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Am J Psychiatry 161:1304-1306, July 2004
© 2004 American Psychiatric Association


Brief Report

Basal Ganglia High-Energy Phosphate Metabolism in Neuroleptic-Naive Patients With Schizophrenia: A 31-Phosphorus Magnetic Resonance Spectroscopic Study

B.N. Gangadhar, M.D., P.N. Jayakumar, M.D., D.K. Subbakrishna, Ph.D., N. Janakiramaiah, M.D., Ph.D., and M.S. Keshavan, M.D.

OBJECTIVE: This study used 31-phosphorus magnetic resonance spectroscopy (31P MRS) to investigate basal ganglia abnormalities in neuroleptic-naive patients with schizophrenia. METHOD: Nineteen schizophrenia patients and 31 age- and sex-matched healthy comparison subjects underwent 31P MRS. RESULTS: The phosphocreatine/total phosphorus and phosphocreatine/total ATP ratios in both basal ganglia were significantly lower in patients. CONCLUSIONS: Schizophrenia patients showed features of increased metabolism in the basal ganglia consistent with impaired activity of the frontostriatal pathways.




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