16.1.63
PMID:14990761
Abstract

Proton magnetic resonance spectroscopy (MRS) and neuropsychological testing were conducted on 8 children with attention-deficit/hyperactivity disorder (ADHD-H), with no learning disabilities or comorbidities and 8 controls. Magnetic resonance spectroscopy revealed increased Glutamate/Glutamine in both frontal areas, and increased N-acetyl aspartate and Choline in the right frontal area of the ADHD-H subjects. Neuropsychological testing revealed few within- and between-group differences. Findings related to frontal lobe dysfunction in ADHD-H subjects were noted. N-acetylasparte/creatine (NAA/Creatine) in the right frontal region, and myoinositol/creatine (Myo inositol/Creatine) in the right and left frontal regions appear to be highly associated with the regulation of sensorimotor, language, and memory and learning functioning in children with ADHD-H.

摘要

对8名患有注意力缺陷多动障碍(ADHD-H)且无学习障碍或共病的儿童以及8名对照组儿童进行了质子磁共振波谱(MRS)和神经心理学测试。磁共振波谱显示,ADHD-H受试者的两个额叶区域谷氨酸/谷氨酰胺增加,右侧额叶区域N-乙酰天门冬氨酸和胆碱增加。神经心理学测试显示组内和组间差异较少。注意到与ADHD-H受试者额叶功能障碍相关的发现。右侧额叶区域的N-乙酰天门冬氨酸/肌酸(NAA/肌酸)以及左右额叶区域的肌醇/肌酸似乎与ADHD-H儿童的感觉运动、语言以及记忆和学习功能的调节高度相关。

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