Neural processing of traumatic events in subjects suffering PTSD - a case study of two surgical patients with severe accident trauma
Identifieur interne : 006683 ( Main/Exploration ); précédent : 006682; suivant : 006684Neural processing of traumatic events in subjects suffering PTSD - a case study of two surgical patients with severe accident trauma
Auteurs : Guido Flatten [Allemagne] ; Volker Perlitz [Allemagne] ; Martina Pestinger [Allemagne] ; Tuncay Arin [Allemagne] ; Barbara Kohl [Allemagne] ; Frank Kastrau [Allemagne] ; Ralph Schnitker [Allemagne] ; René Vohn [Allemagne] ; Jochen Weber [Allemagne] ; Michael Ohnhaus [Allemagne] ; Ernst R. Petzold [Allemagne] ; Hans J. Erli [Allemagne]Source :
- GMS Psycho-Social Medicine [ 1860-5214 ] ; 2004.
Abstract
Neuroimaging research on the neurobiology of chronic PTSD (posttraumatic stress disorder) has revealed structural and functional alterations primarily affecting areas of the medial temporal lobe (hippocampus, amygdala, and parahippocampal gyrus) and the frontal cortex known to be associated with the disorder. Using functional magnetic resonance imaging (fMRI), the present study studied the functional neuroanatomy of traumatic and non-traumatic emotional memory in two surgical patients who had sustained severe accident trauma. While patient 1 had developed acute PTSD following the traumatic event, patient 2 (control) did not. When confronted with traumatic (relative to negatively valenced non-traumatic) memory, the PTSD patient exhibited evidence for increased neural activity in the right and the left superior temporal lobe, the amygdala, the left angular gyrus, and the medial frontal gyrus, while the non-PTSD patient exposed to identical conditions showed increased activations in frontal and parietal regions. Both patients exhibited identical activation patterns when recalling non-traumatic memories relative to neutral memories. It is concluded that the pronounced activation patterns in the PTSD patient may be considered specific for acute PTSD, involved with the emotional arousal and the vivid visual recollections typical for the acute phase of the disorder.
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PubMed: 19742050
PubMed Central: 2736480
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sort="Arin, Tuncay" uniqKey="Arin T" first="Tuncay" last="Arin">Tuncay Arin</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Psychosomatics and Psychotherapeutic Medicine, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychosomatics and Psychotherapeutic Medicine, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Kohl, Barbara" sort="Kohl, Barbara" uniqKey="Kohl B" first="Barbara" last="Kohl">Barbara Kohl</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Trauma Surgery, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Trauma Surgery, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH 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first="Jochen" last="Weber">Jochen Weber</name><affiliation wicri:level="1"><nlm:aff id="A3">Interdisciplinary Centre for Clinical Research (ICCR), Functional Neuroimaging Unit, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Interdisciplinary Centre for Clinical Research (ICCR), Functional Neuroimaging Unit, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Ohnhaus, Michael" sort="Ohnhaus, Michael" uniqKey="Ohnhaus M" first="Michael" last="Ohnhaus">Michael Ohnhaus</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Trauma Surgery, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Trauma Surgery, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH 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sort="Perlitz, Volker" uniqKey="Perlitz V" first="Volker" last="Perlitz">Volker Perlitz</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Psychosomatics and Psychotherapeutic Medicine, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychosomatics and Psychotherapeutic Medicine, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Pestinger, Martina" sort="Pestinger, Martina" uniqKey="Pestinger M" first="Martina" last="Pestinger">Martina Pestinger</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Psychosomatics and Psychotherapeutic Medicine, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychosomatics and Psychotherapeutic Medicine, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Arin, Tuncay" sort="Arin, Tuncay" uniqKey="Arin T" first="Tuncay" last="Arin">Tuncay Arin</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Psychosomatics and Psychotherapeutic Medicine, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychosomatics and Psychotherapeutic Medicine, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Kohl, Barbara" sort="Kohl, Barbara" uniqKey="Kohl B" first="Barbara" last="Kohl">Barbara Kohl</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Trauma Surgery, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Trauma Surgery, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Kastrau, Frank" sort="Kastrau, Frank" uniqKey="Kastrau F" first="Frank" last="Kastrau">Frank Kastrau</name><affiliation wicri:level="1"><nlm:aff id="A3">Interdisciplinary Centre for Clinical Research (ICCR), Functional Neuroimaging Unit, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Interdisciplinary Centre for Clinical Research (ICCR), Functional Neuroimaging Unit, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Schnitker, Ralph" sort="Schnitker, Ralph" uniqKey="Schnitker R" first="Ralph" last="Schnitker">Ralph Schnitker</name><affiliation wicri:level="1"><nlm:aff id="A3">Interdisciplinary Centre for Clinical Research (ICCR), Functional Neuroimaging Unit, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Interdisciplinary Centre for Clinical Research (ICCR), Functional Neuroimaging Unit, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Vohn, Rene" sort="Vohn, Rene" uniqKey="Vohn R" first="René" last="Vohn">René Vohn</name><affiliation wicri:level="1"><nlm:aff id="A3">Interdisciplinary Centre for Clinical Research (ICCR), Functional Neuroimaging Unit, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Interdisciplinary Centre for Clinical Research (ICCR), Functional Neuroimaging Unit, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Weber, Jochen" sort="Weber, Jochen" uniqKey="Weber