MRI-Based Measurement of Hippocampal Volume in Patients With Combat-Related Posttraumatic Stress Disorder

MRI-Based Measurement of Hippocampal Volume in Patients With Combat-Related Posttraumatic Stress Disorder

1995 July ; 152(7): 973–981 | J. Douglas Bremner, M.D., Penny Randall, M.D., Tammy M. Scott, M.S., Richard A. Bronen, M.D., John P. Seibyl, M.D., Steven M. Southwick, M.D., Richard C. Delaney, Ph.D., Gregory McCarthy, Ph.D., Dennis S. Charney, M.D., and Robert B. Innis, M.D., Ph.D.
This study aimed to compare the hippocampal volume of patients with combat-related posttraumatic stress disorder (PTSD) to that of healthy subjects using magnetic resonance imaging (MRI). The researchers hypothesized that PTSD patients would have a smaller right hippocampal volume and that this volume reduction would be associated with deficits in short-term verbal memory. **Methods:** - **Participants:** 26 Vietnam veterans with PTSD and 22 matched comparison subjects were recruited. - **MRI:** MRI images were acquired to measure the volume of the hippocampus, temporal lobe, and caudate. - **Data Analysis:** Repeated measures ANOVA and ANCOVA were used to compare volumes between groups, controlling for factors like age, sex, race, education, and alcohol abuse. **Results:** - PTSD patients had an 8% smaller right hippocampal volume compared to the comparison subjects. - There was no significant difference in left hippocampal volume or other brain regions between the two groups. - Deficits in short-term verbal memory, measured by the Wechsler Memory Scale, were associated with smaller right hippocampal volume in PTSD patients. - No significant correlation was found between verbal memory and other brain structures or visual memory and hippocampal volume. **Discussion:** - The findings suggest that PTSD is associated with a smaller right hippocampal volume, which may contribute to memory deficits. - The study also considered the effects of comorbid depression and alcohol/drug abuse but found no significant differences in hippocampal volume. - The results have implications for understanding the neurobiological basis of PTSD and potential treatment strategies. **Conclusion:** The study provides evidence that combat-related PTSD is associated with a specific brain structure, the hippocampus, which may play a role in memory deficits observed in PTSD patients.This study aimed to compare the hippocampal volume of patients with combat-related posttraumatic stress disorder (PTSD) to that of healthy subjects using magnetic resonance imaging (MRI). The researchers hypothesized that PTSD patients would have a smaller right hippocampal volume and that this volume reduction would be associated with deficits in short-term verbal memory. **Methods:** - **Participants:** 26 Vietnam veterans with PTSD and 22 matched comparison subjects were recruited. - **MRI:** MRI images were acquired to measure the volume of the hippocampus, temporal lobe, and caudate. - **Data Analysis:** Repeated measures ANOVA and ANCOVA were used to compare volumes between groups, controlling for factors like age, sex, race, education, and alcohol abuse. **Results:** - PTSD patients had an 8% smaller right hippocampal volume compared to the comparison subjects. - There was no significant difference in left hippocampal volume or other brain regions between the two groups. - Deficits in short-term verbal memory, measured by the Wechsler Memory Scale, were associated with smaller right hippocampal volume in PTSD patients. - No significant correlation was found between verbal memory and other brain structures or visual memory and hippocampal volume. **Discussion:** - The findings suggest that PTSD is associated with a smaller right hippocampal volume, which may contribute to memory deficits. - The study also considered the effects of comorbid depression and alcohol/drug abuse but found no significant differences in hippocampal volume. - The results have implications for understanding the neurobiological basis of PTSD and potential treatment strategies. **Conclusion:** The study provides evidence that combat-related PTSD is associated with a specific brain structure, the hippocampus, which may play a role in memory deficits observed in PTSD patients.
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