Hyperperfusion in primary somatosensory region related to somatic hallucination in the elderly.
OBJECTIVE
The purpose of the present study was to investigate the regional cerebral blood flow (rCBF) of patients with delusional disorder, somatic type (DDST) exhibiting somatic hallucination.


METHODS
Five patients diagnosed with DDST, as well as 20 control subjects, were examined. All subjects underwent technetium-99m ethyl cysteinate dimer brain perfusion single-photon emission computed tomography. Statistical analysis was performed with SPM5, using a two-sample t-test model to test the regional population effect on rCBF.


RESULTS
Patients with DDST had a significant increase in perfusion in the left post-central gyrus and the right paracentral lobule, both of which are involved in somatic sensory processing.


CONCLUSIONS
Somatic hallucination might be associated with increased perfusion in the primary somatosensory regions.
Nemoto
Kiyotaka
K
Department of Psychiatry, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan. kiyotaka@nemotos.net
Mizukami
Katsuyoshi
K
Hori
Takafumi
T
Tachikawa
Hirokazu
H
Ota
Miho
M
Takeda
Tohoru
T
Ohnishi
Takashi
T
Matsuda
Hiroshi
H
Asada
Takashi
T
D000368:Aged; D001921:Brain / Q000098:blood supply; D016022:Case-Control Studies; D002560:Cerebrovascular Circulation / Q000502:physiology*; D005260:Female; D006212:Hallucinations / Q000503:physiopathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D020886:Somatosensory Disorders / Q000503:physiopathology; D015899:Tomography, Emission-Computed, Single-Photon