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Published on: April 19, 2024
Patterns of cortical thinning in relation to event-based prospective memory performance three months after moderate
Stephen R McCauley1, Elisabeth A Wilde, Tricia L Merkley
1Physical Medicine and Rehabilitation Alliance of Baylor College of Medicine and the University of Texas-Houston Medical School, Houston, Texas 77030, USA. mccauley@bcm.edu
Insights
Children with traumatic brain injury (TBI) showed reduced cortical thickness in key brain regions. This thinning correlated with poorer event-based prospective memory (EB-PM) performance, highlighting a link between brain structure and memory function after TBI.
Area of Science:
- Neuroscience
- Pediatric Traumatology
- Cognitive Psychology
Background:
- Event-based prospective memory (EB-PM) is crucial for daily functioning in children.
- No prior studies have linked EB-PM performance to brain volumetrics following pediatric traumatic brain injury (TBI).
Purpose of the Study:
- To investigate the relationship between EB-PM performance and cortical thickness in children aged 7-17 years, three months post-moderate to severe TBI or orthopedic injury.
Main Methods:
- Participants completed an EB-PM task and underwent neuroimaging.
- Cortical thickness analysis was performed using FreeSurfer software on T1-weighted MRI scans.
- Statistical analyses adjusted for age to examine correlations between EB-PM and cortical thickness.
Main Results:
- Significant positive correlations were found between EB-PM performance and cortical thickness in multiple brain regions.
- Specifically, thinning in the left hemisphere (prefrontal cortex, cingulate, temporal, fusiform, parahippocampal gyri) and right hemisphere (prefrontal cortex, cingulate, temporal lobe) was associated with poorer EB-PM.
- These findings align with existing neuroimaging and lesion studies on EB-PM.
Conclusions:
- Cortical thinning in specific prefrontal, cingulate, and temporal regions is associated with impaired EB-PM in children after TBI.
- Neuroimaging, particularly cortical thickness analysis, offers valuable insights into cognitive deficits following pediatric TBI.
- This research underscores the structural brain changes impacting prospective memory in pediatric TBI survivors.
Abstract:
While event-based prospective memory (EB-PM) tasks are a familiar part of daily life for children, currently no data exists concerning the relation between EB-PM performance and brain volumetrics after traumatic brain injury (TBI). This study investigated EB-PM in children (7 to 17 years) with moderate to severe TBI or orthopedic injuries. Participants performed an EB-PM task and concurrently underwent neuroimaging at three months postinjury. Surface reconstruction and cortical thickness analysis were performed using FreeSurfer software. Cortical thickness was significantly correlated with EB-PM (adjusting for age). Significant thinning in the left (dorsolateral and inferior prefrontal cortex, anterior and posterior cingulate, temporal lobe, fusiform, and parahippocampal gyri), and right hemispheres (dorsolateral, inferior, and medial prefrontal cortex, cingulate, and temporal lobe) correlated positively and significantly with EB-PM performance; findings are comparable to those of functional neuroimaging and lesion studies of EB-PM.
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