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Lim YB, Song H, Lee H, Lim S, Kwon SY, Chun J, Kim S, Tosun C, Yoon KS, Sohn CH, Kim BN. Comparison of arterial spin labeled MRI (ASL MRI) between ADHD and control group (ages of 6-12). Sci Rep 2024; 14:14950. [PMID: 38942754 PMCID: PMC11213899 DOI: 10.1038/s41598-024-63658-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2024] [Accepted: 05/30/2024] [Indexed: 06/30/2024] Open
Abstract
This study utilized arterial spin labeling-magnetic resonance imaging (ASL-MRI) to explore the developmental trajectory of brain activity associated with attention deficit hyperactivity disorder (ADHD). Pulsed arterial spin labeling (ASL) data were acquired from 157 children with ADHD and 109 children in a control group, all aged 6-12 years old. Participants were categorized into the age groups of 6-7, 8-9, and 10-12, after which comparisons were performed between each age group for ASL analysis of cerebral blood flow (CBF). In total, the ADHD group exhibited significantly lower CBF in the left superior temporal gyrus and right middle frontal gyrus regions than the control group. Further analysis revealed: (1) The comparison between the ADHD group (N = 70) aged 6-7 and the age-matched control group (N = 33) showed no statistically significant difference between. (2) However, compared with the control group aged 8-9 (N = 39), the ADHD group of the same age (N = 53) showed significantly lower CBF in the left postcentral gyrus and left middle frontal gyrus regions. (3) Further, the ADHD group aged 10-12 (N = 34) demonstrated significantly lower CBF in the left superior occipital region than the age-matched control group (N = 37). These age-specific differences suggest variations in ADHD-related domains during brain development post age 6-7.
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Affiliation(s)
- You Bin Lim
- Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Huijin Song
- Biomedical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea
| | - Hyunjoo Lee
- Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Seungbee Lim
- Biomedical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea
| | - Seo Young Kwon
- Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Jeeyoung Chun
- Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Sujin Kim
- Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea
| | - Ceren Tosun
- Istanbul University-Cerrahpasa Medical Faculty Child and Adolescent Psychiatry, Istanbul, Turkey
| | - Kyung Seu Yoon
- Department of Psychiatry, Hanyang University Hospital, Seoul, Republic of Korea
| | - Chul-Ho Sohn
- Department of Radiology, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
| | - Bung-Nyun Kim
- Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
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2
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Gonchigsuren O, Harada M, Hisaoka S, Higashi K, Matsumoto Y, Sumida N, Mori T, Ito H, Mori K, Miyoshi M. Brain abnormalities in children with attention-deficit/hyperactivity disorder assessed by multi-delay arterial spin labeling perfusion and voxel-based morphometry. Jpn J Radiol 2022; 40:568-577. [DOI: 10.1007/s11604-021-01239-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Accepted: 12/12/2021] [Indexed: 12/21/2022]
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Skalski S, Pochwatko G, Balas R. Effect of
HEG
biofeedback on selected cognitive functions—Randomized study in children with
ADHD
and neurotypical children. INFANT AND CHILD DEVELOPMENT 2021. [DOI: 10.1002/icd.2242] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
| | | | - Robert Balas
- Polish Academy of Sciences Institute of Psychology Warsaw Poland
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Skalski S, Pochwatko G, Balas R. Impact of Motivation on Selected Aspects of Attention in Children with ADHD. Child Psychiatry Hum Dev 2021; 52:586-595. [PMID: 32816140 PMCID: PMC8238702 DOI: 10.1007/s10578-020-01042-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Revised: 06/03/2020] [Accepted: 08/09/2020] [Indexed: 02/06/2023]
Abstract
Earlier reports showed the co-occurrence of a motivation deficit in children with ADHD. The purpose of this study was to assess the impact of extrinsic motivation on selected aspects of attention in children with ADHD, as well as to measure cortical activity and dimensions of motivation as per the self-determination theory. The study included 30 children with ADHD and 30 typically developing (TD) children aged 9-13 years. Children with ADHD exhibited a higher theta/beta power ratio (TBR) in the midline and a lower regional cerebral blood oxygenation (rCBO2) level in prefrontal areas measured using the HEG ratio compared to TD children. Children with ADHD were more likely to undertake activity under the pressure of external stimuli and exhibited attention deficits regarding vigilance, visual search and divided attention. Differences between groups regarding attention decreased in conditions of increased motivation, indicating that motivation can reduce cognitive deficits in children with ADHD.
