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  • Title: Growth of the corpus callosum in adolescents born preterm.
    Author: Allin M, Nosarti C, Narberhaus A, Walshe M, Frearson S, Kalpakidou A, Wyatt J, Rifkin L, Murray R.
    Journal: Arch Pediatr Adolesc Med; 2007 Dec; 161(12):1183-9. PubMed ID: 18056564.
    Abstract:
    OBJECTIVE: To examine the growth of the corpus callosum between adolescence and early adulthood in individuals who were born before 33 weeks' gestation (very preterm [VPT]) and its relation to neuropsychological function. DESIGN: A longitudinal cohort study of VPT individuals born between January 4, 1982, and December 29, 1984, and a term-born comparison group. SETTING: A long-term follow-up study into perinatal predictors of outcome after preterm birth at University College Hospital, London. PARTICIPANTS: A total of 72 VPT and 34 term-born individuals were assessed in adolescence (aged 15 years) and in early adulthood (aged 19 years). Adult assessments took place between June 6, 2002, and October 23, 2004. MAIN EXPOSURE: Birth before 33 weeks' gestation. OUTCOME MEASURE: The cross-sectional area of 4 segments of the corpus callosum, measured on the midsagittal slice of high-resolution structural magnetic resonance images in adolescence and young adulthood. RESULTS: Total corpus callosum size increased in term and VPT groups, but growth was much greater in the VPT group (13.4% in the VPT group vs 3.3% in the term group). There were significant associations between adult performance IQ and growth of anterior (P = .001), midposterior (P = .009), and posterior (P = .009) segments in the VPT group. CONCLUSIONS: The corpus callosum grows dramatically in VPT adolescents, and this growth is associated with neuropsychological outcome. This may represent a delay of a normal maturational process in VPT individuals.
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