Journal
PSYCHIATRY RESEARCH-NEUROIMAGING
Volume 191, Issue 3, Pages 153-159Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.pscychresns.2010.11.004
Keywords
VNS; Treatment-resistant depression; Dorsolateral prefrontal cortex; SPECT
Categories
Funding
- Cyberonics Inc, Houston, TX, USA
- Departments of Psychiatry of the University of Bern
- Departments of Psychiatry of the University of Bonn
Ask authors/readers for more resources
The purpose of the present study was to assess the effects of vagus nerve stimulation (VNS) therapy on regional cerebral blood flow (rCBF) in depressed patients. Regional cerebral blood flow (rCBF) was assessed by [Tc-99m]-HMPAO-single photon emission computed tomography (SPECT) before and after 10 weeks of VNS in patients participating in an open, uncontrolled European multi-center study investigating efficacy and safety of VNS. Patients suffered from major depression, with a baseline score of >= 20 on the 24-item Hamilton Depression Rating Scale (HDRS) and had been unsuccessfully treated with at least two adequately prescribed antidepressant drugs. Data of 15 patients could be analyzed using SPM 2. After 10 weeks of VNS (20 Hz, 500 mu s pulse width, stimulation during 30 s every 5 min at the maximal comfortable level) rCBF was increased in the left dorsolateral/ventrolateral prefrontal cortex (Brodmann areas 46 and 47) and decreased in the right posterior cingulate area, the lingual gyrus and the left insula. Our findings are in line with earlier results which showed that VNS increases rCBF in the left dorsolateral prefrontal cortex. The modulation of the activity in this region could be associated with the antidepressant efficacy of VNS. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available