1
|
Mo T, Huang W, Sun W, Hu Y, Mcdonald L, Hu Z, Chen L, Liao J, Hermann B, Prabhakaran V, Zeng H. Activation Map Reveals Language Impairment in Children with Benign Epilepsy with Centrotemporal Spikes (BECTS). Neuropsychiatr Dis Treat 2023; 19:1949-1957. [PMID: 37724160 PMCID: PMC10505385 DOI: 10.2147/ndt.s419840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 09/01/2023] [Indexed: 09/20/2023] Open
Abstract
Objective Neuropsychological evidence revealed language impairment in children with benign epilepsy with centrotemporal spikes (BECTS). This study investigates language function using task-activated fMRI. Methods We conducted a language task fMRI study on three groups on a 3.0T MRI scanner, including a new onset drug naïve group (NODN-BECTS, n=11, age=9.6±1.6), an established epilepsy with medication-treated group (Med-BECTS, n=17, age=10.7±2.2) and a healthy control group (HC, n=18, age=10.8±1.7). We use MATLAB14 and SPM12 to pre-process and analyze the data. A one-sample t-test was used to identify task-related brain activation changes in each group, based on the general linear model (GLM). And, then two sample t-test was performed to compare different activated regions between groups. In addition, scores on the most recent Mandarin school exams were acquired to examine and contrast extra-scanner language performance. Results Statistical results show that some language-related brain regions (such as the left superior frontal gyrus and cerebellar vermis) were additionally activated in the NODN-BECTS group compared with the HC group. Compared with NODN-BECTS and HC groups, decreased activations were found in language-related regions in the Med-BECTS group, including the left insula, superior and middle frontal gyri, and bilateral middle occipital gyri. On the Mandarin school exams, the average score for HC was 87.3±8.2, NODN was 84.8±7.8, and Med was 78.2±13.2. There was a trend toward statistical significance between the Med and the HC (p = 0.074) as well as NODN (p = 0.092) groups. No statistically significant differences were found between the HC and the NODN-BECTS groups. Significance Language task fMRI reveals additional areas of activation in new onset BECTS compared to healthy controls which may be compensatory in nature. Antiseizure medications (ASMs) and/or longer duration of BECTS additionally appears to affect language-related regions and reduce their functional ability.
Collapse
Affiliation(s)
- Tong Mo
- Department of Radiology, Shenzhen Children’s Hospital, Shenzhen, Guangdong, People’s Republic of China
| | - Wenxian Huang
- Department of Pediatrics, Shenzhen Children’s Hospital, Shenzhen, Guangdong, People’s Republic of China
| | - Weisheng Sun
- Department of Radiology, Shenzhen Children’s Hospital, Shenzhen, Guangdong, People’s Republic of China
| | - Yan Hu
- Department of Neurology, Shenzhen Children’s Hospital, Shenzhen, Guangdong, People’s Republic of China
| | - Leroy Mcdonald
- Neurosciences Training Program, University of Wisconsin, Madison, WI, USA
| | - Zhanqi Hu
- Department of Neurology, Shenzhen Children’s Hospital, Shenzhen, Guangdong, People’s Republic of China
| | - Li Chen
- Department of Neurology, Shenzhen Children’s Hospital, Shenzhen, Guangdong, People’s Republic of China
| | - Jianxiang Liao
- Department of Neurology, Shenzhen Children’s Hospital, Shenzhen, Guangdong, People’s Republic of China
| | - Bruce Hermann
- Department of Neurology, University of Wisconsin, Madison, WI, USA
| | - Vivek Prabhakaran
- Neurosciences Training Program, University of Wisconsin, Madison, WI, USA
- Department of Neurology, University of Wisconsin, Madison, WI, USA
- Department of Radiology, University of Wisconsin, Madison, WI, USA
| | - Hongwu Zeng
- Department of Radiology, Shenzhen Children’s Hospital, Shenzhen, Guangdong, People’s Republic of China
- Department of Radiology, University of Wisconsin, Madison, WI, USA
| |
Collapse
|
2
|
Prieur J, Barbu S, Blois‐Heulin C, Lemasson A. The origins of gestures and language: history, current advances and proposed theories. Biol Rev Camb Philos Soc 2019; 95:531-554. [DOI: 10.1111/brv.12576] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2019] [Revised: 11/30/2019] [Accepted: 12/03/2019] [Indexed: 12/16/2022]
Affiliation(s)
- Jacques Prieur
- Department of Education and PsychologyComparative Developmental Psychology, Freie Universität Berlin Berlin Germany
- Univ Rennes, Normandie Univ, CNRS, EthoS (Ethologie animale et humaine) – UMR 6552 F‐35380 Paimpont France
| | - Stéphanie Barbu
- Univ Rennes, Normandie Univ, CNRS, EthoS (Ethologie animale et humaine) – UMR 6552 F‐35380 Paimpont France
