Decreased fractional anisotropy in the middle cerebellar peduncle in children with epilepsy and/or attention deficit/hyperactivity disorder: A preliminary study

被引：43

作者：

Bechtel, Nina ^{[1
]}

Kobel, Maja ^{[1
]}

Penner, Iris-Katharina ^{[1
]}

Klarhoefer, Markus ^{[2
]}

Scheffler, Klaus ^{[2
]}

Opwis, Klaus ^{[1
]}

Weber, Peter ^{[3
]}

机构：

[1] Univ Basel, Dept Cognit Psychol & Methodol, CH-4055 Basel, Switzerland

[2] Univ Basel Hosp, Div Radiol Phys, CH-4031 Basel, Switzerland

[3] Univ Childrens Hosp Basel, Div Neuropediat & Dev Med, Basel, Switzerland

来源：

EPILEPSY & BEHAVIOR | 2009年 / 15卷 / 03期

基金：

瑞士国家科学基金会;

关键词：

Epilepsy; Attention deficit/hyperactivity disorder; Diffusion tensor imaging; Middle cerebellar peduncle; DEFICIT HYPERACTIVITY DISORDER; QUALITY-OF-LIFE; PEDIATRIC EPILEPSY; ADHD; BRAIN; DIFFUSION; SUBTYPES; ABNORMALITIES; PREVALENCE; ACTIVATION;

D O I：

10.1016/j.yebeh.2009.04.005

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

Children with epilepsy are at increased risk for attention deficit/hyperactivity disorder (ADHD). It has been shown that the cerebellum plays a major role in the pathophysiology of ADHD. We aimed to clarify whether children with combined epilepsy/ADHD have the same neurocerebellar pathophysiology as children with developmental ADHD. Eight boys with combined epilepsy/ADHD, 14 boys with developmental ADHD, and 12 healthy boys were investigated using diffusion tensor imaging generating fractional anisotropy (FA) maps. Healthy controls exhibited more FA in the left and in the right middle cerebellar peduncle compared with children with combined epilepsy/ADHD, and more FA in the right middle cerebellar peduncle compared with children with developmental ADHD. Our data show deficient cerebellar connections in both patient groups and endorse the crucial role of the cerebellum in the pathophysiology of ADHD. Our results suggest that ADHD seen in epilepsy might have the same cerebellar pathology as in developmental ADHD. (C) 2009 Elsevier Inc. All rights reserved.

引用

页码：294 / 298

页数：5

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