Magnetic resonance imaging and magnetic resonance spectroscopy study of deficits in hippocampal structure in fire victims with recent-onset posttraumatic stress disorder.
OBJECTIVE
To explore hippocampal structural abnormalities in fire victims with recent-onset posttraumatic stress disorder (PTSD).


METHODS
We compared 12 patients with recent-onset PTSD diagnosed according to DSM-IV criteria 6 to 8 months after a major fire with 12 individuals without PTSD who were victims of the same fire accident. Voxel-based morphometry (VBM) and magnetic resonance spectroscopy (MRS) were combined to examine hippocampal structural abnormalities in patients with recent-onset PTSD.


RESULTS
Results of VBM showed that the grey matter density of the left hippocampus was lower in the group with PTSD than it was in the group without PTSD. Results of MRS showed that the ratio of N-acetyl asparate and creatine in the left hippocampus was significantly lower in patients with PTSD than in control subjects.


CONCLUSIONS
Patients with recent-onset PTSD had hippocampal structural abnormalities.
Li
Lingjiang
L
Mental Health Institute, The Second Xiangya Hospital, Central South University Changsha, Hunan, PR China.
Chen
Shulin
S
Liu
Jun
J
Zhang
Jinli
J
He
Zhong
Z
Lin
Xu
X
D000328:Adult; D001224:Aspartic Acid / Q000031:analogs & derivatives / Q000378:metabolism; D002681:China; D003404:Creatinine / Q000378:metabolism; D004292:Dominance, Cerebral / Q000502:physiology; D004734:Energy Metabolism / Q000502:physiology; D005260:Female; D005390:Fires; D005500:Follow-Up Studies; D006624:Hippocampus / Q000473:pathology*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D008279:Magnetic Resonance Imaging; D009682:Magnetic Resonance Spectroscopy; D008297:Male; D008432:Mathematical Computing; D012016:Reference Values; D013223:Statistics as Topic; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000503:physiopathology* / Q000523:psychology
D001224:Aspartic Acid; C000179:N-acetylaspartate; D003404:Creatinine