Association of adult attention deficit hyperactivity disorder subtypes and response to methylphenidate HCL treatment: A magnetic resonance spectroscopy study

Autor: Yilmaz Kiroglu, Ayse Nur Inci Kenar, Hasan Herken, G.A. Unal
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Male
Magnetic Resonance Spectroscopy
Subtype
methylphenidate
Striatum
Choline
chemistry.chemical_compound
N-acetylaspartate
analogs and derivatives
Adult ADHD
Cerebellum
middle aged
central stimulant agent
Prefrontal cortex
dorsolateral prefrontal cortex
prefrontal cortex
Methylphenidate
General Neuroscience
adult
cingulate gyrus
drug effect
medicine.anatomical_structure
female
priority journal
nuclear magnetic resonance scanner
young adult
Psychology
medicine.drug
medicine.medical_specialty
Adolescent
metabolite
attention deficit disorder
Creatine
Gyrus Cinguli
Article
Internal medicine
mental disorders
medicine
Attention deficit hyperactivity disorder
Humans
human
corpus striatum
Anterior cingulate cortex
nuclear magnetic resonance spectroscopy
anterior cingulate
Aspartic Acid
n acetylaspartic acid
treatment response
medicine.disease
major clinical study
Dorsolateral prefrontal cortex
Endocrinology
chemistry
Attention Deficit Disorder with Hyperactivity
Central Nervous System Stimulants
Neuroscience
human activities
metabolism
Popis: The effects of methylphenidate (MPH) treatment on N-acetyl aspartate (NAA), choline and creatine are being examined in individuals with different subtypes of attention deficit hyperactivity disorder (ADHD). Sixty ADHD subjects were included into the study aging between 18 and 60 years. Levels of NAA, creatine and choline in anterior cingulate cortex, cerebellum, striatum and dorsolateral prefrontal cortex were measured with magnetic resonance spectroscopy. Then, 10 mg oral MPH was given to the subjects and the same metabolite levels were measured after an interval of 30 min. Distribution of the patients according to the ADHD subtypes was as follows: 21 of them (35.0%) were in the inattentive type, 11 of them (18.3%) were in the hyperactive type and 28 of them were (46.7%) in the combined type. Changes of brain metabolite levels after MPH were found not to be statistically significantly different between the subtypes. The increase of choline levels after MPH compared to the levels of choline before MPH in striatum in the combined type patients were statistically significant. No clear association was found between ADHD subtypes and changes of brain metabolites with use of MPH in adult ADHD. © 2015 Elsevier Ireland Ltd.
Databáze: OpenAIRE