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J Neuropsychiatry Clin Neurosci 1997; 9:568-573
Copyright © 1997 by American Neuropsychiatric Association
Probing striatal function in obsessive-compulsive disorder: a PET study of implicit sequence learning
SL Rauch, CR Savage, NM Alpert, D Dougherty, A Kendrick, T Curran, HD Brown, P Manzo, AJ Fischman and MA Jenike
Massachusetts General Hospital, Charlestown 02129, USA.
Positron emission tomography was employed to contrast the brain activation
pattern in patients with obsessive-compulsive disorder (OCD) to that of
matched control subjects while they performed an implicit learning task.
Although patients and control subjects evidenced comparable learning,
imaging data from control subjects indicated bilateral inferior striatal
activation, whereas OCD patients did not activate right or left inferior
striatum and instead showed bilateral medial temporal activation. The
findings further implicate corticostriatal dysfunction in
obsessive-compulsive disorder. Furthermore, when OCD patients are
confronted with stimuli that call for recruitment of corticostriatal
systems, they instead appear to access brain regions normally associated
with explicit (conscious) information processing.
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