Single photon emission computed tomography with iodoamphetamine-123 and neuropsychological studies in long-term abstinent alcoholics.

Abstract:

:Ten long-term abstinent alcoholics (mean abstinence = 7.7 years) were compared with 13 recently detoxified substance-dependent inpatients (mean abstinence = 25 days) and 8 nonalcoholic control subjects on global end regional measures of cortical cerebral blood flow (CBF), and on neuropsychological measures. CBF was assessed using 123iodoamphetamine (IMP) single photon emission computed tomography (SPECT) under conditions of behavioral challenge (Raven's Progressive Matrices). CBF and neuropsychological test performance were worse in the recently detoxified inpatients. Of greater interest, there was a dissociation in the long-term abstinent group, which, while neuropsychologically indistinguishable from controls, showed significantly decreased mean cortical IMP uptake. We conclude that there may be persistent physiologic abnormalities in long-term abstinent alcoholics who have achieved full behavioral recovery. Smoking on the day of SPECT scanning was also identified to be a significant confound to understanding CBF changes in alcoholism.

journal_name

Psychiatry Res

journal_title

Psychiatry research

authors

Dupont RM,Rourke SB,Grant I,Lehr PP,Reed RJ,Challakere K,Lamoureux G,Halpern S

doi

10.1016/0925-4927(96)02769-2

subject

Has Abstract

pub_date

1996-07-31 00:00:00

pages

99-111

issue

2

eissn

0165-1781

issn

1872-7123

journal_volume

67

pub_type

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