Department of Psychiatry, Prof. Dr. Alexandru Obregia Clinical Hospital for Psychiatry, Bucharest, Romania;
Rom J Morphol Embryol. 2020;61(1):51-60. doi: 10.47162/RJME.61.1.06.
The pathophysiology of the obsessive-compulsive disorder (OCD) has been studied for many years using several structural magnetic resonance imaging, discovering that the anomalies of function and structure of the brain are widespread, they involve different areas, structures and circuits with a complex interconnectivity. More than that, these anomalies cover all the life of a patient, from early childhood, due to variations of developmental stages until adult life. The research is highly important also because OCD has a major hereditary factor, with the phenotype variance between 27-47% due to hereditary factors. Under this paper, that follows last 10 years studies in this area, we will find some relevant findings consisting on neuroanatomic changes, the morphology findings of striatum, globus pallidus and thalamus, the blood flow circuit changes in various regions of the brain, brain connectivity and various correlations of them. Not to forget that OCD must be understand as an emotional disorder but in the same time as a cognitive disorder too. This approach highlights the abnormalities that have been found in brain regions involved in the cognitive and emotional behavior, as for example: extended temporal, parietal, and occipital regions, anterior cingulate, frontal gyrus, amygdala.
强迫症(OCD)的病理生理学已经研究了很多年,使用了几种结构磁共振成像,发现大脑的功能和结构异常是广泛存在的,它们涉及不同的区域、结构和相互连接的复杂回路。不仅如此,这些异常存在于患者的整个生命周期中,从儿童早期开始,由于发育阶段的变化一直到成年期。这项研究非常重要,因为强迫症有一个主要的遗传因素,表型变异在 27-47%之间归因于遗传因素。在这篇论文中,我们将回顾过去 10 年在该领域的研究,发现一些相关的发现,包括神经解剖变化、纹状体、苍白球和丘脑的形态学发现、大脑各个区域的血流回路变化、大脑连接以及它们之间的各种相关性。不要忘记,强迫症必须被理解为一种情感障碍,但同时也是一种认知障碍。这种方法强调了在涉及认知和情感行为的大脑区域中发现的异常,例如:扩展的颞叶、顶叶和枕叶、前扣带回、额叶回、杏仁核。