Volume changes and brain-behavior relationships in white matter and subcortical gray matter in children with prenatal

Prapti Gautam1, Catherine Lebel, Katherine L Narr

  • 1Department of Pediatrics, Developmental Cognitive Neuroimaging Laboratory, Keck School of Medicine, USC/Children's Hospital of Los Angeles, Los Angeles, California.

Human Brain Mapping
|February 26, 2015
PubMed

Insights

Children with prenatal alcohol exposure (PAE) show stable brain volume differences and altered brain-behavior relationships. These findings suggest a potential for intervention, offering hope for improved outcomes in affected children.

Area of Science:

  • Neuroscience
  • Developmental Psychology
  • Pediatrics

Background:

  • Prenatal alcohol exposure (PAE) can lead to cognitive and behavioral abnormalities.
  • Understanding brain structure changes and their relationship with neurodevelopmental outcomes in PAE is crucial.

Purpose of the Study:

  • To compare white matter and subcortical gray matter volume change rates in children with and without PAE.
  • To examine the relationship between annual brain volume change and cognitive, behavioral, and executive function outcomes.

Main Methods:

  • Longitudinal study with two MRI scans (~2 years apart) in 75 PAE and 64 control children (ages 7.1-15.9).
  • Assessments included Wechsler Intelligence Scale for Children (WISC-IV), Child Behavior Checklist, and Behavior Rating Inventory of Executive Function.
  • Subcortical brain volumes were analyzed for group differences and correlations with behavioral scores.

Main Results:

  • Children with PAE exhibited smaller overall brain volumes compared to controls.
  • Similar rates of subcortical volume growth were observed in both PAE and control groups.
  • Abnormal brain-behavior relationships were found in PAE, with larger volume increases correlating with poorer outcomes.

Conclusions:

  • Despite similar growth trajectories, PAE is associated with persistent brain volume differences and altered brain-behavior correlations.
  • These findings suggest unique brain resource utilization in PAE and indicate a potential for intervention.
  • Stable volume differences may provide an extended window for therapeutic interventions in children affected by PAE.

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