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Affiliation(s)
- Sebastian Skalski
- Institute of Psychology, Polish Academy of Sciences, 1 Jaracza Street, 00-378, Warsaw, Poland.
| | - Grzegorz Pochwatko
- grid.413454.30000 0001 1958 0162Institute of Psychology, Polish Academy of Sciences, 1 Jaracza Street, 00-378 Warsaw, Poland
| | - Robert Balas
- grid.413454.30000 0001 1958 0162Institute of Psychology, Polish Academy of Sciences, 1 Jaracza Street, 00-378 Warsaw, Poland
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5
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Skalski S, Dobrakowski P. Vigilance, Inhibitory Control and Regional Cerebral Blood Oxygenation in the PFC - Differences in ADHD Types of Presentations. Adv Cogn Psychol 2020; 16:202-212. [PMID: 33062078 PMCID: PMC7540002 DOI: 10.5709/acp-0297-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Abstract
It is commonly believed that proven abnormalities in the structure and functioning of the prefrontal lobes affect cognitive deficits in children with ADHD. The purpose of the current study was to assess vigilance, inhibitory control, and regional cerebral blood oxygenation (rCBO2) in the prefrontal cortex (PFC) of children with ADHD. The study included 150 children with ADHD and 51 typically developing (TD) children aged 9-12 years. Children with ADHD showed a deficit in vigilance (assessed by the shortened version of the Mackworth clock task), inhibitory control (the Stroop task), different rCBO2 patterns in the PFC, as well as lower cortical activation during cognitive tasks. These differences are discussed in the context of the types of ADHD presentations.
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Affiliation(s)
- Sebastian Skalski
- Polish Academy of Sciences, Institute of Psychology, Warsaw, Poland1
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6
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Torun YT, Güney E, Aral A, Büyüktaşkin D, Tunca H, Taner YI, İşeri E. Determination of Serum Vascular Endothelial Growth Factor Levels in Attention Deficit Hyperactivity Disorder: A Case Control Study. CLINICAL PSYCHOPHARMACOLOGY AND NEUROSCIENCE : THE OFFICIAL SCIENTIFIC JOURNAL OF THE KOREAN COLLEGE OF NEUROPSYCHOPHARMACOLOGY 2019; 17:517-522. [PMID: 31671489 PMCID: PMC6852686 DOI: 10.9758/cpn.2019.17.4.517] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/31/2019] [Revised: 04/15/2019] [Accepted: 06/19/2019] [Indexed: 01/06/2023]
Abstract
Objective The effect of vascular endothelial growth factor (VEGF) on neuronal development is known, but its relationship with attention deficit hyperactivity disorder (ADHD), a neurodevelopmental disorder, has not yet been fully elucidated. To our knowledge, this is the first human study investigating serum VEGF levels in ADHD patients. In this study, it has been aimed to compare serum VEGF levels between a healthy control group and in ADHD patients to help determine the association between serum VEGF levels and ADHD. Methods This study sample included forty-four patients diagnosed with ADHD and 43 healthy volunteer controls between 7 to 14 years old. Blood samples were taken from patients and the healthy control group to assess their serum VEGF levels. VEGF levels were calculated by subjecting the optical densities of the samples to concentrations of known standards as provided in the ELISA kit and then performing a regression correlation analysis. Results The mean VEGF level of the children was 333.6 ± 209.8 in the ADHD group and 341.3 ± 201.8 in the control group. There were no statistically significant differences in serum VEGF levels between the ADHD and control groups (U = 926.000, z = -0.170, p = 0.865). Conclusion There was no significant difference in serum VEGF levels for untreated ADHD cases and a healthy control group. This is the first human study investigating serum VEGF levels in ADHD patients, so there is a need to replicate these findings.
