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Yıl:2016; Cilt: 2; Sayı: 1>> Özet
Türkiye Klinikleri Çocuk Psikiyatrisi Özel Dergisi; 2016;2(1):8-18
Çocuk ve Ergenlerde Bipolar Bozukluk Etiyolojisi ve Etiyopatogenezi: Genetik ve Yapısal Nörogörüntüleme Çalışmaları
H Güneş, Ö Yalçın
Bakırköy Prof. Dr. Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi, İstanbul
Genetik ve nörogörüntüleme alanlarında ivme kazanan gelişmeler araştırmacıların çocuk ve ergenlerde bipolar bozukluk etyolojisinde rol oynayan genetik nedenler ve bipolar bozukluk tanısı alan çocuk ve ergenlerin beyinlerindeki yapısal değişikliklerle ilgili çalışmalar yürütmelerine olanak sağlamaktadır. Yapılan araştırmalar erken başlangıçlı bipolar bozukluğun ailesel kümelenme gösterdiğine dair güçlü kanıtlar sunmaktadır. Bunun yanı sıra beynin nörotransmitter sistemi ile ilgili birçok aday genin çocuk ve ergenlerde bipolar bozuklukla ilişkili olduğu gösterilmiştir. Total beyin, amigdala ve prefrontal korteks hacimlerinde azalma, çocuk ve ergenlerde bipolar bozuklukla ilgili yapısal nörogörüntüleme çalışmalarında en çok öne çıkan bulgulardır. Bu makalede çocuk ve ergenlerde bipolar bozukluğu konu alan genetik ve yapısal nörogörüntüleme çalışmalarının özetlenmesi amaçlanmaktadır.
Pediatric Bipolar Disorder: Genetics and Structural Neuroimaging
Recent advances in the field of genetics and neuroimaging have enabled researchers evaluate the possible genetic causes of pediatric bipolar diorder and investigate the structural differences in the brains of affected child and adolescents. Numerous studies have shown that the early onset bipolar disorder is strongly associated with familial aggregation. Furthermore, several candidate genes involved in brain's neurotransmitter system have been reported to be related to pediatric bipolar disorder. Reduces in total brain, amygdala and prefrontal cortex volumes are among the most prominent findings of structural neuroimaging research on pediatric bipolar disorder. In this review growing genetic and structural neuroimaging literature on pediatric bipolar disorder have been summarized.

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