Skip to main content
Log in

Functional Neuroimaging in the Examination of Effects of Prenatal Alcohol Exposure

  • Review
  • Published:
Neuropsychology Review Aims and scope Submit manuscript

Abstract

Functional neuroimaging offers the opportunity to understand the effect of prenatal alcohol exposure on the activities of the brain as well as providing a window into the relationship between neural activation and the behavioral outcomes that have been described in affected individuals. Several different methodologies have been used to examine the neurophysiological signal changes associated with different brain functions in prenatally exposed individuals and those diagnosed with fetal alcohol syndrome (FAS) or other fetal alcohol spectrum disorders (FASD). These include electroencephalography (EEG), positron emission tomography (PET), single-photon emission computed tomography (SPECT), and functional magnetic resonance imaging (fMRI). These studies demonstrate that it is feasible to use these technologies with this clinical population and that the damage to the central nervous system associated with prenatal alcohol exposure has widespread functional implications; however, currently, the literature in these areas is limited and unsystematic. Functional MRI with this clinical population has just begun to explore the implications of prenatal alcohol exposure with the first paper published in 2005. Other methodologies are similarly limited in scope. Nonetheless, these functional neuroimaging studies suggest that prenatal alcohol exposure, or a diagnosis of FAS, may lead to restrictions in neural efficiency or a global decrement in processing resources.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  • Aguirre, G. K., Detre, J. A., & Wang, J. (2005). Perfusion fMRI for functional neuroimaging. International Review of Neurobiology, 66, 213–236.

    Article  PubMed  Google Scholar 

  • Amaro, E., & Barker, G. J. (2006). Study design in fMRI: basic principles. Brain and Cognition, 60, 220–232.

    Article  PubMed  Google Scholar 

  • Archibald, S. L., Fennema-Notestine, C., Gamst, A., Riley, E. P., Mattson, S. N., & Jernigan, T. L. (2001). Brain dysmorphology in individuals with severe prenatal alcohol exposure. Developmental Medicine and Child Neurology, 43(3), 148–154.

    PubMed  CAS  Google Scholar 

  • Astley, S. J., Aylward, E. H., Olson, H. C., Kerns, K., Brooks, A., Coggins, T. E., et al. (2009). Functional magnetic resonance imaging outcomes from a comprehensive magnetic resonance study of children with fatal alcohol spectrum disorders. Journal of Neurodevelopmental Disorders, 1(1), 61–80.

    Article  PubMed  Google Scholar 

  • Bhatara, V. S., Lovrein, F., Kirkeby, J., Swayze, V., Unruh, E., & Johnson, V. (2002). Brain function in fetal alcohol syndrome assessed by single photon emission computed tomography. South Dakota Journal of Medicine, 55(2), 59–62.

    PubMed  Google Scholar 

  • Bookheimer, S. Y., & Sowell, E. R. (2005). Brain imaging in FAS commentary on the article by Malisza et al. Pediatric Research, 58(6), 1148–1149.

    Article  PubMed  Google Scholar 

  • Buckner, R. L., Andrews-Hanna, J. R., & Schacter, D. L. (2008). The brain’s default network: anatomy, function, and relevance to disease. Annals of the New York Academy of Science, 1124, 1–38.

    Article  Google Scholar 

  • Burden, M. J., Andrew, C., Saint-Amour, D., Meintjes, E. M., Molteno, C. D., Hoyme, H. E., et al. (2009). The effects of fetal alcohol syndrome on response execution and inhibition: an event-related potential study. Alcoholism: Clinical and Experimental Research, 33(11), 1994–2004.

    Article  Google Scholar 

  • Burden, M. J., Jacobson, J. L., Westerlund, A., Lundahl, L. H., Morrison, A., Dodge, N. C., et al. (2010). An event-related potential study of response inhibition in ADHD with and without prenatal alcohol exposure. Alcoholism: Clinical and Experimental Research, 34(4), 617–627.

