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Impulsivity and/or hyperactivity in children has become one of the main clinical symptom for consultation, among the most frequent, in general or pediatric medicine. Among the different clinical forms of instability, ADHD appears to be an especially disabling condition for the development of the child, both in psychomotor, cognitive, emotional and relational aspects. Further, a significant link between ADHD children and some children with High Potential (HP) is observed. HP children show overall ahead cognitive developments compared to children with the same age. In these children, as well as in children with ADHD, an attention vulnerability, psychomotor deficits are noted, as well as emotional and relational deficits that significantly contrasted with some of their cognitive skills. Regarding the HP, the hypothesis is that children with significantly heterogeneous results (Complex) to the Wechsler IV scales are affected by this shift, and hence, by the difficulty of a differential diagnosis with ADHD, unlike those whose intelligence quotient (IQ) results that are more homogeneous (Laminar).
The goal of this work was to study a population of 80 children aged from 8 to 12 years (20 subjects per group) to evaluate the functional and structural brain development by:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Laminar HP | Experimental | Structural and functional MRI markers |
|
| Complex HP | Experimental | Structural and functional MRI markers |
|
| ADHD | Experimental | Structural and functional MRI markers |
|
| Control | Other | Structural and functional MRI markers |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MRI | Other | MRI and neuropsychological assessment planned for the study for patient and volunteers |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cortical gray matter (GM) volumes | using the software VBM (Voxel Based Morphometry) | Day 1 |
| Microstructural connectivity of white matter (WM) fiber bundles | measured by diffusion tensor imaging. Diffusion metrics maps are compared using the software TBSS (Track Based Spatial Statistics), | Day 1 |
| Functional MRI activity during cognitive tests | using the software SPM (Statistical Parametric Mapping) | Day 1 |
| Functional connectivity in resting-state fMRI | using the CONN toolbox (functional connectivity toolbox) of SPM (Statistical Parametric Mapping) | Day 1 |
| Subcortical gray matter (GM) volumes | using the software VBM (Voxel Based Morphometry) | Day 1 |
| Functional MRI activity during emotional tests | using the software SPM (Statistical Parametric Mapping) | Day 1 |
| Functional connectivity in resting-state fMRI | using the graph-theory methods | Day 1 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Olivier REVOL, MD | HCL | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Service de psychiatrie infantile, Hôpital Pierre Wertheimer, 59 Boulevard Pinel | Bron | 69500 | France |
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| ID | Term |
|---|---|
| D001289 | Attention Deficit Disorder with Hyperactivity |
| ID | Term |
|---|---|
| D019958 | Attention Deficit and Disruptive Behavior Disorders |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D009483 | Neuropsychological Tests |
| ID | Term |
|---|---|
| D011581 | Psychological Tests |
| D004191 | Behavioral Disciplines and Activities |
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| neuropsychological assessment | Other |
|