TITLE

Elevated midbrain serotonin transporter availability in mixed mania: a case report

AUTHOR(S)
Tolmunen, Tommi; Joensuu, Mikko; Saarinen, Pirjo Irmeli; Mussalo, Hanna; Ahola, Pasi; Vanninen, Ritva; Kuikka, Jyrki; Tiihonen, Jari; Lehtonen, Johannes
PUB. DATE
January 2004
SOURCE
BMC Psychiatry;2004, Vol. 4, p27
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
Background: Results obtained from brain imaging studies indicate that serotonin transporter (SERT) and dopamine transporter (DAT) densities are altered in major depression. However, no such studies have been published on current mania or hypomania. Case presentation: In this single photon emission computed tomography (SPECT) study with [123I]nor-β-CIT we present a case with simultaneous symptoms of major depression and hypomania. She had an elevated serotonin transporter availability (SERT) in the midbrain and elevated dopamine transporter availability (DAT) in the striatum, which normalised in a one-year follow-up period during which she received eight months of psychodynamic psychotherapy. Conclusions: To our knowledge, this is the first report on SERT and DAT associated with mania. In our case the availability of both SERT in the midbrain and DAT in the striatum were elevated at baseline and declined during psychotherapy, while the SERT and DAT of the depressed controls increased during psychotherapy. Symptoms of hypomania in the case were alleviated during psychotherapy. Clinical recovery was also reflected in the Hamilton Depression Rating Scale (HDRS) scores.
ACCESSION #
29323668

 

Related Articles

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics