Auditory event related potentials as tools to reveal cognitive late effects in childhood cancer patients

作者：Jarvela Liisa S^*; Hurme Saija; Holopainen Irma E; Leino Maria; Hatanpaa Anne Mari; Mikola Hannu; Karki Tarmo; Salmi Toivo T; Lahteenmaki Paivi M

来源：Clinical Neurophysiology, 2011, 122(1): 62-72.

DOI：10.1016/j.clinph.2010.05.031

• Acute lymphoblastic leukaemia
• Childhood cancer
• Cognitive
• Late effect
• MMN
• P3a

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.

• 出版日期2011-1