Structural abnormality of the substantia nigra in children with attention-deficit hyperactivity disorder

Background Structural abnormality of the substantia nigra can be detected by transcranial sonography in neuropsychiatric disorders such as Parkinson disease and restless legs syndrome. We investigated echogenicity of the substantia nigra as a potential structural marker for dysfunction of the nigros...

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Veröffentlicht in:Journal of psychiatry & neuroscience 2010, Vol.35 (1), p.55-58
Hauptverfasser: Romanos, Marcel, MD, Weise, David, MD, Schliesser, Mira, Schecklmann, Martin, PhD, Löffler, Julia, Warnke, Andreas, MD, PhD, Gerlach, Manfred, PhD, Classen, Joseph, MD, Mehler-Wex, Claudia, MD
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container_issue 1
container_start_page 55
container_title Journal of psychiatry & neuroscience
container_volume 35
creator Romanos, Marcel, MD
Weise, David, MD
Schliesser, Mira
Schecklmann, Martin, PhD
Löffler, Julia
Warnke, Andreas, MD, PhD
Gerlach, Manfred, PhD
Classen, Joseph, MD
Mehler-Wex, Claudia, MD
description Background Structural abnormality of the substantia nigra can be detected by transcranial sonography in neuropsychiatric disorders such as Parkinson disease and restless legs syndrome. We investigated echogenicity of the substantia nigra as a potential structural marker for dysfunction of the nigrostriatal dopamine system in children with attention-deficit hyperactivity disorder (ADHD). Methods We used a blinded design and determined echogenicity of the substantia nigra by use of transcranial sonography in 22 children with ADHD and 22 healthy controls matched for age and sex. Results The echogenic substantia nigra area was significantly larger in ADHD patients than in healthy controls ( F1,42 = 9.298, p = 0.004, effect size = 0.92). We found no effects of age or sex. Limitations Owing to a lack of dimensional assessment, we could not analyze the correlation between echogenicity and clinical symptoms. Conclusion Our results support the hypothesis that the nigrostriatal dopaminergic system is abnormal in children with ADHD.
doi_str_mv 10.1503/jpn.090044
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We investigated echogenicity of the substantia nigra as a potential structural marker for dysfunction of the nigrostriatal dopamine system in children with attention-deficit hyperactivity disorder (ADHD). Methods We used a blinded design and determined echogenicity of the substantia nigra by use of transcranial sonography in 22 children with ADHD and 22 healthy controls matched for age and sex. Results The echogenic substantia nigra area was significantly larger in ADHD patients than in healthy controls ( F1,42 = 9.298, p = 0.004, effect size = 0.92). We found no effects of age or sex. Limitations Owing to a lack of dimensional assessment, we could not analyze the correlation between echogenicity and clinical symptoms. Conclusion Our results support the hypothesis that the nigrostriatal dopaminergic system is abnormal in children with ADHD.</description><identifier>ISSN: 1180-4882</identifier><identifier>EISSN: 1488-2434</identifier><identifier>DOI: 10.1503/jpn.090044</identifier><identifier>PMID: 20040247</identifier><identifier>CODEN: JPNEEF</identifier><language>eng</language><publisher>Ottawa, ON: Canadian Medical Association</publisher><subject>Abnormalities ; Adolescent ; Age Factors ; Analysis of Variance ; Attention Deficit Disorder with Hyperactivity - diagnostic imaging ; Attention Deficit Disorder with Hyperactivity - epidemiology ; Attention Deficit Disorder with Hyperactivity - pathology ; Attention deficit hyperactivity disorder ; Biological and medical sciences ; Brain ; Brain stem ; Brief Report ; Child ; Child &amp; adolescent psychiatry ; Comorbidity ; Female ; Fundamental and applied biological sciences. 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We investigated echogenicity of the substantia nigra as a potential structural marker for dysfunction of the nigrostriatal dopamine system in children with attention-deficit hyperactivity disorder (ADHD). Methods We used a blinded design and determined echogenicity of the substantia nigra by use of transcranial sonography in 22 children with ADHD and 22 healthy controls matched for age and sex. Results The echogenic substantia nigra area was significantly larger in ADHD patients than in healthy controls ( F1,42 = 9.298, p = 0.004, effect size = 0.92). We found no effects of age or sex. Limitations Owing to a lack of dimensional assessment, we could not analyze the correlation between echogenicity and clinical symptoms. 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We investigated echogenicity of the substantia nigra as a potential structural marker for dysfunction of the nigrostriatal dopamine system in children with attention-deficit hyperactivity disorder (ADHD). Methods We used a blinded design and determined echogenicity of the substantia nigra by use of transcranial sonography in 22 children with ADHD and 22 healthy controls matched for age and sex. Results The echogenic substantia nigra area was significantly larger in ADHD patients than in healthy controls ( F1,42 = 9.298, p = 0.004, effect size = 0.92). We found no effects of age or sex. Limitations Owing to a lack of dimensional assessment, we could not analyze the correlation between echogenicity and clinical symptoms. Conclusion Our results support the hypothesis that the nigrostriatal dopaminergic system is abnormal in children with ADHD.</abstract><cop>Ottawa, ON</cop><pub>Canadian Medical Association</pub><pmid>20040247</pmid><doi>10.1503/jpn.090044</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
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subjects Abnormalities
Adolescent
Age Factors
Analysis of Variance
Attention Deficit Disorder with Hyperactivity - diagnostic imaging
Attention Deficit Disorder with Hyperactivity - epidemiology
Attention Deficit Disorder with Hyperactivity - pathology
Attention deficit hyperactivity disorder
Biological and medical sciences
Brain
Brain stem
Brief Report
Child
Child & adolescent psychiatry
Comorbidity
Female
Fundamental and applied biological sciences. Psychology
Humans
Male
Medical Education
Medical sciences
Organ Size
Physiological aspects
Psychiatry
Psychoanalysis
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Psychopathology. Psychiatry
Risk factors
Sex Factors
Studies
Substantia Nigra - abnormalities
Substantia Nigra - diagnostic imaging
Substantia Nigra - pathology
Ultrasonography, Doppler, Transcranial
title Structural abnormality of the substantia nigra in children with attention-deficit hyperactivity disorder
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