    Article  CAS  Google Scholar 

  • Burden, M. J., Westerlund, A., Muckle, G., Dodge, N., Dewailly, E., Nelson, C. A., et al. (2011). The effects of maternal binge drinking during pregnancy on neural correlates of response inhibition and memory in childhood. Alcoholism: Clinical and Experimental Research, 35(1), 69–82.

    Article  Google Scholar 

  • Chen, X., Coles, C. D., Lynch, M. E., & Hu, X. (2011). Understanding specific effects of prenatal alcohol exposure on brain structure in young adults. Human Bran Mapping, In press.

  • Chernick, V., Childiaeva, R., & Ioffe, S. (1983). Effects of maternal alcohol intake and smoking on neonatal electroencephalogram and anthropometric measurements. American Journal of Obstetrics and Gynecology, 146(1), 41–47.

    PubMed  CAS  Google Scholar 

  • Church, M. W., & Gerkin, K. P. (1988). Hearing disorders in children with fetal alcohol syndrome: findings from case reports. Pediatrics, 82(2), 147–154.

    PubMed  CAS  Google Scholar 

  • Clark, C. M., Li, D., Conry, J., Conry, R., & Loock, C. (2000). Structural and functional brain integrity of fetal alcohol syndrome in nonretarded cases. Pediatrics, 105(5), 1096–1099.

    Article  PubMed  CAS  Google Scholar 

  • Cohen, M. S., & Bookheimer, S. Y. (1994). Localization of brain function using magnetic resonance imaging. Trends in Neurosciences, 17(7), 268–277.

    Article  PubMed  CAS  Google Scholar 

  • D’Angiulli, A., Grunau, P., Maggi, S., & Herdman, A. (2006). Electroencephalographic correlates of prenatal exposure to alcohol in infants and children: a review of findings and implications for neurocognitive development. Alcohol Research & Health, 40(2), 127–133.

    Google Scholar 

  • Dehaene, S., Molko, N., Cohen, L., & Wilson, A. J. (2004). Arithmetic and the brain. Current Opinion in Neurobiology, 14, 218–224.

    Article  PubMed  CAS  Google Scholar 

  • Derauf, C., Kekatpure, M., Neyzi, N., Lester, B., & Kosofsky, B. (2009). Neuroimaging of children following prenatal drug exposure. Seminars in Cell & Developmental Biology, 20, 441–454.

    Article  CAS  Google Scholar 

  • Fabiani, M., Gratton, G., & Coles, M. G. H. (2000). Event-related brain potentials methods, theory, and applications. In J. T. Cacioppo, L. G. Tassinary, & G. G. Berntson (Eds.), Handbook of psychophysiology (pp. 53–84). Cambridge: Cambridge University Press.

    Google Scholar 

  • Feng, C.-M., Narayana, S., Lancaster, J. L., Jerabek, P. A., Arnow, T. L., Zhu, F., et al. (2004). CBF changes during brain activation: fMRI vs. PET. Neuroimage, 22, 443–446.

    Article  PubMed  Google Scholar 

  • Frankel, F., Paley, B., Marquardt, R., & O’Connor, M. (2006). Stimulants, neuroleptics, and children’s friendship training for children with fetal alcohol spectrum disorders. Journal of Child and Adolescent Psychopharmacology, 16(6), 777–789.

    Article  PubMed  Google Scholar 

  • Friston, K. J., Ashburner, J., Frith, C. D., Poline, J.-B., Heather, J. D., & Frackowiak, R. S. J. (1995). Spatial registration and normalization of images. Human Brain Mapping, 3(3), 165–189.

    Article  Google Scholar 

  • Fryer, S. L., Tapert, S. F., Mattson, S. N., Paulus, M. P., Spadoni, A. D., & Riley, E. P. (2007). Prenatal alcohol exposure affects frontal-striatal BOLD response during inhibitory control. Alcoholism: Clinical and Experimental Research, 31(8), 1415–1424.

    Article  Google Scholar 

  • Grabner, R. H., Ansari, D., Reishofer, G., Stern, E., Ebner, F., & Neuper, C. (2007). Individual differences in mathematical competence predict parietal brain activation during mental calculation. Neuroimage, 38, 346–356.

