Abstract:
For 20 years, it has been known that fetal alcohol syndrome (FAS)
is associated with abnormal brain development. Early autopsy studies
point to the corpus callosum as one area affected by heavy alcohol
exposure. Little is known, however, about the integrity of the brain in
alcohol- exposed children who survive the perinatal period. This study
was designed to assess the corpus callosum in living children exposed to
high doses of alcohol prenatally. Thirteen children with histories of
significant prenatal alcohol exposure and 12 normal control children
were evaluated using magnetic resonance imaging. Using the midsagittal
section, images were measured for the area of the corpus callosum using
a computer-assisted measurement technique. In addition to the overall
area, five equiangular regions were determined for each corpus callosum.
Of the 13 alcohol-exposed children assessed, two had agenesis of the
corpus callosum. The remaining alcohol-exposed children had
significantly smaller overall callosal areas, as well as smaller
regional areas of four of the five callosal regions, when compared with
the normal control children. Importantly, when corrected for brain size,
three of the five callosal regions were still smaller in the
alcohol-exposed children, although overall area of the corpus callosum
was no longer significantly different. These results suggest that
prenatal exposure to high levels of alcohol is associated with
abnormalities of the corpus callosum. They verify callosal agenesis in
children with FAS, which previously had only been noted in autopsy
reports.(ABSTRACT TRUNCATED AT 250 WORDS)