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Published on: December 18, 2016
Corpus callosum changes in euthymic bipolar affective disorder.
Adrian J Lloyd1, Heba E Ali, David Nesbitt
1Adrian J. Lloyd, MB, BS, MRCPsych, MD (Hons), Heba E. Ali, MB, BS, Mphil, David Nesbitt, BSc (Hons), MB, BS, P. Brian Moore, PhD, MB, BS, FRCPsych, Allan H. Young, MB, ChB, MPhil, PhD, FRCPsych, FRCPS, I. Nicol Ferrier, BSc(Hons), MD (Hons), FRCP(Ed), FRCPsych, Psychobiology Research Group, Institute of Neuroscience, Newcastle University, Newcastle-upon-Tyne, UK.
Bipolar disorder is associated with reduced corpus callosum size, irrespective of age. These brain structure changes in bipolar disorder patients may indicate altered myelination or glial function, with a gender-specific effect.
Area of Science:
- Neuroimaging
- Neuropsychiatry
- Brain Anatomy
Background:
- Corpus callosum size and thickness alterations are noted in bipolar disorder.
- Evidence suggests potential issues with myelination or glial function in affected individuals.
Purpose of the Study:
- To compare corpus callosum area, thickness, and MRI T1 signal intensity between bipolar disorder patients and healthy controls.
Main Methods:
- Magnetic resonance imaging (MRI) was used to analyze callosal midsagittal area, thickness, and T1 signal intensity.
- The study included 48 euthymic bipolar disorder patients and 46 healthy controls.
Main Results:
- Bipolar disorder patients exhibited smaller overall and subregional callosal areas and reduced callosal width compared to controls.
- Age negatively correlated with callosal area in controls, but not in bipolar patients.
- Signal intensity was higher in women than men; bipolar women showed reduced signal intensity, unlike bipolar men.
Conclusions:
- Morphometric changes in bipolar disorder appear independent of mood state and normal aging processes.
- Observed intensity changes suggest potential alterations in myelination or glial function.
- A gender-dependent factor interacts with bipolar disorder diagnosis, influencing these findings.
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