Hippocampal volume reduction in children with Chromosome 22q11.2 Deletion Syndrome is associated with cognitive impairment.

dc.contributor.authorDeBoer, Tracy
dc.contributor.authorWu, Z.
dc.contributor.authorLee, A.
dc.contributor.authorSimon, T.J.
dc.date.accessioned2008-11-10T14:38:44Z
dc.date.available2008-11-10T14:38:44Z
dc.date.issued2007
dc.description.abstractBackground: Previous investigations of individuals with chromosome 22q11.2 deletion syndrome (DS22q11.2) have reported alterations in both brain anatomy and cognitive function. Neuroanatomical studies have reported multiple abnormalities including changes in both gray and white matter in the temporal lobe, including the amygdala and hippocampus. Separate investigations of cognitive abilities have established the prevalence of general intellectual impairment, although the actual extent to which a single individual is affected varies greatly within the population. The present study was designed to examine structures within the temporal lobe and assess their functional significance in terms of cognition in children with DS22q11.2. Method: A total of 72 children (ages 7–14 years) participated in the investigation: 36 children (19 female, 17 male) tested FISH positive for chromosome 22q11.2 deletion (Mean age = 10 years 9 months, ± 2 yr 4 mo) and 36 were age-matched typically developing controls (13 female, 23 male; Mean age = 10 years 6 months, ± 1 yr 11 mo). For each subject, a three-dimensional high-resolution (1 mm isotropic) T1-weighted structural MRI was acquired. Neuroanatomical guidelines were used to define borders of the amygdala and hippocampus bilaterally and volumes were calculated based on manual tracings of the regions. The Wechsler Intelligence Scale for Children (WISC) was also administered. Results: Volumetric reductions in total gray matter, white matter, and both the amygdala and hippocampus bilaterally were observed in children with DS22q11.2. Reductions in the left hippocampus were disproportionate to decreases in gray matter after statistically controlling for group differences in total gray matter, age, and data collection site. This specific reduction in hippocampal volume was significantly correlated with performance on standardized measures of intelligence, whereas the other neuroanatomical measures were not (gray/white matter, CSF, and amygdala). Conclusion: Results from this study not only contribute to the understanding of the neuroanatomical variation in DS22q11.2, but also provide insight into the nature and source of the cognitive impairments associated with the syndrome. Specifically, we report that decreases in hippocampal volume may serve as an index of severity for cognitive impairments in children with DS22q11.2.en
dc.format.extent355807 bytes
dc.format.mimetypeapplication/pdf
dc.identifier.citationDeBoer, T., Wu, Z. Lee, A., & Simon, T.J. (2007). Hippocampal volume reduction in children with Chromosome 22q11.2 Deletion Syndrome is associated with cognitive impairment. Brain and Behavioral Functions, 3:54en
dc.identifier.urihttp://hdl.handle.net/1903/8667
dc.language.isoen_USen
dc.relation.isAvailableAtCollege of Behavioral & Social Sciencesen_us
dc.relation.isAvailableAtPsychologyen_us
dc.relation.isAvailableAtDigital Repository at the University of Marylanden_us
dc.relation.isAvailableAtUniversity of Maryland (College Park, MD)en_us
dc.subject22qen
dc.subjectChromosome 22q11.2en
dc.subjectVelocardiofacial syndromeen
dc.subjecthippocampusen
dc.subjectcognitive impairmenten
dc.subjectstructural MRIen
dc.titleHippocampal volume reduction in children with Chromosome 22q11.2 Deletion Syndrome is associated with cognitive impairment.en
dc.typeArticleen

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