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Affiliation(s)
- Yasemin Taş Torun
- Child and Adolescent Psychiatry Department, Gulhane Education and Training Hospital, Turkey
| | - Esra Güney
- Child and Adolescent Psychiatry Department, Turkey
| | - Arzu Aral
- Department of Immunology, Gazi University Medical Faculty, Ankara, Turkey
| | | | - Hüseyin Tunca
- Child and Adolescent Psychiatry Department, Diyarbakır Education and Training Hospital, Diyarbakır, Turkey
| | | | - Elvan İşeri
- Child and Adolescent Psychiatry Department, Turkey
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7
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Tan YW, Liu L, Wang YF, Li HM, Pan MR, Zhao MJ, Huang F, Wang YF, He Y, Liao XH, Qian QJ. Alterations of cerebral perfusion and functional brain connectivity in medication-naïve male adults with attention-deficit/hyperactivity disorder. CNS Neurosci Ther 2019; 26:197-206. [PMID: 31231983 PMCID: PMC6978256 DOI: 10.1111/cns.13185] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Revised: 06/01/2019] [Accepted: 06/04/2019] [Indexed: 12/17/2022] Open
Abstract
Aims Functional brain abnormalities, including altered cerebral perfusion and functional connectivities, have been illustrated in adults with attention‐deficit/hyperactivity disorder (aADHD). The present study attempted to explore the alterations of cerebral blood flow (CBF) and resting‐state functional connectivity (RSFC) simultaneously to understand the neural mechanisms for adults with ADHD comprehensively. Methods Resting‐state arterial spin labeling (ASL) and blood oxygenation level‐dependent (BOLD) magnetic resonance imaging (MRI) data were acquired for 69 male aADHD and 69 matched healthy controls (HCs). The altered CBFs associated with aADHD were explored based on both categorical (aADHD vs HCs) and dimensional (correlation with aADHD core symptoms) perspectives. Then, the seed‐based RSFC analyses were developed for the regions showing significant alterations of CBF. Results Significantly decreased CBF in the large‐scale resting‐state networks regions (eg, ventral attentional network, somatomotor network, limbic network) and subcortical regions was indicated in aADHD compared with HCs. The correlation analyses indicated that the hypoperfusion in left putamen/global pallidum and left amygdala/hippocampus was correlated with ADHD inattentive and total symptoms, respectively. Further, weaker negative functional connectivity between left amygdala and bilateral supplementary motor area, bilateral superior frontal gyrus, and left medial frontal gyrus was found in adults with ADHD. Conclusion The present findings suggested alterations of both cerebral perfusion and functional connectivity for the left amygdala in aADHD. The combination of CBF and RSFCs may help to interpret the neuropathogenesis of ADHD more comprehensively.
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Affiliation(s)
- Ya-Wen Tan
- Peking University Sixth Hospital/Institute of Mental Health, Beijing, China.,National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital) & the NHC Key Laboratory of Mental Health (Peking University), Beijing, China
| | - Lu Liu
- Peking University Sixth Hospital/Institute of Mental Health, Beijing, China.,National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital) & the NHC Key Laboratory of Mental Health (Peking University), Beijing, China
| | - Yan-Fei Wang
- Peking University Sixth Hospital/Institute of Mental Health, Beijing, China.,National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital) & the NHC Key Laboratory of Mental Health (Peking University), Beijing, China
| | - Hai-Mei Li
- Peking University Sixth Hospital/Institute of Mental Health, Beijing, China.,National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital) & the NHC Key Laboratory of Mental Health (Peking University), Beijing, China
| | - Mei-Rong Pan
- Peking University Sixth Hospital/Institute of Mental Health, Beijing, China.,National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital) & the NHC Key Laboratory of Mental Health (Peking University), Beijing, China
| | - Meng-Jie Zhao
- Peking University Sixth Hospital/Institute of Mental Health, Beijing, China.,National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital) & the NHC Key Laboratory of Mental Health (Peking University), Beijing, China
| | - Fang Huang
- Peking University Sixth Hospital/Institute of Mental Health, Beijing, China.,National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital) & the NHC Key Laboratory of Mental Health (Peking University), Beijing, China
| | - Yu-Feng Wang
- Peking University Sixth Hospital/Institute of Mental Health, Beijing, China.,National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital) & the NHC Key Laboratory of Mental Health (Peking University), Beijing, China
| | - Yong He
