Meeting Banner
Abstract #1207

A Proton MRS Study of Brain in Patients with OCD and Their First Degree Relatives

Sundar Gnanavel1, Pratap Sharan2, Sudhir Khandelwal2, Uma Sharma3, Jagannathan NR4, Rani Gupta Sah4

1Psychiatry, AIIMS, New Delhi, Select State, India; 2Psychiatry, AIIMS, New Delhi, Delhi, India; 3NMR, AIIMS, New Delhi, Select State, India; 4NMR, AIIMS, New Delhi, Delhi, India

The study aims to demonstrate alterations in neurochemical measures that are specific to obsessive compulsive disorder (OCD) using invivo proton MRS of caudate nucleus, anterior cingulate cortex (ACC) and medial thalamus in patients of OCD and to identify their role as vulnerability markers by comparing them with the healthy first degree relatives of these patients and healthy controls. There were significant group differences in two of the three regions of interest: caudate nucleus and ACC. The study results support the neurodegenerative hypothesis of OCD and possibility of use of these bio-chemicals as putative markers that may aid in early intervention.

Keywords

absolute addition aged aims anterior appropriate array assessment attempt attendant basal basis better brain brown care carried central characterize choline circuit clinical component compulsive concentration constituents control controls correction correlated cortex cortical criteria criterion cross debilitating decrease degree demographic design despite diagnosed differ disease disorder disorders documented duration evidence expressed family findings fitting formed future ganglia general glutamate handed head health healthy history hypothesis identification identify illness impaired implants in vivo included inclusion individuals integral integrity interview intrusive involved localized lute marker markers material measures medial members metabolites model moles neurological neuronal nucleus objectives obsessive pathogenesis pathways patient patients population positioned post prevalence previous prior profile program proton psychiatric psychiatry psychotropic pulse related replication resolved ritualistic role scale score scout select selection semi severity sheath significantly socio spectra spectroscopy spectrum square stein structured structures studies subject subjects suggest symptom synthesis table terms thalamus thyroid transduction unclear understanding variables viability volume vulnerability whole years