A Preliminary Neuroimaging Study of Preschool Children with ADHD.

Autor: Mahone, E. M., Crocetti, D., Ranta, M. E., Gaddis, A., Cataldo, M., Slifer, K. J., Denckla, M. B., Mostofsky, S. H.
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Zdroj: Clinical Neuropsychologist; Aug2011, Vol. 25 Issue 6, p1009-1028, 20p, 4 Charts, 2 Graphs
Abstrakt: Attention-deficit/hyperactivity disorder (ADHD) is a developmental disorder that, by current definition, has onset prior to age 7 years. MRI studies have provided some insight into brain differences associated with ADHD, but thus far have almost exclusively focused on children ages 7 years and older. To better understand the neurobiological development of ADHD, cortical and subcortical brain development should be systematically examined in younger children presenting with symptoms of the disorder. High-resolution anatomical (MPRAGE) images, acquired on a 3.0T scanner, were analyzed in a total of 26 preschoolers, ages 4–5 years (13 with ADHD, 13 controls, matched on age and sex). The ADHD sample was diagnosed using DSM-IV criteria, and screened for language disorders. Cortical regions were delineated and measured using automated methods in Freesurfer; basal ganglia structures were manually delineated. Children with ADHD showed significantly reduced caudate volumes bilaterally; in contrast there were no significant group differences in cortical volume or thickness in this age range. After controlling for age and total cerebral volume, left caudate volume was a significant predictor of hyperactive/impulsive, but not inattentive symptom severity. Anomalous basal ganglia, particularly caudate, development appears to play an important role among children presenting with early onset symptoms of ADHD. [ABSTRACT FROM AUTHOR]
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