Objective: The aim of the study was to determine whether regional cerebral
blood flow in survivors of torture suffering from post-traumatic stress dis
order (PTSD) differed significantly from that in healthy controls. Method:
We examined the cerebral regional distribution of 99mtechnetium-hexamethylp
ropyleneamineoxime (HMPAO) using single photon emission computed tomography
(SPECT) in 8 patients and in 8 healthy controls. A semiquantitative analys
is was performed in which symmetrical regions of interest (ROI) were drawn
in all subjects. Results: Regional blood flow was markedly more heterogeneo
us in patients suffering from PTSD than in healthy controls. The difference
s are significant. Conclusion: Severe psychological trauma induced by tortu
re can cause neurobiologic alterations that may contribute, even years afte
r the original trauma, to a number of complaints commonly expressed by pati
ents suffering from PTSD.
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