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Entorhinal cortical thinning affects perceptual and cognitive functions in adolescents born preterm with very low birth weight (VLBW).

Abstract：

BACKGROUND:The entorhinal cortex serves as an important gateway between the cerebral cortex and the hippocampus by receiving afferent information from limbic, modality sensory-specific, and multimodal association fibers from all the brain lobes. AIM:To investigate whether thinning of entorhinal cortex is associated with reduced perceptual, cognitive and executive skills in very low birth weight (VLBW) adolescents. STUDY DESIGN:Prospective, geographically based follow-up study of three year cohorts of preterm born VLBW children. SUBJECTS:Forty-nine VLBW (birth weight ≤ 1500 g) and 58 term-born control adolescents were examined at the age of 14-15 years. OUTCOME MEASURES:Perceptual and cognitive functions were assessed with Visual motor integration test, Grooved Pegboard test, Wechsler Intelligence Scale for Children-III and different executive function tests (Wisconsin card sorting test, Trail Making test, Knox cube test). An automated MRI technique at 1.5 T for morphometric analyses of cortical thickness was performed. Areas with cortical thinning in left and right entorhinal cortex in the VLBW group were chosen as regions of interest to look for associations between cortical thickness and clinical findings. RESULTS:Thinning of the entorhinal cortex was correlated with low performance on perceptual and cognitive scores in the VLBW adolescents, but not in controls. In addition, thinning of the entorhinal cortices correlated with reduced performance on several executive tests, including perceptual speed and aspects of working memory. CONCLUSIONS:Entorhinal cortical thinning is related with low IQ and reduced perceptual and executive functions in VLBW adolescents.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Skranes J,Løhaugen GC,Evensen KA,Indredavik MS,Haraldseth O,Dale AM,Brubakk AM,Martinussen M

doi

10.1016/j.earlhumdev.2011.07.017

subject

Has Abstract

pub_date

2012-02-01 00:00:00

pages

103-9

issue

2

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(11)00240-4

journal_volume

88

pub_type

临床试验,杂志文章

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