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