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Am J Psychiatry 1995; 152:973-981
Copyright © 1995 by American Psychiatric Association


REGULAR ARTICLES

MRI-based measurement of hippocampal volume in patients with combat- related posttraumatic stress disorder

JD Bremner, P Randall, TM Scott, RA Bronen, JP Seibyl, SM Southwick, RC Delaney, G McCarthy, DS Charney and RB Innis
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.

OBJECTIVE: Studies in nonhuman primates suggest that high levels of cortisol associated with stress have neurotoxic effects on the hippocampus, a brain structure involved in memory. The authors previously showed that patients with combat-related posttraumatic stress disorder (PTSD) had deficits in short-term memory. The purpose of this study was to compare the hippocampal volume of patients with PTSD to that of subjects without psychiatric disorder. METHOD: Magnetic resonance imaging was used to measure the volume of the hippocampus in 26 Vietnam combat veterans with PTSD and 22 comparison subjects selected to be similar to the patients in age, sex, race, years of education, socioeconomic status, body size, and years of alcohol abuse. RESULTS: The PTSD patients had a statistically significant 8% smaller right hippocampal volume relative to that of the comparison subjects, but there was no difference in the volume of other brain regions (caudate and temporal lobe). Deficits in short-term verbal memory as measured with the Wechsler Memory Scale were associated with smaller right hippocampal volume in the PTSD patients only. CONCLUSIONS: These findings are consistent with a smaller right hippocampal volume in PTSD that is associated with functional deficits in verbal memory.


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A Longitudinal Magnetic Resonance Imaging Study of Brain Changes in Adolescents With Anorexia Nervosa
Arch Pediatr Adolesc Med, August 1, 1997; 151(8): 793 - 797.
[Abstract] [PDF]


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Arch Gen PsychiatryHome page
R. S. Duman, G. R. Heninger, and E. J. Nestler
A Molecular and Cellular Theory of Depression
Arch Gen Psychiatry, July 1, 1997; 54(7): 597 - 606.
[Abstract] [PDF]


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J. Pharmacol. Exp. Ther.Home page
S. G. Beck, S. Birnstiel, K. C. Choi, and W. A. Pouliot
Fluoxetine Selectively Alters 5-Hydroxytryptamine1A and gamma -Aminobutyric AcidB Receptor-Mediated Hyperpolarization in Area CA1, but not Area CA3, Hippocampal Pyramidal Cells
J. Pharmacol. Exp. Ther., April 1, 1997; 281(1): 115 - 122.
[Abstract] [Full Text]


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ScienceHome page
R. Yehuda; and R. M. Sapolsky
Stress and Glucocorticoid
Science, March 14, 1997; 275(5306): 1662 - 1663.
[Full Text]


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Arch Gen PsychiatryHome page
J. D. Bremner, R. B. Innis, C. K. Ng, L. H. Staib, R. M. Salomon, R. A. Bronen, J. Duncan, S. M. Southwick, J. H. Krystal, D. Rich, et al.
Positron Emission Tomography Measurement of Cerebral Metabolic Correlates of Yohimbine Administration in Combat-Related Posttraumatic Stress Disorder
Arch Gen Psychiatry, March 1, 1997; 54(3): 246 - 254.
[Abstract] [PDF]


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NeuroscientistHome page
R. S. Duman, V. A. Vaidya, M. Nibuya, S. Morinobu, and L. R. Fitzgerald
Review : Stress, Antidepressant Treatments, and Neurotrophic Factors: Molecular and Cellular Mechanisms
Neuroscientist, November 1, 1995; 1(6): 351 - 360.
[Abstract] [PDF]


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Transcultural PsychiatryHome page
A. Young
Reasons and Causes for Post-Traumatic Stress Disorder
Transcultural Psychiatry, January 1, 1995; 32(3): 287 - 298.
[Abstract] [PDF]




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