A1 Refereed original research article in a scientific journal
Auditory event related potentials as tools to reveal cognitive late effects in childhood cancer patients
Authors: Jarvela LS, Hurme S, Holopainen IE, Leino M, Hatanpaa AM, Mikola H, Karki T, Salmi TT, Lahteenmaki PM
Publisher: ELSEVIER IRELAND LTD
Publication year: 2011
Journal: Clinical Neurophysiology
Journal name in source: CLINICAL NEUROPHYSIOLOGY
Journal acronym: CLIN NEUROPHYSIOL
Number in series: 1
Volume: 122
Issue: 1
First page : 62
Last page: 72
Number of pages: 11
ISSN: 1388-2457
DOI: https://doi.org/10.1016/j.clinph.2010.05.031
OBJECTIVE:
The purpose of this study was to analyze event related potentials mismatch negativity (MMN) and P3a in childhood cancer patients at the time of diagnosis (Study 1) and after treatment (Study 2) to evaluate their clinical usefulness in screening potential treatment-related neurotoxicity.
METHODS:
The MMN and P3a to phonetic stimuli were examined in 27 childhood cancer patients with age- and sex-matched controls. Neuropsychological tests were also studied.
RESULTS:
The MMN peak amplitude was attenuated in the patient group at Study 1. Between the studies, poorer enhancement of the MMN peak amplitude correlated with deterioration in the Verbal intelligence quotient (IQ) in leukaemia patients. In addition, prolongation of the MMN peak latency correlated significantly with deterioration in the Full Scale and Performance IQ in the patient group. Deterioration in the Arithmetic subtest and Performance IQ correlated negatively with the age at diagnosis.
CONCLUSIONS:
The MMN changes between the studies associated with deterioration in the neuropsychological tests indicating that the method could be clinically useful. The performance of the younger patients was more likely to deteriorate during the treatment.
SIGNIFICANCE:
Changes in the MMN response during cancer treatment seem to be of clinical importance as indicates of the cognitive outcome of childhood cancer patients.
