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MRI Assessment of Children With Obsessive-Compulsive Disorder or Tics Associated With Streptococcal Infection

Giedd, Jay N., Rapoport, Judith L., Garvey, Marjorie A., Perlmutter, Susan, Swedo, Susan E.·2000·American Journal of Psychiatry

Abstract

OBJECTIVE: The authors assessed selective basal ganglia involvement in a subgroup of children with obsessive-compulsive disorder (OCD) and/or tics believed to be associated with streptococcal infection. METHOD: Using computer-assisted morphometric techniques, they analyzed the cerebral magnetic resonance images of 34 children with presumed streptococcus-associated OCD and/or tics and 82 healthy comparison children who were matched for age and sex. RESULTS: The average sizes of the caudate, putamen, and globus pallidus, but not of the thalamus or total cerebrum, were significantly greater in the group of children with streptococcus-associated OCD and/or tics than in the healthy children. The differences were similar to those found previously for subjects with Sydenham's chorea compared with normal subjects. CONCLUSIONS: These results support the hypothesis that there is a distinct subgroup of subjects with OCD and/or tics who have enlarged basal ganglia. These findings are consistent with the hypothesis of an autoimmune response to streptococcal infection.

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Research works printed but not linked: 5

  1. Swedo SE, Leonard HL, Garvey M, Mittleman B, Allen AJ, Perlmutter S, Lougee L, Dow S, Zamkoff J, Dubbert BK: Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections: clinical description of the first 50 cases. Am J Psychiatry 1998; 155:264–271 · DOI · Paper page
  2. Giedd JN, Rapoport JL, Leonard HL, Richter D, Swedo SE: Case study: acute basal ganglia enlargement and obsessive-compulsive symptoms in an adolescent boy. J Am Acad Child Adolesc Psychiatry 1996; 35:913–915 · DOI
  3. Giedd JN, Snell JW, Lange N, Rajapakse JC, Casey BJ, Kozuch PL, Vaituzis AC, Vauss YC, Hamburger SD, Kaysen D, Rapoport JL: Quantitative magnetic resonance imaging of human brain development: ages 4–18. Cereb Cortex 1996; 6:551–560 · DOI · Paper page
  4. Snell JW, Merickel MB, Ortega JM, Goble JC, Brookeman JR, Kassell NF: Model-based boundary estimation of complex objects using hierarchical active surface templates. Pattern Recognition 1995; 28:1599–1609 · DOI
  5. Giedd JN, Rapoport JL, Kruesi MJP, Parker C, Schapiro MB, Allen AJ, Leonard HL, Kaysen D, Dickstein DP, Marsh WL, Kozuch PL, Vaituzis AC, Hamburger S, Swedo SE: Sydenham’s chorea: magnetic resonance imaging of the basal ganglia. Neurology 1995, 45:2199–2202 · DOI

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Metadata

Authors
Giedd, J. N., Rapoport, J. L., Garvey, M. A., Perlmutter, S., & Swedo, S. E.
Venue
American Journal of Psychiatry
Published
2000-02-01
Volume
157
Issue
2
Pages
281-283
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
OpenAlex
W2059668493
Cited by
310
References
0
FWCI
28.24
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: MRI Assessment of Children With Obsessive-Compulsive Disorder or Tics Associated With Streptococcal Infection. https://app.cochat.ai/papers/10.1176/appi.ajp.157.2.281
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Giedd, J. N., Rapoport, J. L., Garvey, M. A., Perlmutter, S., & Swedo, S. E. (2000). MRI Assessment of Children With Obsessive-Compulsive Disorder or Tics Associated With Streptococcal Infection. American Journal of Psychiatry. https://doi.org/10.1176/appi.ajp.157.2.281

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