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Study M299

Study name

Wang X 2012

Title

Glutamate level detection by magnetic resonance spectroscopy in patients with post-stroke depression

Overall design

The objectives of this study were to detect metabolic changes in the cingulate cortex after cerebral infarction and to clarify whether the metabolic changes can predict the occurrence of depression after cerebral infarction. Healthy volunteers (control group, n = 15) and a group of 51 patients who experienced stroke for the first time and had a good prognosis were enrolled. The patients with infarction were divided into three groups according to their scores by using the DSM-IV diagnostic criteria for major depressive disorder and the 17-item Hamilton Depression Rating Scale (HDRS), including: (1) stroke patients with no depression and an HDRS score < 14 points (stroke without depression group, n = 31), (2) stroke patients with normal mood but an HDRS score >= 14 (stroke with depression symptom group, n = 9), and (3) stroke patients diagnosed with depression, having an HDRS score >= 14 (stroke with depression disorder group, n = 11). Single-voxel proton magnetic resonance spectroscopy (1H-MRS) was performed to assess N-acetylaspartate/creatine (NAA)/Cr, glutamate (Glu)/Cr, choline (Cho)/Cr, and myoinositol (mI)/Cr ratios in stroke patients. Metabolite quantification was reported relative to total creatine as the reference peak.

Study Type

Type1;

Data available

Unavailable

Organism

Human;

Categories of depression

Depressive disorder; Post-stroke depression; Post-stroke depression;

Criteria for depression

DSM-IV diagnosed MDD, HAMD-17 >= 14

Sample size

66

Tissue

Central; Brain; Frontal lobe;

Platform

MRS; MRS: Philips 3 T MRI system (Achieva);

PMID

21424280

DOI

10.1007/s00406-011-0209-3

Citation

Wang X, Li YH, Li MH, et al. Glutamate level detection by magnetic resonance spectroscopy in patients with post-stroke depression. Eur Arch Psychiatry Clin Neurosci 2012;262(1):33-8.

Metabolite

Glutamate/(Creatine and Phosphocreatine) ratio;