    Article  PubMed  Google Scholar 

  • Havlicek, V., Childiaeva, R., & Chernick, V. (1977). EEG frequency spectrum characteristics of sleep states in infants of alcoholic mothers. Neuropädiatrie, 8(4), 360–373.

    Article  PubMed  CAS  Google Scholar 

  • Ioffe, S., & Chernick, V. (1990). Prediction of subsequent motor and mental retardation in newborn infants exposed to alcohol in utero by computerized EEG analysis. Neuropediatrics, 21(1), 11–17.

    Article  PubMed  CAS  Google Scholar 

  • Ioffe, S., Childiaeva, R., & Chernick, V. (1984). Prolonged effects of maternal alcohol ingestion on the neonatal electroencephalogram. Pediatrics, 74(3), 330–335.

    Google Scholar 

  • Jones, K. L., & Smith, D. W. (1973). Recognition of the fetal alcohol syndrome in early infancy. Lancet, 302(7836), 999–1001.

    Article  PubMed  CAS  Google Scholar 

  • Kable, J. A., & Coles, C. D. (2004). Teratology of alcohol: Implications for school settings. In R. T. Brown (Ed.), Handbook of pediatric psychology in school settings. Mahwah: Lawrence Erlbaum Associates Publishers.

    Google Scholar 

  • Kable, J. A., Coles, C. D., Lynch, M. E., & Carroll, J. (2009). The impact of maternal smoking on fast auditory brainstem responses. Neurotoxicology and Teratology, 31(4), 216–224.

    Article  PubMed  CAS  Google Scholar 

  • Kaneko, W. M., Phillips, E. L., Riley, E. P., & Ehlers, C. L. (1996). EEG findings in fetal alcohol syndrome and Down syndrome children. Electroencephalography and Clinical Neurophysiology, 98, 20–28.

    Article  PubMed  CAS  Google Scholar 

  • Kotsoni, E., Byrd, D., & Casey, B. J. (2006). Special considerations for functional magnetic resonance imaging of pediatric populations. Journal of Magnetic Resonance Imaging, 23, 877–886.

    Article  PubMed  Google Scholar 

  • Li, Z., Coles, C. D., Lynch, M. E., Ma, X., Peltier, S., & Hu, X. (2008). Occipital-temporal reduction and sustained visual attention deficit in prenatal alcohol exposed adults. Brain Imaging and Behavior, 2, 39–48.

    Article  PubMed  Google Scholar 

  • Li, Z., Santhanam, P., Coles, C. D., Lynch, M. E., Hamann, S., Peltier, S., et al. (2010). Increased default mode activity in adolescents prenatally exposed to cocaine. Human Bran Mapping, In press, doi:10.1002/hbm.21059.

  • Liddle, E. B., Hollis, C., Batty, M. J., Groom, M. J., Totman, J. J., Liotti, M., et al. (2010). Task-related default mode network modulation and inhibitory control in ADHD: effects of motivation and methylphenidate. Journal of Child Psychology and Psychiatry, In press, doi:10.1111/j.1469-7610.2010.02333.x.

  • Logothetis, N. K. (2008). What we can do and what we cannot do with fMRI. Nature, 453, 869–878.

    Article  PubMed  CAS  Google Scholar 

  • Malisza, K. L., Allman, A.-A., Shiloff, D., Jakobson, L., Longstaffe, S., & Chudley, A. E. (2005). Evaluation of spatial working memory function in children and adults with fetal alcohol spectrum disorders: a functional magnetic resonance imaging study. Pediatric Research, 58, 1150–1157.

    Article  PubMed  Google Scholar 

  • Mattson, S. N., Riley, E. P., Jernigan, T. L., Ehlers, C. L., Delis, D. C., Jones, K. L., et al. (1992). Fetal alcohol syndrome: a case report of neuropsychological, MRI and EEG assessment of two children. Alcoholism: Clinical and Experimental Research, 16(5), 1001–1003.

