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Research ArticlePediatric Neuroimaging
Open Access

Cavum Septum Pellucidum in the General Pediatric Population and Its Relation to Surrounding Brain Structure Volumes, Cognitive Function, and Emotional or Behavioral Problems

M.H.G. Dremmen, R.H. Bouhuis, L.M.E. Blanken, R.L. Muetzel, M.W. Vernooij, H.E. Marroun, V.W.V. Jaddoe, F.C. Verhulst, H. Tiemeier and T. White
American Journal of Neuroradiology February 2019, 40 (2) 340-346; DOI: https://doi.org/10.3174/ajnr.A5939
M.H.G. Dremmen
aFrom the Departments of Radiology (M.H.G.D., R.H.B., M.W.V., T.W.)
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R.H. Bouhuis
aFrom the Departments of Radiology (M.H.G.D., R.H.B., M.W.V., T.W.)
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L.M.E. Blanken
dDepartment of Child and Adolescent Psychiatry (L.M.E.B., R.L.M., H.E.M., F.C.V., H.T., T.W.)
eGeneration R Study Group (L.M.E.B., R.L.M., H.E.M.), Erasmus Medical Center-Sophia, Rotterdam, the Netherlands
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R.L. Muetzel
bEpidemiology (R.L.M., M.W.V., V.W.V.J.)
dDepartment of Child and Adolescent Psychiatry (L.M.E.B., R.L.M., H.E.M., F.C.V., H.T., T.W.)
eGeneration R Study Group (L.M.E.B., R.L.M., H.E.M.), Erasmus Medical Center-Sophia, Rotterdam, the Netherlands
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M.W. Vernooij
aFrom the Departments of Radiology (M.H.G.D., R.H.B., M.W.V., T.W.)
bEpidemiology (R.L.M., M.W.V., V.W.V.J.)
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H.E. Marroun
dDepartment of Child and Adolescent Psychiatry (L.M.E.B., R.L.M., H.E.M., F.C.V., H.T., T.W.)
eGeneration R Study Group (L.M.E.B., R.L.M., H.E.M.), Erasmus Medical Center-Sophia, Rotterdam, the Netherlands
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V.W.V. Jaddoe
bEpidemiology (R.L.M., M.W.V., V.W.V.J.)
cPediatrics (V.W.V.J.), Erasmus Medical Center, Rotterdam, the Netherlands
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F.C. Verhulst
dDepartment of Child and Adolescent Psychiatry (L.M.E.B., R.L.M., H.E.M., F.C.V., H.T., T.W.)
fDepartment of Clinical Medicine (F.C.V.), University of Copenhagen, Copenhagen, Denmark
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H. Tiemeier
dDepartment of Child and Adolescent Psychiatry (L.M.E.B., R.L.M., H.E.M., F.C.V., H.T., T.W.)
gHarvard School of Public Health (H.T.), Boston, Massachusetts.
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T. White
aFrom the Departments of Radiology (M.H.G.D., R.H.B., M.W.V., T.W.)
dDepartment of Child and Adolescent Psychiatry (L.M.E.B., R.L.M., H.E.M., F.C.V., H.T., T.W.)
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    Fig 1.

    MR imaging of the cavum septum pellucidum. Coronal T1-weighted MR image (A) and axial T1-weighted MR image (B) show no CSP. C, Coronal T1-weighted MR image (C) and axial T1-weighted MR image (D) demonstrate an enlarged CSP.

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    Fig 2.

    Distribution of no CSP, normal-variant CSP, and enlarged CSP for the whole sample (n = 936).

