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Hyperperfusion in primary somatosensory region related to somatic hallucination in the elderly
Authors:Kiyotaka Nemoto MD  Katsuyoshi Mizukami MD  PhD  Takafumi Hori MD  PhD  Hirokazu Tachikawa MD  PhD  Miho Ota MD  PhD  Tohoru Takeda MD  PhD  Takashi Ohnishi MD  PhD  Hiroshi Matsuda MD  DMSci  Takashi Asada MD  PhD
Institution:1. Departments of Psychiatry and;2. Radiology, Institute of Clinical Medicine, University of Tsukuba, Ibaraki,;3. Department of Psychosomatic Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, Tokyo and;4. Department of Nuclear Medicine, Saitama Medical University International Medical Center, Saitama, Japan
Abstract:Aim: 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. Conclusion: Somatic hallucination might be associated with increased perfusion in the primary somatosensory regions.
Keywords:somatic hallucination  somatosensory cortex  technetium‐99m ethyl cysteinate dimer
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