- State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China.,Beijing Key Laboratory of Brain Imaging and Connectomics, Beijing Normal University, Beijing, China
| | - Xu-Hong Liao
- School of Systems Science, Beijing Normal University, Beijing, China
| | - Qiu-Jin Qian
- Peking University Sixth Hospital/Institute of Mental Health, Beijing, China.,National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital) & the NHC Key Laboratory of Mental Health (Peking University), Beijing, China
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8
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Santra A, Kumar R. Brain perfusion single photon emission computed tomography in major psychiatric disorders: From basics to clinical practice. Indian J Nucl Med 2014; 29:210-21. [PMID: 25400359 PMCID: PMC4228583 DOI: 10.4103/0972-3919.142622] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Brain single photon emission computed tomography (SPECT) is a well-established and reliable method to assess brain function through measurement of regional cerebral blood flow (rCBF). It can be used to define a patient's pathophysiological status when neurological or psychiatric symptoms cannot be explained by anatomical neuroimaging findings. Though there is ample evidence validating brain SPECT as a technique to track human behavior and correlating psychiatric disorders with dysfunction of specific brain regions, only few psychiatrists have adopted brain SPECT in routine clinical practice. It can be utilized to evaluate the involvement of brain regions in a particular patient, to individualize treatment on basis of SPECT findings, to monitor the treatment response and modify treatment, if necessary. In this article, we have reviewed the available studies in this regard from existing literature and tried to present the evidence for establishing the clinical role of brain SPECT in major psychiatric illnesses.
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Affiliation(s)
- Amburanjan Santra
- Department of Nuclear Medicine, Brain imaging Centre, Dakshi Diagnostics, Lucknow, Uttar Pradesh, India
| | - Rakesh Kumar
- Department of Nuclear Medicine, All India Institute of Medical Sciences, New Delhi, India
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9
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Behrouz R. The prospects and predicaments of intravenous rt-PA in childhood ischemic stroke. Expert Rev Neurother 2014; 14:255-9. [PMID: 24491039 DOI: 10.1586/14737175.2014.884927] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
One of the biggest conundrums in acute treatment of childhood arterial ischemic stroke is administration of intravenous recombinant tissue plasminogen activator. Although the benefit of this treatment is well-established in adults, the same effectiveness in children has not been demonstrated. Diversity of underlying causes of ischemic stroke in children and delay and uncertainty in diagnosis are some of the complexities that make intravenous thrombolysis elusive in this population. Physiological, pharmacological and developmental factors may also play roles in variable effect of intravenous recombinant tissue plasminogen activator in children. Current studies are aimed to determine the safety and efficacy of intravenous thrombolysis in carefully-selected children who would benefit the most from this procedure.
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Affiliation(s)
- Réza Behrouz
- Department of Neurology, Division of Cerebrovascular Diseases and Neurocritical Care, The Ohio State University College of Medicine, 395 West 12th Avenue, Suite 766, Columbus, OH 43210, USA
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10
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Taki Y, Kawashima R. Brain development in childhood. Open Neuroimag J 2012; 6:103-10. [PMID: 23166579 PMCID: PMC3499734 DOI: 10.2174/1874440001206010103] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2012] [Revised: 08/28/2012] [Accepted: 09/02/2012] [Indexed: 01/31/2023] Open
Abstract
Although human brain development continues throughout childhood and adolescence, it is a non-linear process both structurally and functionally. Here we review studies of brain development in healthy children from the viewpoint of structure and the perfusion of gray and white matter. Gray matter volume increases and then decreases with age, with the developmental time of the peak volume differing among brain regions in the first and second decades of life. On the other hand, white matter volume increase is mostly linear during those periods. As regards fractional anisotropy, most regions show an exponential trajectory with aging. In addition, cerebral blood flow and gray matter volume are proportional at similar developmental ages. Moreover, we show that several lifestyle choices, such as sleeping habits and breakfast staple, affect gray matter volume in healthy children. There are a number of uninvestigated important issues that require future study.
