Kriz Dergisi; 2020;28(1):1-8
Beyaz Cevher Hiperintensiteleri ve Depresif Belirtilere Eşlik Eden Somatik Belirtilerin İlişkisi
O Herdi, VŞ Cankorur
Ankara Üniversitesi, Ankara
Giriş: Kranial manyetik rezonans görüntülemenin (MRG) T2 ve FLAIR (Fluid-attenuated inverse recovery)
sekanslarında gözlemlenen beyaz cevher hiperintensiteleri (BCH) depresyon, bipolar bozukluk, obsesif kompulsif
bozukluk gibi bir çok psikiyatrik hastalıkta gözlenmektedir Bu çalışmada psikiyatrik tanıdan bağımsız
depresyona somatik belirtilerin eşlik ettiği hastalar ile somatik belirtilerin eşlik etmediği hastaları BCH
açısından karşılaştırmak amaçlanmıştır. Yöntem: Çalışmaya bir üniversite hastanesinin psikiyatri bölümü
psikosomatik ünitesinde yatarak tedavi alan 80 hastanın tıbbi dosyalarından ve elektronik tıbbi kayıtlarından
elde edilen veriler dahil edilmiştir. Hastaların kranial MRG’lerinin sekansları ve radyoloji raporları incelenerek
BCH’ler kaydedilmiştir. Hastalara ait tıbbi dosyalardan depresyon ve somatik belirtiler ile ilişkili bulguları
kaydedilmiştir. Analizler için uygun metotlar tercih edilmiştir. Bulgular: Somatik belirtilerin komorbid
bulunması ile BCH varlığı arasında bir ilişki saptanamamıştır (p=0,478, x2=0,504). Frontal BCH ile komorbid
somatik belirtilerin varlığı arasında da ilişki saptanamamıştır (p=0,881, x2=0,023). Frontal bölgede bulunan
BCH’lerin sayısı ile komorbid somatik belirtilerin varlığı arasında ilişki bulunamamıştır (p=0,926, Z=-0,091.
Sonuç: Bu çalışmada komorbid somatik belirtiler ile BCH’lere arasında bir ilişki bulunamamıştır
White Matter Hyperintensities and Their Relationship with DepressiveSymptoms Comorbid With Somatic Symptoms
Introduction: White matter hyperintensities which are observed in T2 and FLAIR (Fluid-attenuated inverse
recovery) sequences of cranial magnetic resonance imaging (MRG) could be observed in patients with
depression, bipolar disorder, obsessive-compulsive disorder. We aimed to compare patients who had depressive
symptoms comorbid with somatic symptoms and patients who had depressive symptoms not comorbid with
somatic symptoms in terms of white matter hyperintensities(WMI). Method: Medical records and electronic
medical records of 80 patients who hospitalized to psychosomatic treatment unit of a university hospital
psychiatry department. WMI was noted via assessment of sequences of cranial MRGs and their radiology reports
are noted. Symptoms which indicates to depression or somatic symptoms were noted from medical records.
Appropriate methods were selected for analyses. Result: There was no relationship between comorbid somatic
symptoms and the existence of WMIs (p=0,478, x2=0,504). There was no relationship between comorbid somatic
symptoms and frontal existence of WMIs (p=0,881, x2=0,023). There was no relationship between the number of
frontal WMIs and comorbid somatic symptoms (p=0,926, Z=-0,091). Conclusion: In this study, a significant
relationship between somatic symptoms and WMI could not be observed.
Introduction: White matter hyperintensities which are observed in T2 and FLAIR (Fluid-attenuated inverse
recovery) sequences of cranial magnetic resonance imaging (MRG) could be observed in patients with
depression, bipolar disorder, obsessive-compulsive disorder. We aimed to compare patients who had depressive
symptoms comorbid with somatic symptoms and patients who had depressive symptoms not comorbid with
somatic symptoms in terms of white matter hyperintensities(WMI). Method: Medical records and electronic
medical records of 80 patients who hospitalized to psychosomatic treatment unit of a university hospital
psychiatry department. WMI was noted via assessment of sequences of cranial MRGs and their radiology reports
are noted. Symptoms which indicates to depression or somatic symptoms were noted from medical records.
Appropriate methods were selected for analyses. Result: There was no relationship between comorbid somatic
symptoms and the existence of WMIs (p=0,478, x2=0,504). There was no relationship between comorbid somatic
symptoms and frontal existence of WMIs (p=0,881, x2=0,023). There was no relationship between the number of
frontal WMIs and comorbid somatic symptoms (p=0,926, Z=-0,091). Conclusion: In this study, a significant
relationship between somatic symptoms and WMI could not be observed.