Thalamo-Striatal T2-Weighted Hyperintensities (Unidentified Bright Objects) Correlate With Cognitive Impairments in Neurofibromatosis Type 1 During Childhood

被引:31
作者
Chabernaud, Camille [1 ,2 ]
Sirinelli, Dominique [3 ]
Barbier, Charlotte [3 ,4 ]
Cottier, Jean-Philippe [4 ]
Sembely, Catherine [3 ]
Giraudeau, Bruno [5 ]
Deseille-Turlotte, Geraldine [1 ,2 ]
Lorette, Gerard [1 ,2 ,6 ]
Barthez, Marie-Anne [1 ,2 ]
Castelnau, Pierre [1 ,2 ,7 ]
机构
[1] Hop Clocheville, Pediat Neurol Unit, Tours, France
[2] Hop Clocheville, Reference Ctr Language & Learning Disorders, Tours, France
[3] Hop Clocheville, Pediat Radiol Unit, Tours, France
[4] Bretonneau Hosp, Neuroradiol Unit, Tours, France
[5] INSERM, CIC 202, Tours, France
[6] CHRU Tours, Hop Trousseau, Dermatol Unit, Tours, France
[7] INSERM, U930, Tours, France
关键词
HIGH-SIGNAL-INTENSITY; BASAL GANGLIA; LEARNING-DISABILITIES; CHILDREN; MRI; DEFICITS; PROFILE;
D O I
10.1080/87565640903265137
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Learning disabilities represent the main childhood complication in neurofibromatosis type 1 (NF1). Patients frequently exhibit T2-weighted hyperintensities called unidentified bright objects (UBOs) on brain magnetic resonance imaging (MRI), with unclear relationship to such cognitive disabilities. This study aimed to determine whether thalamo-striatal UBOs correlate with cognitive disturbances. Thirty-seven NF1 children were studied: 24 with UBOs (18 of which were thalamo-striatal UBOs), and 13 without UBOs. NF1 subjects carrying thalamo-striatal UBOs had significantly lower IQs and visuospatial performances than those without UBOs in this location. These results suggest that UBOs may contribute to NF1 cognitive impairments through thalamo-cortical dysfunction.
引用
收藏
页码:736 / 748
页数:13
相关论文
共 42 条
[1]   PARALLEL ORGANIZATION OF FUNCTIONALLY SEGREGATED CIRCUITS LINKING BASAL GANGLIA AND CORTEX [J].
ALEXANDER, GE ;
DELONG, MR ;
STRICK, PL .
ANNUAL REVIEW OF NEUROSCIENCE, 1986, 9 :357-381
[2]   MRI and nonverbal cognitive deficits in children with neurofibromatosis 1 [J].
Bawden, H ;
Dooley, J ;
Buckley, D ;
Camfield, P ;
Gordon, K ;
Riding, M ;
Llewellyn, G .
JOURNAL OF CLINICAL AND EXPERIMENTAL NEUROPSYCHOLOGY, 1996, 18 (06) :784-792
[3]   Functional magnetic resonance imaging of phonologic processing in neurofibromatosis 1 [J].
Billingsley, RL ;
Jackson, EF ;
Slopis, JM ;
Swank, PR ;
Mahankali, S ;
Moore, BD .
JOURNAL OF CHILD NEUROLOGY, 2003, 18 (11) :731-740
[4]   Functional MRI of visual-spatial processing in neurofibromatosis, type I [J].
Billingsley, RL ;
Jackson, EF ;
Slopis, JM ;
Swank, PR ;
Mahankali, S ;
Moore, BD .
NEUROPSYCHOLOGIA, 2004, 42 (03) :395-404
[5]   Significance of planum temporale and planum parietale morphologic features in neurofibromatosis type 1 [J].
Billingsley, RL ;
Schrimsher, GW ;
Jackson, EF ;
Slopis, JM ;
Moore, BD .
ARCHIVES OF NEUROLOGY, 2002, 59 (04) :616-622
[6]   Visuospatial processing in children with neurofibromatosis type 1 [J].
Clements-Stephens, Amy M. ;
Rimrodt, Sheryl L. ;
Gaur, Pooja ;
Cutting, Laurie E. .
NEUROPSYCHOLOGIA, 2008, 46 (02) :690-697
[7]  
Cutting L.E., 2004, Learning Disabilities Research Practice, V19, P155, DOI DOI 10.1111/J.1540-5826.2004.00099.X
[8]   How children with neurofibromatosis type 1 differ from "typical" learning disabled clinic attenders: Nonverbal learning disabilities revisited [J].
Cutting, LE ;
Koth, CW ;
Denckla, MB .
DEVELOPMENTAL NEUROPSYCHOLOGY, 2000, 17 (01) :29-47
[9]  
Dilts CV, 1996, J DEV BEHAV PEDIATR, V17, P229
[10]   NEUROFIBROMATOSIS TYPE-1 - PATHOLOGICAL SUBSTRATE OF HIGH-SIGNAL-INTENSITY FOCI IN THE BRAIN [J].
DIPAOLO, DP ;
ZIMMERMAN, RA ;
RORKE, LB ;
ZACKAI, EF ;
BILANIUK, LT ;
YACHNIS, AT .
RADIOLOGY, 1995, 195 (03) :721-724