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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.
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.
Introduction:
Hippocampus is a complex brain structure located deep in the temporal lobes of the brain. The structure has been implicated in several disorders related to cognition. Reports are emerging of its involvement in attention deficit hyperactivity disorder (ADHD). The current study was planned to assess the volume of the hippocampus in children with ADHD and speech and language delay with normal birth history using magnetic resonance imaging (MRI) of the brain.
Material And Methods:
MRI brain of 12 children (age range = 3-6 years) and 22 controls with clinical diagnosis of ADHD as per Diagnostic and Statistical Manual-5 were obtained in oblique coronal sequence (T1 weighted). The entire hippocampus formation was outlined manually using Image-J software available freely from www.freesurfer.com. Results were expressed as volume cubic millimeters ± SD.
Results:
Volumes of the hippocampi of children with ADHD were 2450.2 ± 667 mm3 (R) and 2505.8 ± 878.5 mm3 (L), respectively. The mean volume (bilateral) of the cases was 2478 ± 772.75 mm3. The right hippocampal volume of the controls was 3255.8 ± 1374.3 mm3 (R) and that of the left side was 3159.3 ± 1451 (L) mm3, respectively.
Conclusion:
Current study reported a substantial shrinkage (23%) of the left and right hippocampus in children with ADHD compared to controls.
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