    Article  CAS  Google Scholar 

  • Mattson, S. N., Calarco, K. E., & Lang, A. R. (2006). Focused and shifting attention in children with heavy prenatal alcohol exposure. Neuropsychology, 20(3), 361–369.

    Article  PubMed  Google Scholar 

  • Meintjes, E. M., Jacobson, J. L., Molteno, C. D., Gatenby, J. C., Warton, C., Cannistraci, C. J., et al. (2010). An fMRI study of number processing in children with fetal alcohol syndrome. Alcoholism: Clinical and Experimental Research, 34(8), 1450–1464.

    Google Scholar 

  • Norman, A. L., Crocker, N., Mattson, S. N., & Riley, E. P. (2009). Neuroimaging and fetal alcohol spectrum disorders. Developmental Disabilities Research Reviews, 15(3), 209–217.

    Article  PubMed  Google Scholar 

  • Nunez, P. L., & Srinivasan, R. (2006). Electric fields of the brain: The neurophysis of EEG (2nd ed.). New York: Oxford University Press.

    Book  Google Scholar 

  • Oakes, T. R., Fox, A. S., Johnstone, T., Chung, M. K., Kalin, N., & Davidson, R. J. (2007). Integrating VBM into the general linear model with voxelwise anatomical covariates. Neuroimage, 34, 500–508.

    Article  PubMed  Google Scholar 

  • O’Hare, E. D., Lu, L. H., Houston, S. M., Bookheimer, S. Y., Mattson, S. N., O’Connor, M. J., et al. (2009). Altered frontal-parietal functioning during verbal working memory in children and adolescents with heavy prenatal alcohol exposure. Human Brain Mapping, 30, 3200–3208.

    Article  PubMed  Google Scholar 

  • Olegård, R., Sabel, K.-G., Aronsson, M., Sandin, B., Johansson, P. R., Carlsson, C., et al. (1979). Effects on the child of alcohol abuse during pregnancy. Retrospective and prospective studies. Acta Paediatrica, 68(Supplement S275), 112–121.

    Article  Google Scholar 

  • O’Malley, K. D., & Nanson, J. (2002). Clinical implications of a link between fetal alcohol spectrum disorder and attention-deficit hyperactivity disorder. Canadian Journal of Psychiatry, 47(4), 349–354.

    Google Scholar 

  • Pettigrew, A. G., & Hutchinson, I. (1984). Effects of alcohol on functional development of the auditory pathway in the brainstem of infants and chick embryos. Ciba Foundation Symposium, 105, 26–46.

    PubMed  CAS  Google Scholar 

  • Raichle, M. E., & Snyder, A. Z. (2007). A default mode of brain function: a brief history of an evolving idea. Neuroimage, 37, 1083–1090.

    Article  PubMed  Google Scholar 

  • Riikonen, R., Salonen, I., Partanen, K., & Verho, S. (1999). Brain perfusion SPECT and MRI in foetal alcohol syndrome. Developmental Medicine and Child Neurology, 41, 652–659.

    Article  PubMed  CAS  Google Scholar 

  • Riikonen, R. S., Nokelainen, P., Valkonen, K., Kolehmainen, A. I., Kumpulainen, K. I., Könönen, M., et al. (2005). Deep serotonergic and dopaminergic structures in fetal alcoholic syndrome: a study with nor-beta-CIT-single-photon emission computed tomography and magnetic resonance imaging volumetry. Biological Psychiatry, 57, 1565–1572.

    Article  PubMed  CAS  Google Scholar 

  • Rössig, C., Wässer, S., & Oppermann, P. (1994). Audiologic manifestations in fetal alcohol syndrome assessed by brainstem auditory-evoked potentials. Neuropediatrics, 25(5), 245–249.

    Article  PubMed  Google Scholar 

  • Santhanam, P., Li, Z., Hu, X., Lynch, M. E., & Coles, C. D. (2009). Effects of prenatal alcohol exposure on brain activation during an arithmetic task: an fMRI study. Alcoholism: Clinical and Experimental Research, 33(11), 1901–1908.

