Dewan M J, Haldipur C V, Boucher M F, Ramachandran T, Major L F
Department of Psychiatry, S.U.N.Y. Health Science Center, Syracuse.
Acta Psychiatr Scand. 1988 Jun;77(6):677-82. doi: 10.1111/j.1600-0447.1988.tb05187.x.
Since the clinical significance of CT abnormalities found in bipolar patients remains obscure, we studied 26 DSM-III bipolar patients who had specific CT abnormalities (third ventricle enlargement, and hyperdensity of the caudate, thalamus, anterior frontal white matter, and right temporal lobe) on numerous parameters such as EEG, the Halstead-Reitan Neuropsychological Battery, premorbid personality adjustment, family history of affective disorder, positive and negative symptoms, employment history, and response to lithium carbonate treatment. None of these measures could differentiate between the CT abnormal and CT normal subgroups. The implications of these findings are discussed.
由于双相情感障碍患者中发现的CT异常的临床意义仍不明确,我们对26名DSM-III双相情感障碍患者进行了研究,这些患者在多个参数上存在特定的CT异常(第三脑室扩大,以及尾状核、丘脑、前额叶白质和右侧颞叶高密度),这些参数包括脑电图、霍尔斯特德-雷坦神经心理成套测验、病前人格适应、情感障碍家族史、阳性和阴性症状、就业史以及对碳酸锂治疗的反应。这些指标均无法区分CT异常和CT正常的亚组。本文讨论了这些发现的意义。