Department of Clinical Neurosciences, Scientific Institute Ospedale San Raffaele, San Raffaele Turro, Via Stamira d'Ancona 20, Milano, Italy.
Expert Rev Neurother. 2014 Jun;14(6):631-50. doi: 10.1586/14737175.2014.915744.
Bipolar disorder is a severe, disabling and life-threatening illness, which affects nearly 2% of the general population. The identification of reliable and objective biomarkers may aid early diagnosis and optimize treatment efficacy. Through a careful overview of the neuroimaging studies which investigated the structural, functional, and effective connectivity in bipolar disorder, we explored the role of a disconnected cortico-limbic circuitry in the development and maintenance of the disorder. This review offers perspectives and suggestions for future research, in order to propose the corticolimbic disconnection as a neurobiological underpinning and biomarker for bipolar psychopathology.
双相情感障碍是一种严重、致残和危及生命的疾病,影响着近 2%的普通人群。识别可靠和客观的生物标志物可能有助于早期诊断和优化治疗效果。通过仔细综述研究双相情感障碍的神经影像学研究,我们探讨了连接断开的皮质-边缘回路在该障碍的发展和维持中的作用。该综述为未来的研究提供了观点和建议,以便将皮质边缘断开作为双相精神病理学的神经生物学基础和生物标志物。