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Am J Psychiatry 1995; 152:444-446
Copyright © 1995 by American Psychiatric Association
Temporal lobe proton magnetic resonance spectroscopy of patients with first-episode psychosis
PF Renshaw, DA Yurgelun-Todd, M Tohen, S Gruber and BM Cohen
McLean Brain Imaging Center, McLean Hospital, Belmont, MA 02178.
OBJECTIVE: The authors measured the ratio of N-acetyl aspartate (a putative
neuronal marker) to creatine-phosphocreatine in patients with first-episode
psychosis by using proton magnetic resonance spectroscopy (MRS). METHOD:
Temporal lobe 1H MRS was performed bilaterally on 13 patients with
first-episode psychosis and 15 comparison subjects. The N- acetyl
aspartate/creatine-phosphocreatine and choline/creatine- phosphocreatine
ratios were determined. RESULTS: The N-acetyl
aspartate/creatine-phosphocreatine ratio of the psychotic patients was
significantly lower than that of the comparison subjects. CONCLUSIONS:
These preliminary data suggest that abnormalities in temporal lobe N-
acetyl aspartate concentration are present early in psychotic illness.
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