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    Table 1:

    Sample characteristics

    Total Group (n = 936) (100%)Controls (n = 893) (95.4%)Enlarged CSP (n = 43) (4.6%)
    Child characteristics
        Age (mean) (SD) (yr)7.9 (1.00)7.9 (1.00)7.9 (0.91)
        Sex (%)
            Girls45.545.644.2
            Boys54.554.455.8
    Ethnicity (%)
        Dutch68.869.065.1
        Other Western6.87.12.3
        Non-Western24.424.032.6
    Handedness (%)
        Right90.590.590.7
        Left9.49.49.3
    Maternal characteristics
        Maternal education (%)a
            Low10.910.814.0
            Medium29.029.027.9
            High50.651.141.9
    Alcohol during pregnancy (%)b
        Never34.334.039.5
        Stopped13.713.811.6
        Occasionally35.735.734.9
        Frequently9.29.44.7
    Smoking during pregnancy (%)c
        Never72.272.174.4
        Stopped6.36.44.7
        Continued17.917.918.6
    • ↵a Low indicates primary school or lower vocational education; medium, intermediate vocational education; high, higher vocational education or university. Missing data on maternal education are 9.5%.

    • ↵b Frequently indicates that the mother drank ≥1 glass per week for at least 2 trimesters. Missing data on alcohol are 7.2%.

    • ↵c Smoking >10 cigarettes per day fluctuated between 3.6% and 5.6% throughout pregnancy, with the highest percentage in the first trimester.41 Missing data on smoking are 3.5%.

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    Table 2:

    ANCOVA for global brain structuresa

    Marginal Mean Volumes (cm3) (SE)FSig.Partial η2
    Controls (n = 893)Enlarged CSP (n = 43)
    TBV1129.09 (4.095)1167.00 (18.673)3.93.050.004
    Total GMV/TBV0.63 (0.001)0.63 (0.003)2.14.140.002
    Total WMV/TBV0.33 (0.001)0.34 (0.002)6.81.009b0.007
    • Note:—TBV indicates total brain volume; GMV, gray matter volume; WMV, white matter volume; Sig., significance.

    • ↵a Results of the first imputed dataset are reported; ranges of the other datasets can be found in On-line Tables 1 and 2. Covariates are age, sex, ethnicity, maternal education, and CBCL sum score.

    • ↵b Significant after correcting for multiple testing.

    • View popup
    Table 3:

    ANCOVA for regional brain structures (control vs enlarged CSP)a

    Marginal Mean Volumes (cm3) (SE)FSig.Partial η2
    Controls (n = 893)Enlarged CSP (n = 43)
    Corpus callosum2.71 (0.012)2.86 (0.055)6.79.009b0.007
    Lateral ventricles8.94 (0.172)7.49 (0.786)3.22.070.003
    Thalamus14.12 (0.036)14.69 (0.165)11.21.001b0.012
    Hippocampus8.03 (0.024)7.94 (0.111)0.67.410.001
    Amygdala3.17 (0.014)3.04 (0.062)4.48.040.005
    Caudate nucleus8.44 (0.032)8.30 (0.148)0.91.340.001
    • Note:—Sig. indicates significance.

    • ↵a Results of the first imputed dataset are reported; ranges of the other datasets can be found in On-line Tables 1 and 2. Covariates are age, sex, ethnicity, total brain volume, maternal education, and CBCL sum score.

    • ↵b Significant after correcting for multiple testing.

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American Journal of Neuroradiology: 40 (2)
American Journal of Neuroradiology
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M.H.G. Dremmen, R.H. Bouhuis, L.M.E. Blanken, R.L. Muetzel, M.W. Vernooij, H.E. Marroun, V.W.V. Jaddoe, F.C. Verhulst, H. Tiemeier, T. White
Cavum Septum Pellucidum in the General Pediatric Population and Its Relation to Surrounding Brain Structure Volumes, Cognitive Function, and Emotional or Behavioral Problems
American Journal of Neuroradiology Feb 2019, 40 (2) 340-346; DOI: 10.3174/ajnr.A5939

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Cavum Septum Pellucidum in the General Pediatric Population and Its Relation to Surrounding Brain Structure Volumes, Cognitive Function, and Emotional or Behavioral Problems
M.H.G. Dremmen, R.H. Bouhuis, L.M.E. Blanken, R.L. Muetzel, M.W. Vernooij, H.E. Marroun, V.W.V. Jaddoe, F.C. Verhulst, H. Tiemeier, T. White
American Journal of Neuroradiology Feb 2019, 40 (2) 340-346; DOI: 10.3174/ajnr.A5939
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