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A Functional MRI Study of Response Inhibition in Children with Intraventricular Hemorrhage

 Kathleen M. Thomas, Tomihisa F. Welsh, Clayton H. Eccard, Rona Livnat, Joseph N. Pierri and B. J. Casey
  
 

Abstract:
Preliminary evidence exists implicating specific frontostriatal circuits in the capacity to inhibit attention to irrelevant stimuli. We hypothesized that children experiencing perinatal damage to the basal ganglia (i.e., intraventricular hemorrhage) would demonstrate poorer behavioral performance during a response inhibition task, as well as abnormal patterns of activation in these circuits. Ten children (ages 6-9) with perinatal histories of IVH were scanned during performance on a Go-No-Go paradigm. Data were analyzed by analysis of variance with a contiguity threshold of 3 pixels and p<0.05. Compared to a previous study with healthy children (Casey et al., in press), children with IVH demonstrated a higher false alarm rate (35% vs. 27%). As in the previous study, false alarm rate was positively correlated with activation in the anterior cingulate gyrus (r=0.54); however, the previously observed negative correlation between false alarm rate and orbital prefrontal activation was absent for the IVH population (r=0.15). Given that every child demonstrated normal activation of the orbital cortex, disruption of the frontostriatal circuits at the level of the basal ganglia appears sufficient to impair response inhibition.

 
 


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