Benabarre A, Vieta E, Martín F, Lomeña F
Institut Clínic de Psiquiatria i Psicologia, Hospital Clínic, Universitat de Barcelona, Stanley Foundation Barcelona Center.
Rev Esp Med Nucl. 2001 Aug;20(5):386-90. doi: 10.1016/s0212-6982(01)71979-9.
Bipolar patients with a rapid cycling clinical course constitute an interesting sub-group for studies focused on the pathophysiology of the disorder, since several switches can be studied by the investigators in a short period of time. At present, functional neuroimaging techniques, as SPECT and PET, may be used for the neurobiological study of affective disorders. Few longitudinal functional neuroimaging studies assessing the different phases of bipolar disorder have been carried out. However, the published data suggest an asymmetrical temporal lobe dysfunction in depressive and manic phases of bipolar depression. Further studies with larger samples of patients are needed in order to improve our knowledge of the pathophysiology of bipolar disorder.
具有快速循环临床病程的双相情感障碍患者构成了一个有趣的亚组,适用于专注于该疾病病理生理学的研究,因为研究人员可以在短时间内研究多次发作转换。目前,诸如单光子发射计算机断层扫描(SPECT)和正电子发射断层扫描(PET)等功能神经影像学技术可用于情感障碍的神经生物学研究。很少有纵向功能神经影像学研究评估双相情感障碍的不同阶段。然而,已发表的数据表明,双相抑郁的抑郁和躁狂阶段存在颞叶功能不对称性障碍。需要对更多患者样本进行进一步研究,以增进我们对双相情感障碍病理生理学的了解。