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Brain SPECT imaging in children and adolescents with obsessive-compulsive disorder
Authors:A R G L Castillo  C A Buchpiguel  L A S B de Araújo  J C R Castillo  F R Asbahr  A K Maia  M R D de Oliveira Latorre
Institution:(1) Division of Child and Adolescent Psychiatry, Department of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil;(2) Nuclear Medicine Division, Department of Radiology, University of São Paulo Medical School, São Paulo, Brazil;(3) Department of Psychiatry, University of São Paulo Medical School, São Paulo, Brazil;(4) Division of Child and Adolescent Psychiatry, Department of Psychiatry, Santa Casa de Misericórdia Medical School, São Paulo, Brazil;(5) Division of Biostatistics, Faculty of Public Health, University of São Paulo, São Paulo, Brazil
Abstract:Summary. Objective: To evaluate the patterns of regional cerebral blood flow (rCBF) in cortical and subcortical regions by Brain SPECT imaging, in children and adolescents with obsessive-compulsive disorder (OCD) before and after treatment.Method: Fourteen OCD patients (6 to 17 years old) underwent brain SPECT; ten of those subjects were reexamined after successful treatment. rCBF ratios were correlated with clinical parameters on the 14 patients in symptomatic state, and we compared rCBF ratios of the ten patients before and after treatment.Results: There was no statistically significant difference in average ratios of rCBF before and after treatment. There were significant clinical correlations between current age and age of onset of OCD and rCBF in the bilateral superior frontal, and bilateral parietal cortical regions.Conclusions: Further investigations on abnormal neurodevelopment of cortical-subcortical circuits possibly involved in symptomatology of paediatric OCD are warranted.
Keywords:: Obsessive-compulsive disorder  single-photon emission-computed tomography  neuroimaging  children and adolescents  
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