Three-dimensional mapping of hippocampal and amygdalar structure in euthymic adults with bipolar disorder not treated with lithium.

Abstract:

:Structural neuroimaging studies of the amygdala and hippocampus in bipolar disorder have been largely inconsistent. This may be due in part to differences in the proportion of subjects taking lithium or experiencing an acute mood state, as both factors have recently been shown to influence gray matter structure. To avoid these problems, we evaluated euthymic subjects not currently taking lithium. Thirty-two subjects with bipolar type I disorder and 32 healthy subjects were scanned using magnetic resonance imaging. Subcortical regions were manually traced, and converted to three-dimensional meshes to evaluate the main effect of bipolar illness on radial distance. Statistical analyses found no evidence for a main effect of bipolar illness in either region, although exploratory analyses found a significant age by diagnosis interaction in the right amygdala, as well as positive associations between radial distance of the left amygdala and both prior hospitalizations for mania and current medication status. These findings suggest that, when not treated with lithium or in an acute mood state, patients with bipolar disorder exhibit no structural abnormalities of the amygdala or hippocampus. Future studies, nevertheless, that further elucidate the impact of age, course of illness, and medication on amygdala structure in bipolar disorder are warranted.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Foland-Ross LC,Thompson PM,Sugar CA,Narr KL,Penfold C,Vasquez RE,Townsend J,Fischer J,Saharan P,Bearden CE,Altshuler LL

doi

10.1016/j.pscychresns.2012.08.002

subject

Has Abstract

pub_date

2013-03-30 00:00:00

pages

195-201

issue

3

eissn

0165-1781

issn

1872-7123

pii

S0925-4927(12)00186-2

journal_volume

211

pub_type

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