Cited by 818Bipolar Disorder and TreatmentSchizophrenia research and treatmentNeural and Behavioral Psychology Studies

The functional neuroanatomy of bipolar disorder: a review of neuroimaging findings

Strakowski, S M, DelBello, M P, Adler, C M·2005·Molecular Psychiatry

Abstract

The authors review existing structural and functional neuroimaging studies of patients with bipolar disorder and discuss how these investigations enhance our understanding of the neurophysiology of this illness. Findings from structural magnetic resonance imaging (MRI) studies suggest that some abnormalities, such as those in prefrontal cortical areas (SGPFC), striatum and amygdala exist early in the course of illness and, therefore, potentially, predate illness onset. In contrast, other abnormalities, such as those found in the cerebellar vermis, lateral ventricles and other prefrontal regions (eg, left inferior), appear to develop with repeated affective episodes, and may represent the effects of illness progression and associated factors. Magnetic resonance spectroscopy investigations have revealed abnormalities of membrane and second messenger metabolism, as well as bioenergetics, in striatum and prefrontal cortex. Functional imaging studies report activation differences between bipolar and healthy controls in these same anterior limibic regions. Together, these studies support a model of bipolar disorder that involves dysfunction within subcortical (striatal-thalamic)-prefrontal networks and the associated limbic modulating regions (amygdala, midline cerebellum). These studies suggest that, in bipolar disorder, there may be diminished prefrontal modulation of subcortical and medial temporal structures within the anterior limbic network (eg, amygdala, anterior striatum and thalamus) that results in dysregulation of mood. Future prospective and longitudinal studies focusing on these specific relationships are necessary to clarify the functional neuroanatomy of bipolar disorder.

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Crossref · 10.1038/sj.mp.4001585

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Authors
Strakowski, S. M., DelBello, M. P., & Adler, C. M.
Affiliations
University of Cincinnati (US)
Corresponding author
Strakowski, S M
Venue
Molecular Psychiatry
Published
2004-08-31
Volume
10
Issue
1
Pages
105-116
ISSN
  • 1359-4184 (ISSN-L)
  • 1476-5578
OpenAlex
W1995907546
Cited by
818
References
87
Citations by year
2026: 11 · 2025: 22 · 2024: 15 · 2023: 21 · 2022: 22 · 2021: 44 · 2020: 33 · 2019: 31 · 2018: 41 · 2017: 32 · 2016: 36 · 2015: 34 · 2014: 45 · 2013: 48 · 2012: 64
FWCI
4.29
Type
journal article
Language
en
Open access
closed
Locations
  • Molecular Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
Keywords
bipolar disorder, functional neuroanatomy, structural MRI, magnetic resonance spectroscopy, prefrontal cortex, striatum, amygdala, cerebellar vermis, mood dysregulation, affective episodes
MeSH terms
Bipolar Disorder, Brain, Brain Mapping, Cerebellum, Humans, Magnetic Resonance Imaging, Temporal Lobe, Prefrontal Cortex

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