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P1‐045: Decreased blood perfusion in temporal lobe in transient global amnesia
Author(s) -
Chang YoungHee,
Jang Il Mi,
Baek Min Jae,
Kim Hyun Jung,
Park Seong-Ho,
Park Seong-Ho,
Yang YoungSoon,
Na Hae Ri,
Eah Kyung-Yoon
Publication year - 2010
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2010.05.592
Subject(s) - transient global amnesia , cerebral blood flow , temporal lobe , perfusion , medicine , thalamus , nuclear medicine , frontal lobe , perfusion scanning , cardiology , single photon emission computed tomography , radiology , amnesia , epilepsy , psychiatry
to conventional pharmacotherapy. We studied a specific omega-3 fatty acid, the ethyl ester of eicosapentaenoic acid (E-EPA), as an adjunct to antidepressant treatment for episodes of depressive disorder occurring in older depressed patients(over 60 years old) with or without executive dysfunction. Methods: The design was a 12-week, parallel-group, double-blind addition of E-EPA or placebo to ongoing antidepressant therapy. Patients continued their current antidepressant treatment at the same dose they were receiving when they entered the study. The E-EPA or matching placebo was given in 1-g doses twice a day for a total of 2 g/day. Executive functions were assessed with Controlled Oral Word Association Test and the Korean Stroop Color-Word Test and Trail Making Test part B. Depressive symptoms were measured by Korean Geriatric depression Scale(K-GDS), Quick Inventory of Depressive Symptomtology-Self Report(QIDS-SR). Results: Eighty six patients participated. A total of 52 patients completed the study. At endpoint (12 weeks), the mean change from baseline in QIDS-SR total score was -20.2 for patients treated with placebo (n1⁄4 23) and -23.5 for patients with EEPA (n1⁄4 29), resulting in no difference. But, both abnormal Controlled oral word association test and abnormal Stroop Color-Word scores were associated with an favorable response of geriatric depression to E-EPA addition treatment. Conclusions: Improvement of frontal lobe dysfunction were found after supplementation of omega-3 fatty acid in geriatric depressive patients with executive dysfunction.