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Preterm EEG: A Multimodal Neurophysiological Protocol
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Heterogeneous, temporally consistent, and plastic brain development after preterm birth.

Melissa Thalhammer1,2, Jakob Seidlitz3,4,5,6, Antonia Neubauer7,8,9

  • 1Technical University of Munich, School of Medicine and Health, Department of Diagnostic and Interventional Neuroradiology, TUM Klinikum Rechts der Isar, Munich, Germany. melissa.thalhammer@tum.de.

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Neurodevelopment after preterm birth is highly variable, with unique brain abnormality patterns in individuals. These patterns share common biological mechanisms and are influenced by early social environments, suggesting targeted interventions.

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Area of Science:

  • Neuroscience
  • Developmental Biology
  • Medical Imaging

Background:

  • Preterm birth leads to diverse neurocognitive outcomes, contrasting with imaging studies suggesting uniform brain aberrations.
  • Existing research often overlooks individual variations in neurodevelopmental trajectories post-preterm birth.

Purpose of the Study:

  • To investigate the heterogeneity and consistency of brain abnormalities in preterm infants, children, and adults.
  • To identify underlying biological mechanisms and environmental influences on neurodevelopment after preterm birth.

Main Methods:

  • Utilized cross-sectional structural magnetic resonance imaging (MRI) data from preterm neonates.
  • Employed longitudinal MRI data from preterm children and adults within a normative reference framework.
  • Analyzed spatial patterns of brain abnormality, glial cell underpinnings, and social environmental influences.

Main Results:

  • Demonstrated highly heterogeneous patterns and severity of brain deviations in individuals born preterm.
  • Identified consistent individual brain abnormality patterns in extent and location across the life course.
  • Found associations between brain abnormalities, glial cell biology, and early social environment plasticity.

Conclusions:

  • Preterm neurodevelopment exhibits significant individual variation in brain abnormality patterns and severity.
  • Consistent biological mechanisms and environmental plasticity shape these individual trajectories.
  • Recommends integrated theranostic strategies, including early brain imaging and social interventions, for targeted support.