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Brain and Development
Volume 27, Issue 5, August 2005, Pages 340-344
Chromosomal Aberration and Epileptic Syndrome, Part 2
 
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doi:10.1016/j.braindev.2004.09.004    How to Cite or Link Using DOI (Opens New Window)
Copyright © 2004 Elsevier B.V. All rights reserved.

Original article

Differences between attention-deficit disorder with and without hyperactivity: a 1H-magnetic resonance spectroscopy study

Li Suna, Zhen Jinb, Yu-feng Zanga, Ya-wei Zengb, Gang Liub, Yang Lia, Larry J. Seidmanc, Stephen V. Faraoned, e and Yu-feng Wanga, Corresponding Author Contact Information, E-mail The Corresponding Author, E-mail The Corresponding Author

aInsttitute of Mental Health, Peking University, Huayuanbeilu 51, Haidian District, Beijing 100083, People's Republic of China bCenter of fMRI, Hospital 306, Beijng 100101, People's Republic of China cDepartment of Psychiatry, Massachusetts Mental Health Center, Harvard Medical School, Boston, MA, USA dDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA eDepartment of Epidemiology, Harvard School of Public Health, Boston, MA, USA

Received 1 June 2004; 
revised 26 July 2004; 
accepted 11 September 2004. 
Available online 5 November 2004.

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Abstract

Using proton magnetic resonance spectroscopy (1H-MRS) to investigate possible neurometabolic differences between the predominantly inattentive subtype (ADHD-I), the combined subtype (ADHD-C) and normal controls. Proton spectra were acquired bilaterally on the lenticular nucleus in 20 schoolboys having ADHD and 10 matched controls. The boys with ADHD were divided into ADHD-C subtype (n=10) and ADHD-I subtype (n=10) according to DSM-IV criteria. The peaks of N-acetylaspartate (NAA), Choline moieties (Cho), myo-inositol (mI), creatine (Cr) and α-Glx were measured and their ratios to Cr were calculated. One-way ANOVA and post-hoc Bonferroni tests were used to detect the difference of the peak–area ratios of NAA, Cho, mI, and α-Glx to Cr among the three groups. There was a significant overall group difference in the NAA/Cr ratio both in the right and left lenticular nucleus (right: P=0.002; left: P=0.003). Only the ADHD-C subtype group showed a significant difference with controls (right: P=0.001; left: P=0.003) the right lenticular nucleus, the NAA/Cr ratio in the ADHD-C group was significantly lower than that in the ADHD-I group (P=0.012). In the left lenticular nucleus, the NAA/Cr ratio in the ADHD-C group showed a significant trend compared to the ADHD-I group (P=0.06). This study demonstrated the existence of measurable difference between children with ADHD-C and ADHD-I using 1H-MRS.

Keywords: Attention deficit hyperactivity disorder; Subtype; 1H-magnetic resonance spectroscopy; Lenticular nucleus; N-aceytylaspartate

Article Outline

1. Introduction
2. Method
2.1. Subjects
2.1.1. ADHD children
2.1.2. Normal controls
2.2. MRS methods
2.3. Statistical analysis
3. Results
4. Discussion
5. Conclusion
Acknowledgements
References


Brain and Development
Volume 27, Issue 5, August 2005, Pages 340-344
Chromosomal Aberration and Epileptic Syndrome, Part 2
 
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