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Bipolar Disorder - Brain Regions and their Dysfunctions



Bipolar Disorder (Manic Depression)

"Reduced global cortical folding surface appears to be characteristic of patients with treatment-resistant depression, either unipolar or bipolar. In patients with bipolar disorder, treatment with lithium may modify cortical folding surface." S
Affected Region Dysfunctions
Para-anterior Cingulate Cortex Early neurodevelopmental anomaly of the ACC/PaC region S
Ventrolateral PFC Manic patients had a significantly reduced VLPFC regulation of amygdala response during an emotion labeling task; reductions in inhibitory frontal activity may lead to an increased reactivity of the amygdala S
Hippocampus Patients treated with lithium exhibited significantly increased volumes of the hippocampus compared with patients who were not taking lithium S

NAA/Cr reduction might reflect neuronal dysfunction in the left hippocampus in patients with bipolar disorder S
Amygdala Patients treated with lithium exhibited significantly increased volumes of the amygdala compared with patients who were not taking lithium S
Anterior Cingulate Cortex Early neurodevelopmental anomaly of the ACC/PaC region S
Nucleus accumbens Larger right nucleus accumbens volumes; boys and girls with BPD may have differential patterns of neuropathology associated with disease expression S
Locus caeruleus Less TH-IR and TPH-IR in the LC in depressed bipolar suicides, but not unipolar suicides, suggesting that both NE and 5-HT activity is lower in BD S

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