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. 2009 Jun 16;72(24):2068-75.
doi: 10.1212/01.wnl.0000346516.49126.20. Epub 2009 Apr 15.

Lower diffusion in white matter of children with prenatal methamphetamine exposure

Affiliations

Lower diffusion in white matter of children with prenatal methamphetamine exposure

C C Cloak et al. Neurology. .

Abstract

Background: Methamphetamine use is a common problem among women of childbearing age, leading to an increasing number of children with prenatal methamphetamine exposure. Whether microstructural brain changes associated with prenatal methamphetamine exposure can be detected with diffusion tensor imaging (DTI) is unknown.

Method: Twelve-direction DTI was performed in 29 methamphetamine-exposed and 37 unexposed children ages 3-4 years on a 3-T MRI scanner. Fractional anisotropy (FA) and apparent diffusion coefficient (ADC) were determined in the corpus callosum (genu and splenium) and bilaterally in the frontal and parietal white matter (WM), basal ganglia (caudate, putamen, globus pallidus), and thalamus.

Results: Children with prenatal methamphetamine exposure had lower ADC in the frontal (right: -2.1%, p = 0.04; left: -2.0%, p = 0.09) and parietal WM (right: -3.9%, p = 0.002; left: -3.3%, p = 0.02) compared to unexposed children. The methamphetamine-exposed children also showed a trend for higher FA in the left frontal WM (+4.9%, p = 0.06) compared to the unexposed children.

Conclusion: Since less myelination and higher dendritic or spine density have been reported in animals exposed to methamphetamine, lower diffusion in our children may reflect more compact axons or greater dendritic or spine density associated with prenatal methamphetamine exposure. These findings suggest alterations in white matter maturation in these children exposed to methamphetamine in utero.

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Figures

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Figure 1 Representative region of interest placements on fractional anisotropy maps for the seven regions studied Thalamus (E), globus pallidus (F), putamen (G), caudate (H), and white matter (WM) regions [frontal WM (C) and parietal WM (D)] were drawn bilaterally, while corpus callosum was drawn as indicated in the splenium (A) and genu (B).
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Figure 2 Lower white matter diffusion in children with prenatal methamphetamine exposure (repeated measures analysis of variance for all white matter regions p = 0.007) Means and SEM are shown with percent change for significant between-group post hoc t tests for each region. METH = methamphetamine; WM = white matter.

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References

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