Cortical Reorganization following Injury Early in Life

Moran Artzi1, Shelly Irene Shiran2, Maya Weinstein3

  • 1Functional Brain Center, The Wohl Institute for Advanced Imaging, Tel Aviv Sourasky Medical Center, 6 Weizmann Street, 64239 Tel Aviv, Israel; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Neural Plasticity
|June 15, 2016
PubMed

Insights

Brain injury in children causes structural changes like reduced white matter and increased cerebrospinal fluid (CSF). Reorganization in the unaffected hemisphere may compensate for deficits, but correlates with motor performance.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Pediatric Neurology

Background:

  • The brain's plasticity allows reorganization after injury, particularly in early life.
  • Limited understanding exists regarding structural brain reorganization and its effects following perinatal injuries.

Purpose of the Study:

  • To investigate structural brain changes in children with hemiplegia compared to typically developing children.
  • To analyze differences in brain tissue volume, morphology, perfusion, and integrity.

Main Methods:

  • Magnetic Resonance Imaging (MRI) was employed to assess brain structure and function.
  • Comparative analysis between children with hemiplegia and a control group of typically developing children.

Main Results:

  • Children with hemiplegia showed reduced total cerebral volume, increased cerebrospinal fluid (CSF), and decreased white matter volume.
  • Increased cortical thickness was observed in motor and language areas of the hemisphere contralateral to the lesion (CLH).
  • Reduced cortical thickness, perfusion, and surface area were noted in limbic areas; increased CSF and CLH cortical thickness correlated with poorer motor function.

Conclusions:

  • Brain reorganization, specifically gray matter changes in the CLH, is a response to early-life neuronal deficits after injury.
  • While CLH reorganization occurs, it doesn't guarantee improved outcomes and may correlate with motor deficits.

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