Right parietal dysfunction in children with attention deficit hyperactivity disorder, combined type: a functional MRI study.

Abstract:

:Attention deficit hyperactivity disorder, combined type (ADHD-CT) is associated with spatial working memory deficits. These deficits are known to be subserved by dysfunction of neural circuits involving right prefrontal, striatal and parietal brain regions. This study determines whether decreased right prefrontal, striatal and parietal activation with a mental rotation task shown in adolescents with ADHD-CT is also evident in children with ADHD-CT. A cross-sectional study of 12 pre-pubertal, right-handed, 8-12-year-old boys with ADHD-CT and 12 pre-pubertal, right-handed, performance IQ-matched, 8-12-year-old healthy boys, recruited from local primary schools, was completed. Participants underwent functional magnetic resonance imaging while performing a mental rotation task that requires spatial working memory. The two groups did not differ in their accuracy or response times for the mental rotation task. The ADHD-CT group showed significantly less activation in right parieto-occipital areas (cuneus and precuneus, BA 19), the right inferior parietal lobe (BA 40) and the right caudate nucleus. Our findings with a child cohort confirm previous reports of right striatal-parietal dysfunction in adolescents with ADHD-CT. This dysfunction suggests a widespread maturational deficit that may be developmental stage independent.

journal_name

Mol Psychiatry

journal_title

Molecular psychiatry

authors

Vance A,Silk TJ,Casey M,Rinehart NJ,Bradshaw JL,Bellgrove MA,Cunnington R

doi

10.1038/sj.mp.4001999

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

826-32, 793

issue

9

eissn

1359-4184

issn

1476-5578

pii

4001999

journal_volume

12

pub_type

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