“…Children with PAE often have arithmetic processing difficulties (Riley and McGee, ), and previous studies have shown altered activity during calculation tasks in the precuneus, right insula, right MFG, and POCG in children and adults with PAE (Meintjes et al, ; Santhanam, Li, Hu, Lynch, & Coles, ; Santhanam et al, ; Woods, Meintjes, Molteno, Jacobson, & Jacobson, ), all regions observed here to have altered connectivity with the sensorimotor regions. The ACC showed higher FC to the right hand sensorimotor region in PAE, also shows higher activation during inhibition tasks (O'Brien et al, ), and altered structure in children and adolescents with PAE compared to controls (Bjorkquist, Fryer, Reiss, Mattson, & Riley, ; Migliorini et al, ). The insula and STG are involved in speech production and language performance (Behroozmand et al, ; Oh, Duerden, & Pang, ), which are known to be impaired in children with FASD (McGee, Bjorkquist, Riley, & Mattson, ; Wyper and Rasmussen, ).…”