Brain structure and function in the fourth decade of life after extremely low birth weight: An MRI and EEG study

Karen J Mathewson1, Elliott A Beaton2, Diana Hobbs3

  • 1Department of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, ON, Canada.

Insights

Adults born extremely low birth weight (ELBW) show reduced brain function and cognitive performance. Increased white matter hypointensities (WMH) in ELBW survivors may explain these long-term effects.

Area of Science:

  • Neuroscience
  • Developmental Neuroscience
  • Neuroimaging

Background:

  • Extremely low birth weight (ELBW; ≤ 1000 g) affects neurodevelopment.
  • Long-term cognitive and brain structure outcomes in ELBW survivors require further investigation.

Purpose of the Study:

  • To examine long-term effects of ELBW on adult brain structure, function, and cognitive-behavioral performance.
  • To investigate the relationship between white matter hypointensities (WMH) and neurocognitive outcomes in ELBW survivors.

Main Methods:

  • Compared brain MRI, resting EEG, and face-processing task performance in ELBW survivors and normal birth weight (NBW) adults in their early thirties.
  • Assessed visual discrimination accuracy, EEG alpha power, and long-distance alpha coherence.
  • Quantified WMH volumes.

Main Results:

  • ELBW survivors exhibited lower visual discrimination accuracy, reduced resting EEG alpha power, and decreased long-distance alpha coherence compared to NBW adults.
  • ELBW survivors had higher WMH volumes.
  • Face-processing performance correlated positively with EEG spectral power and coherence, and negatively with WMH; associations were partly mediated by WMH.

Conclusions:

  • WMH burden, greater in ELBW adults, may negatively impact electrocortical activity, brain functional connectivity, and higher-order processing.
  • Increased WMH volumes may partly explain decrements in electrocortical activity and behavioral performance in adult ELBW survivors.
Abstract