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  • 5 - Brain plasticity and long-term function after early cerebral insult: the example of very preterm birth

  • Edited by Matcheri S. Keshavan, University of Pittsburgh, James L. Kennedy, Clarke Institute of Psychiatry, Toronto, Robin M. Murray, Institute of Psychiatry, London
  • Book:
    Neurodevelopment and Schizophrenia
    Published online:
    04 August 2010
    Print publication:
    18 November 2004, pp 89-108

  • Summary

    This chapter deals with the developmental plasticity and discusses the recovery, or sparing, of functions and the reorganization of brain structure that occurs as a consequence of early brain injury, using the example of preterm birth. From the public health point of view, one of the most important challenges to early brain plasticity comes from preterm birth. In the assessments of the University College Hospital London (UCHL) very preterm (VPT) cohort, assessments were made of neurological, neuropsychological, and behavioral function. Some of these results are summarized in this chapter. The animal studies suggest that a brain lesion may remain relatively 'silent' until later in life, only causing functional compromise when the neural system involved reaches maturity. It is important to continue to follow up preterm individuals as they enter adulthood and to determine which factors are associated with poor outcome.