Insular hypoperfusion correlates with the severity of delusions in individuals with Alzheimer's disease.

Abstract:

BACKGROUND:The aim of this study was to identify the brain regions associated with the severity of delusions in individuals with Alzheimer's disease (AD) using single-photon emission computed tomography. METHODS:Thirty-five AD patients participated in this study. Multiple regression analysis was performed to identify a linear correlation between the delusion subscale score of the Neuropsychiatric Inventory (NPI) and regional cerebral blood flow (rCBF) in AD patients with delusions (n = 14). In addition, rCBF in patients with (n = 14) and without delusions (n = 21) was compared using a 2-sample t test. RESULTS:The delusion subscale score of the NPI was negatively correlated with rCBF in the right anterior insula (uncorrected p < 0.01 at the voxel level and corrected p < 0.05 at the cluster level). Compared to patients without delusions, however, rCBF in the right anterior insula was not significantly decreased in patients with delusions. CONCLUSION:We suggest that right anterior insular dysfunction may exacerbate delusions, although it is not responsible for the onset of delusions.

authors

Matsuoka T,Narumoto J,Shibata K,Okamura A,Nakamura K,Okuyama C,Nishimura T,Fukui K

doi

10.1159/000295115

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

287-93

issue

4

eissn

1420-8008

issn

1421-9824

pii

000295115

journal_volume

29

pub_type

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