Document Detail


In vivo proton magnetic resonance spectroscopic examination of benzodiazepine action in humans.
MedLine Citation:
PMID:  21036017     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
In an examination of the effect of benzodiazepines on brain chemistry, 44 healthy controls underwent a short echo-time proton magnetic resonance spectroscopy ((1)H MRS) session after induced sedation with intravenous midazolam (0.03mg/kg) plus fentanyl (2μg/kg). The regions of interest were the anterior cingulate cortex, right basal ganglia, right frontal lobe, and right hippocampus. Twenty-five of these subjects underwent the second (1)H MRS session while awake. The measured (1)H MRS metabolites included N-acetyl-aspartate, creatine-containing compounds (PCr+Cr), choline-containing compounds, myo-inositol, and glutamate plus glutamine, which were quantified both as absolute values and metabolite/PCr+Cr ratios. The results were analyzed using independent group t tests and repeated measures analysis of variance (ANOVA, with alpha values set at 0.025 to minimize the risk of false-positive findings arising from multiple comparisons. No significant difference between subjects under midazolam plus fentanyl induced sedation and awake could be detected with unpaired analyses. Paired comparisons by ANOVA with repeated measures found that neither drug (midazolam plus fentanyl) nor the drug by time (interval between two scan times) interaction had a significant effect on the quantified metabolites. These findings encourage utilization of benzodiazepine-induced brief sedation during in vivo (1)H MRS experiments of the brain, and may help with elucidation of state-dependent neurochemical alterations during the course of bipolar and schizoaffective disorders.
Authors:
Ayşegül Yildiz; Necati Gökmen; Semih Kücükgüclü; Ayşegül Yurt; David Olson; Elizabeth D Rouse; Constance Moore; Oğuz Dicle; Perry F Renshaw
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2010-10-30
Journal Detail:
Title:  Psychiatry research     Volume:  184     ISSN:  0165-1781     ISO Abbreviation:  Psychiatry Res     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7911385     Medline TA:  Psychiatry Res     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  162-70     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of Psychiatry, Dokuz Eylül University, Mithatpasa Cad. No. 479, Narlidere, Izmir, Turkey. agul_yildiz@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Grant Support
ID/Acronym/Agency:
MH 58681/MH/NIMH NIH HHS

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