Tinelli Francesca, Anobile Giovanni, Gori Monica, Aagten-Murphy David, Bartoli Mariaelisa, Burr David C, Cioni Giovanni, Concetta Morrone Maria
Department of Developmental Neuroscience, Stella Maris Scientific Institute, Pisa, Italy.
Department of Neuroscience, Psychology, Pharmacology and Child Health, University of Florence, Florence, Italy.
Neuropsychologia. 2015 Jul;73:60-9. doi: 10.1016/j.neuropsychologia.2015.04.016. Epub 2015 Apr 28.
Premature birth has been associated with damage in many regions of the cerebral cortex, although there is a particularly strong susceptibility for damage within the parieto-occipital lobes (Volpe, 2009). As these areas have been shown to be critical for both visual attention and magnitudes perception (time, space, and number), it is important to investigate the impact of prematurity on both the magnitude and attentional systems, particularly for children without overt white matter injuries, where the lack of obvious injury may cause their difficulties to remain unnoticed. In this study, we investigated the ability to judge time intervals (visual, audio and audio-visual temporal bisection), discriminate between numerical quantities (numerosity comparison), map numbers onto space (numberline task) and to maintain visuo-spatial attention (multiple-object-tracking) in school-age preterm children (N29). The results show that various parietal functions may be more or less robust to prematurity-related difficulties, with strong impairments found on time estimation and attentional task, while numerical discrimination or mapping tasks remained relatively unimpaired. Thus while our study generally supports the hypothesis of a dorsal stream vulnerability in children born preterm relative to other cortical locations, it further suggests that particular cognitive processes, as highlighted by performance on different tasks, are far more susceptible than others.
早产与大脑皮层许多区域的损伤有关,尽管顶枕叶内的损伤易感性尤为强烈(沃尔普,2009年)。由于这些区域已被证明对视觉注意力和数量感知(时间、空间和数字)都至关重要,因此研究早产对数量和注意力系统的影响非常重要,特别是对于没有明显白质损伤的儿童,因为缺乏明显损伤可能导致他们的困难未被察觉。在本研究中,我们调查了学龄期早产儿(N = 29)判断时间间隔(视觉、听觉和视听时间二等分)、区分数量(数量比较)、将数字映射到空间(数字线任务)以及维持视觉空间注意力(多目标追踪)的能力。结果表明,各种顶叶功能对早产相关困难的耐受性可能或多或少有所不同,在时间估计和注意力任务中发现了严重损伤,而数字辨别或映射任务相对未受影响。因此,虽然我们的研究总体上支持早产儿童相对于其他皮层位置背侧流易损性的假设,但它进一步表明,不同任务表现所突出的特定认知过程比其他过程更容易受到影响。