Title
Adaptive mechanisms of developing brain: Cerebral lateralization in the prematurely-born.
Abstract
Preterm birth results in alterations in neural connectivity, but the impact of prematurity on the functional organization of the developing brain has yet to be explored. To test the hypothesis that preterm birth alters cortical organization during the late second and third trimesters of gestation, we interrogated cerebral lateralization at rest in 26 very preterm subjects (birth weight 500–1500g) with no evidence of brain injury and 25 healthy term control subjects at term equivalent age. Employing an unbiased voxel-based measure of functional connectivity, these data demonstrated that cerebral lateralization is impaired in the prematurely-born. At term equivalent age, preterm neonates showed significantly less lateralization in regions subserving both receptive and expressive language, left Brodmann (BA) areas insula–BA22–BA21 and L BA45–BA47 (p<0.05 corrected for multiple comparisons for both). Exploratory region of interest analyses demonstrated significantly less inter-hemispheric connectivity from L BA22 to R BA22 in preterm infants compared to term controls (p<0.005) and from R BA22 to its homolog (p<0.005). L BA22, Wernicke's area, was more strongly connected to R BA39, foreshadowing neural networks for language in preterm subjects at school age, adolescence and young adulthood. For these very preterm neonates born at less than 30weeks' PMA, the degree of prematurity had no influence on lateralization in these differential regions.
Year
DOI
Venue
2015
10.1016/j.neuroimage.2014.12.032
NeuroImage
Keywords
Field
DocType
BA,Ch-ICD,GLM,ICD,PMA,PT,TBV
Developmental psychology,Third trimesters,Lateralization of brain function,Birth weight,Psychology,Young adult,Gestation,Language development,Magnetic resonance imaging
Journal
Volume
ISSN
Citations 
108
1053-8119
4
PageRank 
References 
Authors
0.42
9
8
Name
Order
Citations
PageRank
Soo Hyun Kwon140.76
Dustin Scheinost240.42
Cheryl Lacadie3615.83
Gordon Sze440.76
Karen C. Schneider5504.00
feng dai640.76
R Todd Constable784877.34
Laura R Ment8131.28