BOLD Activation During the Application of MOXO-CPT in School Patients With and Without Attention Deficit Hyperactivity Disorder

• Published in: Journal of attention disorders 2024-02, Vol.28 (3), p.321-334
• Main Authors: García Beristain, Juan Carlos, de Celis Alonso, Benito, Barragan Perez, Eduardo, Dies-Suarez, Pilar, Hidalgo-Tobón, Silvia
• Format: Article
• Language: English
• Subjects: Attention Deficit Disorder with Hyperactivity - diagnosis; Brain; Cerebellum; Child; Executive Function; Humans; Magnetic Resonance Imaging; Motor Cortex
• ISSN: 1087-0547; 1557-1246
• DOI: 10.1177/10870547231217093

Introduction: Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder that affects 3% of children in the world. Objective: In this work, we seek to compare the different brain activations of pediatric patients with and without ADHD. Methods: A functional resonance examination with BOLD contrast was applied using the MOXO-CPT test (Continuous Performance test with single and double visual-auditory distractors). Results: Differences in BOLD activation were observed indicating that control children regularly presented negative BOLD activations that were not found in children with ADHD. Inhibitory activity in audiovisual association zones in control patients was greater than in patients with ADHD. The inhibition in the frontal and motor regions in the controls contrasted with the overactivation of the motor areas in patients with ADHD, this, together with the detection of cerebellar activation which attempted to modulate the responses of the different areas that lead to executive failure in patients with ADHD. Conclusions: In view of these results, it can be argued that the lack of inhibition of ADHD patients in their executive functions led to a disorganization of the different brain systems.