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  4. Saccadic performance and cortical excitability as trait-markers and state-markers in rapid-cycling bipolar disorder: a 2-case follow-up study
 
Saccadic performance and cortical excitability as trait-markers and state-markers in rapid-cycling bipolar disorder: a 2-case follow-up study
Auteur(s)
Malsert, Jennifer  
Guyader, Nathalie  
Chauvin, Alan  
Polosan, Mircea  
Szekely, David  
Bougerol, Thierry  
Marendaz, Christian  
Type
Article dans une revue scientifique
Date de publication
2013
Langue de la référence
Anglais
Unité(s) / centre(s) de recherche hors HEP
Department of Psychiatry, University Hospital, Grenoble, France
Psychology and NeuroCognition Laboratory, Grenoble, France
Résumé
The understanding of physiopathology and cognitive impairments in mood disorders requires finding objective markers. Mood disorders have often been linked to hypometabolism in the prefrontal dorsolateral cortex, and to GABAergic and glutamatergic neurotransmission dysfunction.The present study aimed to discover whether saccadic tasks (involving DPLFC activity), and cortical excitability (involving GABA/Glutamate neurotransmission) could provide neuropsychophysical markers for mood disorders, and/or of its phases, in patients with rapid cycling bipolar disorders (rcBD). Methods: Two rcBD patients were followed for a cycle, and were compared to nine healthy controls. A saccade task, mixing prosaccades, antisaccades, and nosaccades, and an evaluation of cortical excitability using transcranial magnetic stimulation were performed. Results:We observed a deficit in antisaccade in patients independently of thymic phase, and in nosaccade in the manic phase only. Cortical excitability data revealed global intracortical deficits in all phases, switching according to cerebral hemisphere and thymic phase. Conclusion: Specific patterns of performance in saccade tasks and cortical excitability could characterize mood disorders (trait-markers) and its phases (state-markers). Moreover, a functional relationship between oculometric performance and cortical excitability is discussed.
Titre du périodique
Frontiers in Psychiatry  
Mention d’édition
Frontiers Research Foundation
Pays d'édition
Suisse
EISSN
1664-0640
Peer Reviewed
Volume / Tome
3
Pagination
1-9
Handle
http://hdl.handle.net/20.500.12162/5139
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