Lowe Jean, Duvall Susanne W, MacLean Peggy C, Caprihan Arvind, Ohls Robin, Qualls Clifford, Phillips John
Pediatric Neonatology Division, University of New Mexico, Albuquerque, New Mexico 87131-5313, USA.
J Child Neurol. 2011 May;26(5):586-92. doi: 10.1177/0883073810388418. Epub 2011 Jan 31.
Research suggests that regional structural differences can be associated with the neurodevelopmental impairments faced by children born very low birth weight. However, most studies have used magnetic resonance imaging (MRI) during the neonatal period or during adolescence. The current study used structural MRI to examine relationships between regional volume differences in toddlers (18-22 months adjusted age) born very low birth weight (n = 16) and full-term (n = 10) and neurodevelopmental outcomes, including cognition, language, and early executive functioning. Compared with the full-term group, the very low birth weight group had larger third ventricles and smaller cerebral white matter, thalamus, hippocampus, cerebellum white matter, and anterior cingulate volume. Additionally, a significant interaction was found between language and early executive function scores and cerebral white matter volumes between groups, suggesting that young children born very low birth weight can have different trajectories in the growth and development of overall brain structure.
研究表明,区域结构差异可能与极低出生体重儿面临的神经发育障碍有关。然而,大多数研究在新生儿期或青春期使用磁共振成像(MRI)。本研究使用结构MRI来检查极低出生体重儿(n = 16)和足月儿(n = 10)在18 - 22个月校正年龄的幼儿期区域体积差异与神经发育结果之间的关系,这些结果包括认知、语言和早期执行功能。与足月儿组相比,极低出生体重组的第三脑室更大,而脑白质、丘脑、海马体、小脑白质和前扣带回体积更小。此外,发现两组之间语言和早期执行功能得分与脑白质体积之间存在显著交互作用,这表明极低出生体重的幼儿在整体脑结构的生长和发育中可能有不同的轨迹。