Resumo

LOPEZ-JARAMILLO, Carlos et al. Effects of Medication on fMRI Brain Activation Patterns in Bipolar Disorder Type I Patients Challenged with Working Memory Tasks. rev.colomb.psiquiatr. [online]. 2011, vol.40, suppl.1, pp.76-89. ISSN 0034-7450.

Background: Patients with bipolar disorder show increased activation in limbic and para-limbic areas whereas they show decreased activity in working memory-related areas. The degree to which pharmacological treatment determines these alterations is hard to gage, given that most studies have been done on patients already receiving such treatments. Objective: We seek to identify differences and the role of treatment in neurofunctional response in patients with bipolar disorder type I compared to controls, specifically while challenged with working memory tasks. Methods: Thirtythree euthymic patients with type I bipolar disorder and 10 controls were evaluated in a cross-sectional study; 13 of them were being treated with lithium, 9 with valproic acid, and 10 had not received treatment for at least 2 months prior to the study. Correlation was established between functional Magnetic Resonance (fMRI) BOLD signal and working memory processes. Results: There were no significant differences between the groups in demographics or clinical variables except for YMRS score. Patients and controls showed significantly different patterns of brain activation in the anterior cingulate (p:0.05) during working memory tasks. Conclusion: There are statistically significant differences in the anterior cingulate BOLD (Blood oxygen level dependent) signal of patients with Type I Bipolar disorder compared to controls.

Palavras-chave : Functional magnetic resonance image; operative memory; work memory; lithium; valproic acid; bipolar disorder.

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