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- W2010371873 abstract "Psychiatry Research. 21,357-358 Elsevier Letter Subcortical Signal Hyperintensities in Bipolar Patients Detected by MRI To the Editors: Some recent reports have shown increased ventricle-brain ratios (Nasrallah et al., 1984; Pearlson et al., 1984) and altered attenuation values (Coffmanand Nasrallah, 1984; Schle- gal and Kretzschmar, 1987) in the computed tomographic (CT) scans of bipolar patients compared with controls. Using magnetic resonance imaging (MRI), we have exam- ined 15 bipolar patients and 8 controls for the presence of ventricular enlargement and par- enchymal abnormalities. All patients and controls were screened with the Schedule for Affective Disorders and Schizophrenia-Lifetime Version (Endi- cott and Spitzer, 1978), history, and labora- tory and physical examinations. Participants with a history of a neurological disorder, birth trauma, developmental delay, uncon- trolled hypertension, or significant alcohol or drug abuse were excluded. Controls were free of personal and family history of psychi- atric disorder. All screening was completed before the MRI. Ventricular rank and pres- ence of parenchymal abnormalities were evaluated by experienced observers without knowledge of group membership of the images (T.J. and J.R.H., respectively). Sub- cortical white matter abnormalities were defined by an increased signal on mixed T,/ T, and T, weighted images (TR-2,00Oms, TE-25, 70 ms) obtained in axial and coronal planes. Regions of increased signal found normally directly anterior to the frontal horn or posterior to the occipital horn ofthe lateral ventricle were excluded. Fifteen bipolar patients met Research Diagnostic Criteria (Spitzer et al., 1978) for the disorder. However, one patient was excluded from analysis due to the presence of a previously undiagnosed arachnoid cyst dis- placing the left temporal lobe. The remaining @ 1987 Ekvier bipolar patients were 13 males and 1 female. Seven patients were on lithium alone, two were on lithium plus a tricyclic anti- depressant, one was on lithium, benztropine, and fluphenazine HCl, one was on carba- mazepine, and three were unmedicated. One bipolar male had recentlycompletedacourse of electroconvulsive therapy (ECT). Eight males served as controls. The average age of the patients was 38 + 8 years, and that of the controls was 41 f 9 years (NS difference). Eight of the 14 bipolars and none of the controls exhibited white matter abnormali- ties @ 0.90). To our knowledge, this is the first study demonstrating focal parenchymal abnor- malities in bipolar patients using MRI. Further studies are underway to evaluate the relationship of these lesions to performance on tests of cognitive functioning. Scientific Publishers Ireland Ltd." @default.
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- W2010371873 date "1987-08-01" @default.
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- W2010371873 title "Subcortical signal hyperintensities in bipolar patients detected by MRI" @default.
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- W2010371873 doi "https://doi.org/10.1016/0165-1781(87)90020-5" @default.
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