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Affiliation(s)
- Yasuyuki Taki
- Division of Meidcal Image Analysis, Department of Community Medical Supports, Tohoku Medical Megabank Organization, Tohoku University, Sendai 980-8575, Japan ; Division of Developmental Cognitive Neuroscience, Institute of Development, Aging and Cancer, Tohoku University, Sendai 980-8575, Japan ; Department of Radiology and Nuclear Medicine, Institute of Development, Aging and Cancer, Tohoku University, Sendai 980-8575, Japan
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Taki Y, Hashizume H, Sassa Y, Takeuchi H, Wu K, Asano M, Asano K, Fukuda H, Kawashima R. Correlation between gray matter density-adjusted brain perfusion and age using brain MR images of 202 healthy children. Hum Brain Mapp 2011; 32:1973-85. [PMID: 21259384 DOI: 10.1002/hbm.21163] [Citation(s) in RCA: 70] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2010] [Revised: 07/08/2010] [Accepted: 08/17/2010] [Indexed: 11/09/2022] Open
Abstract
We examined the correlation between brain perfusion and age using pulsed arterial spin-labeling (ASL) magnetic resonance images (MRI) in a large number of healthy children. We collected data on brain structural and ASL perfusion MRI in 202 healthy children aged 5-18 years. Structural MRI data were segmented and normalized, applying a voxel-based morphometric analysis. Perfusion MRI was normalized using the normalization parameter of the corresponding structural MRI. We calculated brain perfusion with an adjustment for gray matter density (BP-GMD) by dividing normalized ASL MRI by normalized gray matter segments in 22 regions. Next, we analyzed the correlation between BP-GMD and age in each region by estimating linear, quadratic, and cubic polynomial functions, using the Akaike information criterion. The correlation between BP-GMD and age showed an inverted U shape followed by a U-shaped trajectory in most regions. In addition, age at which BP-GMD was highest was different among the lobes and gray matter regions, and the BP-GMD association with age increased from the occipital to the frontal lobe via the temporal and parietal lobes. Our results indicate that higher order association cortices mature after the lower order cortices, and may help clarify the mechanisms of normal brain maturation from the viewpoint of brain perfusion.
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Affiliation(s)
- Yasuyuki Taki
- Division of Developmental Cognitive Neuroscience, Institute of Development, Aging and Cancer, Tohoku University, Aobaku, Senda, Japan.
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Rizzo R, Curatolo P, Gulisano M, Virzì M, Arpino C, Robertson MM. Disentangling the effects of Tourette syndrome and attention deficit hyperactivity disorder on cognitive and behavioral phenotypes. Brain Dev 2007; 29:413-20. [PMID: 17280810 DOI: 10.1016/j.braindev.2006.12.003] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/09/2006] [Revised: 11/17/2006] [Accepted: 12/14/2006] [Indexed: 11/16/2022]
Abstract
Eighty participants (62 males; 18 females; age range: 6-16 years) took part in the study, comprising four groups of 20 subjects each: TS-only, ADHD-only, TS+ADHD, controls. The age distributions, did not differ significantly among the four groups. The severity of symptoms, assessed by the TSGS, did not differ significantly between the two TS groups. Standardised measures were used throughout. The "cases" (i.e. TS-only, TS+ADHD, ADHD-only) were significantly different from controls on most measures of behavior. There were also differences amongst the various clinical subgroups, with, in general, TS-only participants being similar to controls with regards to both "total behavior" ratings and cognitive testing results. A diagnosis of ADHD, either or its own or in association with TS, was associated with greater maladaptive behavior and worse cognitive functioning. With regards to affective symptoms and anxiety, the three clinical groups did not differ from each other, but each of them was more affected than the control group. One finding in our study which differed from previous literature was that TS-only patients were rated as more "delinquent" than controls by their parents: possible reasons for this are discussed. Oppositional defiant disorder (ODD) was seen in a few (2,3,3 ODD patients in each clinical group), but as numbers were small no statistics were undertaken. Family histories were in accord with both TS and ADHD being genetic disorders, but sharing an overlap in only some cases. The "additive effect" hypothesis is discussed in detail in the light of our results and recent literature.
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Affiliation(s)
- Renata Rizzo
- Section of Child Neuropsychiatry, Department of Pediatrics, University of Catania, Italy.
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13
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Millichap JG. Changes in Cerebral Blood Flow with Age in ADHD. Pediatr Neurol Briefs 2005. [DOI: 10.15844/pedneurbriefs-19-5-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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