| | - Catherine Blois‐Heulin
- Univ Rennes, Normandie Univ, CNRS, EthoS (Ethologie animale et humaine) – UMR 6552 F‐35380 Paimpont France
| | - Alban Lemasson
- Univ Rennes, Normandie Univ, CNRS, EthoS (Ethologie animale et humaine) – UMR 6552 F‐35380 Paimpont France
| |
Collapse
|
3
|
Zeng H, Ramos CG, Nair VA, Hu Y, Liao J, La C, Chen L, Gan Y, Wen F, Hermann B, Prabhakaran V. Regional homogeneity (ReHo) changes in new onset versus chronic benign epilepsy of childhood with centrotemporal spikes (BECTS): A resting state fMRI study. Epilepsy Res 2015; 116:79-85. [PMID: 26354170 PMCID: PMC4567694 DOI: 10.1016/j.eplepsyres.2015.06.017] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2015] [Revised: 06/11/2015] [Accepted: 06/23/2015] [Indexed: 02/05/2023]
Abstract
OBJECTIVE The purpose of this study was to investigate regional homogeneity (ReHo) in children with new-onset drug-naïve Benign Epilepsy with Centrotemporal Spikes (BECTS), chronic BECTS and healthy controls (HC) using the Regional Homogeneity (ReHo) method applied to resting state fMRI data. METHODS Resting state fMRI data was collected from three groups of children aged 6-13, including new onset drug naïve BECTS, chronic BECTS with medication, and HC; the data analyzed by ReHo method. Mandarin school exams scores were acquired and compared across groups. RESULTS There were three main findings. Firstly, compared with HC, abnormally increased ReHo was observed in bilateral sensorimotor regions in new onset BECTS which normalized or even reversed in the chronic BECTS group. Secondly, enhanced ReHo was found in the left frontal language region in the two BECTS groups, with even higher ReHo value in the chronic group. Lastly, decreased ReHo was found in regions of the default mode network (DMN), bilateral occipital lobes and cerebellum in both the new onset and chronic BECTS groups, lower in chronic BECTS. Behavioral analyses of school scores showed the chronic BECTS group presented significantly lower scores compared to HC (p<.05). SIGNIFICANCE The coherence of low frequency fluctuations is disrupted in sensorimotor, language and DMN-related regions in new-onset BECTS. Some of these effects seem to be selectively normalized in chronic BECTS, thus allowing us to explore possible chronicity and AED-induced effects on BECTS. Abnormal ReHo in left language and DMN regions could be responsible for impairments of cognitive function.
Collapse
Affiliation(s)
- Hongwu Zeng
- Department of Radiology, Shenzhen Children's Hospital, Guangdong, China; Department of Radiology, University of Wisconsin, Madison, USA.
| | | | - Veena A Nair
- Department of Radiology, University of Wisconsin, Madison, USA.
| | - Yan Hu
- Department of Neurology, Shenzhen Children's Hospital, Guangdong, China.
| | - Jianxiang Liao
- Department of Neurology, Shenzhen Children's Hospital, Guangdong, China.
| | - Christian La
- Department of Radiology, University of Wisconsin, Madison, USA; Neurosciences Training Program, University of Wisconsin, Madison, USA.
| | - Li Chen
- Department of Neurology, Shenzhen Children's Hospital, Guangdong, China.
| | - Yungen Gan
- Department of Radiology, Shenzhen Children's Hospital, Guangdong, China.
| | - Feiqiu Wen
- Department of Neurology, Shenzhen Children's Hospital, Guangdong, China.
| | - Bruce Hermann
- Department of Neurology, University of Wisconsin, Madison, USA.
| | - Vivek Prabhakaran
- Department of Radiology, University of Wisconsin, Madison, USA; Department of Medical Physics, University of Wisconsin, Madison, USA; Neurosciences Training Program, University of Wisconsin, Madison, USA; Department of Neurology, University of Wisconsin, Madison, USA.
| |
Collapse
|
4
|
Abstract
The human cerebral cortex is generally considered the most complex organ, and is the structure that we hold responsible for the repertoire of behavior that distinguishes us from our closest living and extinct relatives. At a recent Company of Biologists Workshop, ‘Evolution of the Human Neocortex: How Unique Are We?’ held in September 2013, researchers considered new information from the fields of developmental biology, genetics, genomics, molecular biology and ethology to understand unique features of the human cerebral cortex and their developmental and evolutionary origin.
Collapse
Affiliation(s)
- Zoltán Molnár
- Department of Physiology, Anatomy and Genetics, University of Oxford, South Parks Road, Oxford OX1 3QX, UK
| | - Alex Pollen
- Eli and Edythe Broad Center of Regeneration Medicine and Stem Cell Research, University of California, San Francisco, 35 Medical Center Way, San Francisco, CA 94143, USA
| |
Collapse
|