Secondary somatosensory cortex evoked responses and 6-year neurodevelopmental outcome in extremely preterm children

Piia Lönnberg1, Elina Pihko2, Leena Lauronen3

  • 1Child Neurology, New Children's Hospital, Pediatric Research Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland; BioMag Laboratory, HUS Medical Imaging Center, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Insights

Secondary somatosensory cortex (SII) responses in extremely preterm born (EPB) children at term-equivalent age (TEA) can predict motor outcomes at age 6. SII responses were similar between EPB and term-born children at age 6.

Area of Science:

  • Neuroscience
  • Developmental Neuroscience
  • Neurophysiology

Background:

  • Extremely preterm birth (EPB) poses risks for neurodevelopmental outcomes.
  • The secondary somatosensory cortex (SII) plays a role in sensory processing and motor control.
  • Early neurophysiological markers are needed for outcome prediction in EPB children.

Purpose of the Study:

  • To investigate the correlation between SII responses at term-equivalent age (TEA) and neurodevelopmental outcomes at age 6 in EPB children.
  • To compare SII responses between 6-year-old EPB and term-born (TB) children.

Main Methods:

  • Magnetoencephalography (MEG) was used to record SII responses to tactile stimulation in 39 EPB children at TEA.
  • At age 6, MEG was performed on 32 EPB and 26 TB children, including a sensorimotor task.
  • Neurological, motor, and cognitive outcomes were assessed at age 6.

Main Results:

  • A unilaterally absent SII response at TEA predicted poorer motor competence in EPB children at age 6 (p=0.03).
  • SII responses were bilaterally detectable in most EPB (88%) and TB (92%) children at age 6 (p=0.69).
  • EPB children, unlike TB children, did not show decreased SII peak latencies during a motor inhibition task (p=0.02).

Conclusions:

  • The presence of SII responses at TEA is a significant predictor of motor development in EPB children.
  • Neurophysiological assessments, such as MEG-based SII response evaluation, offer potential for early prognostication in EPB populations.
Abstract

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