4.2 Article

Corpus callosum abnormalities in medication-naive adult patients with obsessive compulsive disorder

Journal

PSYCHIATRY RESEARCH-NEUROIMAGING
Volume 231, Issue 3, Pages 341-345

Publisher

ELSEVIER IRELAND LTD
DOI: 10.1016/j.pscychresns.2015.01.019

Keywords

Obsessive compulsive disorder; Corpus callosum; MRI; White matter

Funding

  1. Department of Science & Technology INSPIRE [IFA12-LSBM-26]
  2. Wellcome Trust/DBT India Alliance Senior Fellowship Research Award [500236/Z/11/Z]

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Emerging evidence demonstrates widespread abnormalities involving white matter (WM) tracts connecting different cortical regions in obsessive-compulsive disorder (OCD). The corpus callosum (CC), the largest interhemispheric tract connecting the association cortices, has been shown to be affected in OCR This study examines CC abnormalities in a large sample of medication-naive OCD patients in comparison to matched healthy controls (HCs). We examined the mid-sagittal area of the CC in medication-naive OCD patients (n=49) in comparison with age-, sex-, and handedness-matched HCs (n=38). Witelson's method was used to measure the sub-regions of the CC - namely, the genu, body, isthmus and splenium - with good interrater reliability. The area of the body of the CC and total CC area were significantly larger in OCD patients than in HCs after controlling for age, sex and intracranial area. The Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) compulsion score had a significant negative correlation with the areas of the isthmus and splenium of the CC in addition to the total CC area. The region-specific differences in the body of the CC and the region-specific association of severity score with posterior regions of the CC might be indicative of the involvement of additional areas like the dorsolateral prefrontal cortex, posterior parietal areas, occipital and association cortices in OCD that extend beyond the conventional orbito-fronto-striatal circuitry that is often posited to be involved in OCD. (C) 2015 Elsevier Ireland Ltd. All rights reserved.

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