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Related Concept Videos

Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

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Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
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Related Experiment Video

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Frontal interhemispheric structural connectivity, attention, and executive function in children with perinatal

Nicole Larsen1, Brandon T Craig1,2,3,4, Alicia J Hilderley1,2,3,4

  • 1Calgary Pediatric Stroke Program, Alberta Children's Hospital, Calgary, Canada.

Brain and Behavior
|November 26, 2021
PubMed
Summary

Perinatal stroke in children is linked to Attention Deficit/Hyperactivity Disorder (ADHD) and executive dysfunction. Diffusion imaging reveals altered frontal white matter microstructure, correlating with poorer cognitive and behavioral outcomes in affected children.

Keywords:
ADHDcerebral palsydiffusion tensor imagingexecutive functionperinatal stroketractography

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Area of Science:

  • Neuroscience
  • Pediatric Neurology
  • Radiology

Background:

  • Perinatal stroke impacts approximately 1 in 1000 births, frequently leading to cognitive impairments.
  • Attention Deficit/Hyperactivity Disorder (ADHD) and executive dysfunction are significantly more common in children with perinatal stroke.

Purpose of the Study:

  • To investigate the relationship between frontal white matter (WM) microstructure differences and cognitive impairments in children with perinatal stroke.
  • To explore if diffusion imaging metrics of frontal WM can serve as biomarkers for cognitive and behavioral outcomes.

Main Methods:

  • Used diffusion imaging and tractography to isolate and analyze the anterior forceps in 83 children (26 arterial ischemic stroke, 26 periventricular venous infarction, 31 controls).
  • Quantified frontal WM microstructure using along-tract analyses.
  • Correlated WM metrics with parent ratings of ADHD symptoms (ADHD-5) and executive functioning (BRIEF).

Main Results:

  • Stroke groups exhibited altered frontal WM microstructure compared to controls.
  • Differences in WM metrics were observed both near the lesion site and in remote areas, including the nonlesioned hemisphere.
  • Higher white matter diffusivity values correlated with increased ADHD symptoms and poorer executive function.

Conclusions:

  • Frontal white matter microstructure, as assessed by diffusion imaging and tractography, is altered in children with perinatal stroke.
  • These microstructural changes are associated with significant cognitive and behavioral deficits, including ADHD and executive dysfunction.
  • Frontal WM microstructure may serve as a valuable biomarker for understanding and potentially predicting cognitive and behavioral outcomes in perinatal stroke survivors.