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Research ArticlePediatric Neuroimaging

Proton MR Spectroscopy in Children with Bipolar Affective Disorder: Preliminary Observations

Mauricio Castillo, Lester Kwock, Helen Courvoisie and Stephen R. Hooper
American Journal of Neuroradiology May 2000, 21 (5) 832-838;
Mauricio Castillo
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Lester Kwock
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Helen Courvoisie
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Stephen R. Hooper
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    fig 1.

    A and B, Axial T1-weighted images show placement of voxel in the left frontal lobe (A) and in the left temporal lobe (B)

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    fig 2.

    MR spectra from the frontal lobes.

    A, Proton spectra from the left frontal lobe in a control subject show normal metabolites. C, choline; Cr, creatine; N, NAA.

    B, Proton spectra from the left frontal lobe in a patient with BPAD show prominent resonances between 2.1 and 2.5 ppm, corresponding to Glu/Gln (G). The resonances between 0.8 and 1.8 ppm correspond to lipids (L). C, choline; Cr, creatine; N, NAA.

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    fig 3.

    MR spectra from the temporal lobes.

    A, Proton spectra from the left temporal lobe in a control subject show normal metabolites.

    B, Proton spectra from the left temporal lobe in a patient with BPAD show prominent Glu/Gln (G) but no lipids. C, choline; Cr, creatine; N, NAA.

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    fig 4.

    MR spectra from the frontal lobes in a patient with BPAD obtained with smaller voxels.

    A, Axial T1-weighted localizer image with grid shows dense. White square outlines the area of analysis. Study was obtained with 2D PRESS technique (TE = 135). Note location of individual voxel (arrow), corresponding to spectra in B.

    B, Proton spectra from voxel (arrow, A; 1 × 1 × 1.5 cm) show marked elevation of lipids (L). Note that voxel is far away from any fat-containing structure, precluding extraneous contamination. C, choline; Cr, creatine; N, NAA.

    C, Proton spectra of individual voxel placed contralateral and in nearly a mirror position to B still show marked elevation of lipids (L). Again, voxel is placed away from fat-containing structures that could conceivably contaminate it. C, choline; Cr, creatine; N, NAA.

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    TABLE 1:

    Means and SDs on the NEPSY test for children with bipolar affective disorder

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    TABLE 2:

    Means and SDs for the Woodcock-Johnson Psychoeducational Battery in children with bipolar affective disorder

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    TABLE 3:

    Metabolite ratios in the frontal lobes of children with bipolar affective disorder (BPAD) (n = 10) and unaffected control subjects (n = 10)

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    TABLE 4:

    Metabolite ratios in the basal ganglia for children with bipolar affective disorder (BPAD) (n = 10) and unaffected control subjects (n = 10)

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American Journal of Neuroradiology
Vol. 21, Issue 5
1 May 2000
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Cite this article
Mauricio Castillo, Lester Kwock, Helen Courvoisie, Stephen R. Hooper
Proton MR Spectroscopy in Children with Bipolar Affective Disorder: Preliminary Observations
American Journal of Neuroradiology May 2000, 21 (5) 832-838;

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Proton MR Spectroscopy in Children with Bipolar Affective Disorder: Preliminary Observations
Mauricio Castillo, Lester Kwock, Helen Courvoisie, Stephen R. Hooper
American Journal of Neuroradiology May 2000, 21 (5) 832-838;
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Cited By...

  • Steatosis in the Amygdala and Frontal Cortex: Potential Magnetic Resonance Imaging Biomarkers for Alzheimers Disease
  • Aiding and Abetting Anhedonia: Impact of Inflammation on the Brain and Pharmacological Implications
  • A Review of MR Spectroscopy Studies of Pediatric Bipolar Disorder
  • Proton MR Spectroscopy Correlates of Frontal Lobe Function in Healthy Children
  • A comparison of affected and unaffected relatives of patients with bipolar disorder using proton magnetic resonance spectroscopy
  • Are the Brains of Children with Bipolar Disorder Different?
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