J" first="Jochen" last="Weber">Jochen Weber</name><affiliation wicri:level="1"><nlm:aff id="A3">Interdisciplinary Centre for Clinical Research (ICCR), Functional Neuroimaging Unit, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Interdisciplinary Centre for Clinical Research (ICCR), Functional Neuroimaging Unit, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Ohnhaus, Michael" sort="Ohnhaus, Michael" uniqKey="Ohnhaus M" first="Michael" last="Ohnhaus">Michael Ohnhaus</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Trauma Surgery, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Trauma Surgery, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Petzold, Ernst R" sort="Petzold, Ernst R" uniqKey="Petzold E" first="Ernst R." last="Petzold">Ernst R. Petzold</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Psychosomatics and Psychotherapeutic Medicine, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychosomatics and Psychotherapeutic Medicine, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author><author><name sortKey="Erli, Hans J" sort="Erli, Hans J" uniqKey="Erli H" first="Hans J." last="Erli">Hans J. Erli</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Trauma Surgery, RWTH Aachen, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Trauma Surgery, RWTH Aachen</wicri:regionArea><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion><wicri:noRegion>RWTH Aachen</wicri:noRegion></affiliation></author></analytic><series><title level="j">GMS Psycho-Social Medicine</title><idno type="eISSN">1860-5214</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Neuroimaging research on the neurobiology of chronic PTSD (posttraumatic stress disorder) has revealed structural and functional alterations primarily affecting areas of the medial temporal lobe (hippocampus, amygdala, and parahippocampal gyrus) and the frontal cortex known to be associated with the disorder. Using functional magnetic resonance imaging (fMRI), the present study studied the functional neuroanatomy of traumatic and non-traumatic emotional memory in two surgical patients who had sustained severe accident trauma. While patient 1 had developed acute PTSD following the traumatic event, patient 2 (control) did not. When confronted with traumatic (relative to negatively valenced non-traumatic) memory, the PTSD patient exhibited evidence for increased neural activity in the right and the left superior temporal lobe, the amygdala, the left angular gyrus, and the medial frontal gyrus, while the non-PTSD patient exposed to identical conditions showed increased activations in frontal and parietal regions. Both patients exhibited identical activation patterns when recalling non-traumatic memories relative to neutral memories. It is concluded that the pronounced activation patterns in the PTSD patient may be considered specific for acute PTSD, involved with the emotional arousal and the vivid visual recollections typical for the acute phase of the disorder. </p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bak, H" uniqKey="Bak H">H Bak</name></author><author><name sortKey="Antoun, N" uniqKey="Antoun N">N Antoun</name></author><author><name sortKey="Balan, Kk" uniqKey="Balan K">KK Balan</name></author><author><name sortKey="Hodges, Jr" uniqKey="Hodges J">JR Hodges</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bremner, Jd" uniqKey="Bremner J">JD Bremner</name></author><author><name sortKey="Innis, Rb" uniqKey="Innis R">RB Innis</name></author><author><name sortKey="Ng, Ck" uniqKey="Ng C">CK Ng</name></author><author><name sortKey="Staib, Lh" uniqKey="Staib L">LH 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Squire</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Talairach, J" uniqKey="Talairach J">J Talairach</name></author><author><name sortKey="Tournoux, P" uniqKey="Tournoux P">P Tournoux</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Teng, E" uniqKey="Teng E">E Teng</name></author><author><name sortKey="Squire, Lr" uniqKey="Squire L">LR Squire</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vermetten, E" uniqKey="Vermetten E">E Vermetten</name></author><author><name sortKey="Bremner, Jd" uniqKey="Bremner J">JD Bremner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wittchen, H" uniqKey="Wittchen H">H Wittchen</name></author><author><name sortKey="Wunderlich, V" uniqKey="Wunderlich V">V Wunderlich</name></author><author><name sortKey="Gruschnitz, S" uniqKey="Gruschnitz S">S Gruschnitz</name></author><author><name sortKey="Zaudig, M" uniqKey="Zaudig M">M Zaudig</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li></country></list><tree><country name="Allemagne"><noRegion><name sortKey="Flatten, Guido" sort="Flatten, Guido" uniqKey="Flatten G" first="Guido" last="Flatten">Guido Flatten</name></noRegion><name sortKey="Arin, Tuncay" sort="Arin, Tuncay" uniqKey="Arin T" first="Tuncay" last="Arin">Tuncay Arin</name><name sortKey="Erli, Hans J" sort="Erli, Hans J" uniqKey="Erli H" first="Hans J." last="Erli">Hans J. Erli</name><name sortKey="Kastrau, Frank" sort="Kastrau, Frank" uniqKey="Kastrau F" first="Frank" last="Kastrau">Frank Kastrau</name><name sortKey="Kohl, Barbara" sort="Kohl, Barbara" uniqKey="Kohl B" first="Barbara" last="Kohl">Barbara Kohl</name><name sortKey="Ohnhaus, Michael" sort="Ohnhaus, Michael" uniqKey="Ohnhaus M" first="Michael" last="Ohnhaus">Michael Ohnhaus</name><name sortKey="Perlitz, Volker" sort="Perlitz, Volker" uniqKey="Perlitz V" first="Volker" last="Perlitz">Volker Perlitz</name><name sortKey="Pestinger, Martina" sort="Pestinger, Martina" uniqKey="Pestinger M" first="Martina" last="Pestinger">Martina Pestinger</name><name sortKey="Petzold, Ernst R" sort="Petzold, Ernst R" uniqKey="Petzold E" first="Ernst R." last="Petzold">Ernst R. Petzold</name><name sortKey="Schnitker, Ralph" sort="Schnitker, Ralph" uniqKey="Schnitker R" first="Ralph" last="Schnitker">Ralph Schnitker</name><name sortKey="Vohn, Rene" sort="Vohn, Rene" uniqKey="Vohn R" first="René" last="Vohn">René Vohn</name><name sortKey="Weber, Jochen" sort="Weber, Jochen" uniqKey="Weber J" first="Jochen" last="Weber">Jochen Weber</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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