Hippocampal Volume in Children with Attention Deficit Hyperactivity Disorder and Speech and Language Delay

Vikas Dhikav1, Manish Parakh2, Kajal Pandey1

  • 1Department of Health Research, Govt. of India, ICMR-NIIRNCD (Formerly Called as Desert Medicine Research Centre), Airforce Road, Jodhpur, Rajasthan, India.

PubMed

Insights

Children with attention deficit hyperactivity disorder (ADHD) show significant hippocampus shrinkage. This study used MRI to find a 23% reduction in hippocampal volume in pediatric ADHD cases compared to controls.

Area of Science:

  • Neuroscience
  • Pediatric Neurology
  • Radiology

Background:

  • The hippocampus, a critical brain structure in the temporal lobe, is vital for cognitive functions.
  • Emerging evidence links hippocampal abnormalities to neurodevelopmental disorders, including attention deficit hyperactivity disorder (ADHD).
  • Children with ADHD often present with co-occurring speech and language delays, necessitating investigation into underlying neurological correlates.

Purpose of the Study:

  • To quantitatively assess hippocampal volume differences in children diagnosed with ADHD.
  • To investigate the relationship between ADHD and hippocampal volume using advanced neuroimaging techniques.
  • To compare hippocampal volumes in children with ADHD and speech/language delays against a control group with normal birth history.

Main Methods:

  • Magnetic Resonance Imaging (MRI) brain scans were acquired from 12 children (3-6 years) with ADHD and 22 age-matched controls.
  • T1-weighted oblique coronal sequences were utilized for detailed brain imaging.
  • The hippocampus was manually segmented using Image-J software for precise volume measurement in cubic millimeters (mm³).

Main Results:

  • Children with ADHD exhibited significantly reduced hippocampal volumes: Right (R) 2450.2 ± 667 mm³, Left (L) 2505.8 ± 878.5 mm³.
  • The mean bilateral hippocampal volume in the ADHD group was 2478 ± 772.75 mm³.
  • Control group hippocampal volumes were substantially larger: R 3255.8 ± 1374.3 mm³, L 3159.3 ± 1451 mm³.

Conclusions:

  • This study reveals a significant hippocampal volume reduction, approximately 23%, in children with ADHD compared to neurotypical controls.
  • The findings suggest that hippocampal structural alterations may be a key neurobiological feature associated with ADHD in children.
  • Further research is warranted to explore the implications of hippocampal shrinkage for cognitive deficits and developmental trajectories in pediatric ADHD.
Abstract

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