Document Detail


Volume changes of corpus striatum, thalamus, hippocampus and lateral ventricles in posttraumatic stress disorder (PTSD) patients suffering from headaches and without therapy.
MedLine Citation:
PMID:  20857373     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND AIM: In the present study, we have hypothesized that volume changes of the caudate nucleus, putamen, globus pallidus, hippocampus, thalamus, and lateral ventricle in newly-diagnosed, male PTSD patients without therapy are more pronounced in those with headaches. To confirm or reject our hypothesis, we have undertaken an extensive study of forty-nine PTSD patients.
PATIENTS AND METHODS: To confirm or reject our hypothesis, we have undertaken an extensive study of forty-nine PTSD male patients that underwent MRI scanning immediately upon admittance for the treatment. Based on headache frequency, they were classified into three groups: group 1 included patients with headaches at least twice a week; group 2 consisted of patients with headaches less than twice a week; and group 3 consisted of patients without headaches. All MRI scans underwent software-based volume compute and statistical processing.
RESULTS: 39 out of 49 patients with PTSD suffered from headaches. Bilaterally, volume decreases were noted in groups 1 and 2 compared to group 3 for the caudate nucleus, putamen, hippocampus and lateral ventricle. Differences in globus pallidus and thalamus among groups appeared to be insignificant.
CONCLUSION: The present study revealed a bilateral volume decrease of the caudate nucleus, putamen and hippocampus in PTSD male subjects without therapy. Intensity of volume alterations correlated with Hamilton's depression rating score; regression analysis uncovered correlated changes in the caudate nucleus, putamen and hippocampus, and an inverse correlation with the volume of the lateral ventricle in the PTSD patients.
Authors:
B R Filipovic; B Djurovic; S Marinkovic; L Stijak; M Aksic; V Nikolic; A Starcevic; V Radonjic
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-09-20
Journal Detail:
Title:  Central European neurosurgery     Volume:  72     ISSN:  1868-4912     ISO Abbreviation:  Cent Eur Neurosurg     Publication Date:  2011 Aug 
Date Detail:
Created Date:  2011-08-10     Completed Date:  2011-12-06     Revised Date:  2012-03-23    
Medline Journal Info:
Nlm Unique ID:  101501500     Medline TA:  Cent Eur Neurosurg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  133-7     Citation Subset:  IM    
Copyright Information:
© Georg Thieme Verlag KG Stuttgart · New York.
Affiliation:
School of Medicne in Belgrade, Institute of Anatomy Belgrade, Serbia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Corpus Striatum / pathology*
Depression / psychology
Globus Pallidus / pathology
Headache / etiology,  pathology*
Hippocampus / pathology*
Humans
International Classification of Diseases
Lateral Ventricles / pathology*
Magnetic Resonance Imaging
Male
Middle Aged
Pain Measurement
Psychiatric Status Rating Scales
Putamen / pathology
Stress Disorders, Post-Traumatic / complications,  pathology*,  therapy
Thalamus / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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