Lateral frontal cortex volume reduction in Tourette syndrome revealed by VBM

<p>Abstract</p> <p>Background</p> <p>Structural changes have been found predominantly in the frontal cortex and in the striatum in children and adolescents with Gilles de la Tourette syndrome (GTS). The influence of comorbid symptomatology is unclear. Here we sought to...

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Main Authors: Wittfoth Matthias, Bornmann Sarah, Peschel Thomas, Grosskreutz Julian, Glahn Alexander, Buddensiek Nadine, Becker Hartmut, Dengler Reinhard, Müller-Vahl Kirsten R
Format: Article
Language:English
Published: BMC 2012-02-01
Series:BMC Neuroscience
Subjects:
Online Access:http://www.biomedcentral.com/1471-2202/13/17
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author Wittfoth Matthias
Bornmann Sarah
Peschel Thomas
Grosskreutz Julian
Glahn Alexander
Buddensiek Nadine
Becker Hartmut
Dengler Reinhard
Müller-Vahl Kirsten R
author_facet Wittfoth Matthias
Bornmann Sarah
Peschel Thomas
Grosskreutz Julian
Glahn Alexander
Buddensiek Nadine
Becker Hartmut
Dengler Reinhard
Müller-Vahl Kirsten R
author_sort Wittfoth Matthias
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Structural changes have been found predominantly in the frontal cortex and in the striatum in children and adolescents with Gilles de la Tourette syndrome (GTS). The influence of comorbid symptomatology is unclear. Here we sought to address the question of gray matter abnormalities in GTS patients <it>with </it>co-morbid obsessive-compulsive disorder (OCD) and/or attention deficit hyperactivity disorder (ADHD) using voxel-based morphometry (VBM) in twenty-nine adult actually unmedicated GTS patients and twenty-five healthy control subjects.</p> <p>Results</p> <p>In GTS we detected a cluster of decreased gray matter volume in the left inferior frontal gyrus (IFG), but no regions demonstrating volume increases. By comparing subgroups of GTS with comorbid ADHD to the subgroup with comorbid OCD, we found a left-sided amygdalar volume increase.</p> <p>Conclusions</p> <p>From our results it is suggested that the left IFG may constitute a common underlying structural correlate of GTS with co-morbid OCD/ADHD. A volume reduction in this brain region that has been previously identified as a key region in OCD and was associated with the active inhibition of attentional processes may reflect the failure to control behavior. Amygdala volume increase is discussed on the background of a linkage of this structure with ADHD symptomatology. Correlations with clinical data revealed gray matter volume changes in specific brain areas that have been described in these conditions each.</p>
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spelling doaj.art-2724b60b4cdb40d9b0cd2f16528da2cc2022-12-21T21:11:33ZengBMCBMC Neuroscience1471-22022012-02-011311710.1186/1471-2202-13-17Lateral frontal cortex volume reduction in Tourette syndrome revealed by VBMWittfoth MatthiasBornmann SarahPeschel ThomasGrosskreutz JulianGlahn AlexanderBuddensiek NadineBecker HartmutDengler ReinhardMüller-Vahl Kirsten R<p>Abstract</p> <p>Background</p> <p>Structural changes have been found predominantly in the frontal cortex and in the striatum in children and adolescents with Gilles de la Tourette syndrome (GTS). The influence of comorbid symptomatology is unclear. Here we sought to address the question of gray matter abnormalities in GTS patients <it>with </it>co-morbid obsessive-compulsive disorder (OCD) and/or attention deficit hyperactivity disorder (ADHD) using voxel-based morphometry (VBM) in twenty-nine adult actually unmedicated GTS patients and twenty-five healthy control subjects.</p> <p>Results</p> <p>In GTS we detected a cluster of decreased gray matter volume in the left inferior frontal gyrus (IFG), but no regions demonstrating volume increases. By comparing subgroups of GTS with comorbid ADHD to the subgroup with comorbid OCD, we found a left-sided amygdalar volume increase.</p> <p>Conclusions</p> <p>From our results it is suggested that the left IFG may constitute a common underlying structural correlate of GTS with co-morbid OCD/ADHD. A volume reduction in this brain region that has been previously identified as a key region in OCD and was associated with the active inhibition of attentional processes may reflect the failure to control behavior. Amygdala volume increase is discussed on the background of a linkage of this structure with ADHD symptomatology. Correlations with clinical data revealed gray matter volume changes in specific brain areas that have been described in these conditions each.</p>http://www.biomedcentral.com/1471-2202/13/17Gilles de la Tourette syndromeVoxel-based morphometryInferior frontal gyrusAmygdalaObsessive-compulsive disorderAttention deficit hyperactivity disorder
spellingShingle Wittfoth Matthias
Bornmann Sarah
Peschel Thomas
Grosskreutz Julian
Glahn Alexander
Buddensiek Nadine
Becker Hartmut
Dengler Reinhard
Müller-Vahl Kirsten R
Lateral frontal cortex volume reduction in Tourette syndrome revealed by VBM
BMC Neuroscience
Gilles de la Tourette syndrome
Voxel-based morphometry
Inferior frontal gyrus
Amygdala
Obsessive-compulsive disorder
Attention deficit hyperactivity disorder
title Lateral frontal cortex volume reduction in Tourette syndrome revealed by VBM
title_full Lateral frontal cortex volume reduction in Tourette syndrome revealed by VBM
title_fullStr Lateral frontal cortex volume reduction in Tourette syndrome revealed by VBM
title_full_unstemmed Lateral frontal cortex volume reduction in Tourette syndrome revealed by VBM
title_short Lateral frontal cortex volume reduction in Tourette syndrome revealed by VBM
title_sort lateral frontal cortex volume reduction in tourette syndrome revealed by vbm
topic Gilles de la Tourette syndrome
Voxel-based morphometry
Inferior frontal gyrus
Amygdala
Obsessive-compulsive disorder
Attention deficit hyperactivity disorder
url http://www.biomedcentral.com/1471-2202/13/17
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