    Article  Google Scholar 

  • Scher, M. S., Richardson, G. A., Coble, P. A., Day, N. L., & Stoffer, D. S. (1988). The effects of prenatal alcohol and marijuana exposure: disturbances in neonatal sleep cycling and arousal. Pediatric Research, 24(1), 101–105.

    Article  PubMed  CAS  Google Scholar 

  • Scher, M. S., Richardson, G. A., Robles, N., Geva, D., Goldschmidt, L., Dahl, R. E., et al. (1998). Effects of prenatal substance exposure: altered maturation of visual evoked potentials. Pediatric Neurology, 18(3), 236–243.

    Article  PubMed  CAS  Google Scholar 

  • Sonuga-Barke, E. J. S., & Castellanos, F. X. (2007). Spontaneous attentional fluctuations in impaired states and pathological conditions: a neurobiological hypothesis. Neuroscience and Biobehavioral Reviews, 31, 977–986.

    Article  PubMed  Google Scholar 

  • Sowell, E. R., Lu, L. H., O’Hare, E. D., McCourt, S. T., Mattson, S. N., O’Connor, M. J., et al. (2007). Functional magnetic resonance imaging of verbal learning in children with heavy prenatal alcohol exposure. Neuroreport, 18(7), 635–639.

    Article  PubMed  Google Scholar 

  • Spadoni, A. D., McGee, C. L., Fryer, S. L., & Riley, E. P. (2007). Neuroimaging and fetal alcohol spectrum disorders. Neuroscience and Biobehavioral Reviews, 31(2), 239–245.

    Article  PubMed  CAS  Google Scholar 

  • Spadoni, A. D., Bazinet, A. D., Fryer, S. L., Tapert, S. F., Mattson, S. N., & Riley, E. P. (2009). BOLD response during spatial working memory in youth with heavy prenatal alcohol exposure. Alcoholism: Clinical and Experimental Research, 33(12), 2067–2076.

    Article  Google Scholar 

  • Spohr, H. L., & Steinhausen, H. C. (1987). Follow-up studies of children with fetal alcohol syndrome. Neuropediatrics, 18(1), 13–17.

    Article  PubMed  CAS  Google Scholar 

  • Wernick, M. N., & Aarsvold, J. N. (2004). Emission tomography: The fundamentals of PET and SPECT. San Diego: Elsevier Academic Press.

    Google Scholar 

  • Whittingstall, K., Stroink, G., Gates, L., Connolly, J., & Finley, A. (2003). Effects of dipole position, orientation and noise on the accuracy of EEG source localization. Biomedical Engineering Online, 2, 14.

    Article  PubMed  Google Scholar 

  • Wilke, M., Schmithorst, V. J., & Holland, S. K. (2002). Assessment of spatial normalization of whole-brain magnetic resonance images in children. Human Brain Mapping, 17, 48–60.

    Article  PubMed  Google Scholar 

  • Wilke, M., Schmithorst, V. J., & Holland, S. K. (2003). Normative pediatric brain data for spatial normalization and segmentation differs from standard adult data. Magnetic Resonance in Medicine, 50, 749–757.

    Article  PubMed  CAS  Google Scholar 

  • Wozniak, J. R., Mueller, B. A., Muetzel, R. L., Bell, C. J., Hoecker, H. L., Nelson, M. L., et al. (2011). Inter-hemispheric functional connectivity disruption in children with prenatal alcohol exposure. Alcoholism: Clinical and Experimental Research, 35(5), 1–13.

    Article  Google Scholar 

  • Yoon, U., Fonov, V. S., Perusse, D., & Evans, A. C. (2009). The effect of template choice on morphometric analysis of pediatric brain data. Neuroimage, 45, 769–777.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Claire D. Coles.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Coles, C.D., Li, Z. Functional Neuroimaging in the Examination of Effects of Prenatal Alcohol Exposure. Neuropsychol Rev 21, 119–132 (2011). https://doi.org/10.1007/s11065-011-9165-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11065-011-9165-y

Keywords

Navigation