Corpus callosum, pons, and cortical white matter in alcoholic women.

BACKGROUND To measure the effect of alcohol abuse on white matter brain macrostructure in women with alcoholism and to determine whether observed abnormalities interact with age. METHODS Quantitative measures of corpus callosum area, cortical white matter volume, and pons volume were derived from magnetic resonance imaging scans obtained from 34 women with DSM-III-R alcoholism (aged 28-64, mean 41 years) and 35 healthy women (aged 22-65, mean 42 years). Transverse relaxation time of the pons was also obtained. RESULTS No significant group differences in any brain measures were observed. However, in alcoholics greater length of sobriety was associated with more cortical white matter, and higher lifetime levels of alcohol consumption were associated with smaller volumes and prolonged transverse relaxation time in the pons. CONCLUSIONS Despite a lack of overall deficits in white matter macrostructural size in alcoholic women, certain white matter structures showed alcohol exposure vulnerability whereas others showed evidence of recovery with abstinence.

[1]  C. Woolley Effects of estrogen in the CNS , 1999, Current Opinion in Neurobiology.

[2]  R. Gorski,et al.  Sex differences in the corpus callosum of the living human being , 1991, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[3]  K. Lim,et al.  Segmentation of MR Brain Images into Cerebrospinal Fluid Spaces, White and Gray Matter , 1989, Journal of computer assisted tomography.

[4]  R. Gur,et al.  Gender differences in age effect on brain atrophy measured by magnetic resonance imaging. , 1991, Proceedings of the National Academy of Sciences of the United States of America.

[5]  J. Kril,et al.  The effects of alcohol on the female brain: a neuropathological study. , 1990, Alcohol and alcoholism.

[6]  T. Slotkin Fetal nicotine or cocaine exposure: which one is worse? , 1998, The Journal of pharmacology and experimental therapeutics.

[7]  Pradeep Rajagopalan,et al.  Age and sex effects on brain morphology , 1997, Progress in Neuro-Psychopharmacology and Biological Psychiatry.

[8]  K O Lim,et al.  A profile of cortical gray matter volume deficits characteristic of schizophrenia. , 1998, Cerebral cortex.

[9]  R. Adams,et al.  Central Pontine Myelinolysis: A Hitherto Undescribed Disease Occurring in Alcoholic and Malnourished Patients , 1959 .

[10]  C. Harper,et al.  The Neuropathology of Alcohol‐specific Brain Damage, or Does Alcohol Damage the Brain? , 1998, Journal of neuropathology and experimental neurology.

[11]  F. Crews,et al.  Effects of nicotine on ethanol dependence and brain damage. , 2001, Alcohol.

[12]  J. Kril,et al.  The cerebral cortex is damaged in chronic alcoholics , 1997, Neuroscience.

[13]  M Skalej,et al.  Patterns of age-related shrinkage in cerebellum and brainstem observed in vivo using three-dimensional MRI volumetry. , 1999, Cerebral cortex.

[14]  A Pfefferbaum,et al.  Sex differences in the effects of alcohol on brain structure. , 2001, The American journal of psychiatry.

[15]  D D Blatter,et al.  Quantitative volumetric analysis of brain MR: normative database spanning 5 decades of life. , 1995, AJNR. American journal of neuroradiology.

[16]  K O Lim,et al.  In vivo detection and functional correlates of white matter microstructural disruption in chronic alcoholism. , 2000, Alcoholism, clinical and experimental research.

[17]  M. First,et al.  The Structured Clinical Interview for DSM-III-R (SCID). I: History, rationale, and description. , 1992, Archives of general psychiatry.

[18]  M. Prendergast,et al.  Chronic, but not acute, nicotine exposure attenuates ethanol withdrawal-induced hippocampal damage in vitro. , 2000, Alcoholism, clinical and experimental research.

[19]  V H Denenberg,et al.  A developmental study of sex and age interactions in the human corpus callosum. , 1992, Brain research. Developmental brain research.

[20]  P. Fuhr,et al.  Asymptomatic central pontine myelinolysis , 1999, Neurology.

[21]  A. Pfefferbaum,et al.  Magnetic resonance relaxometry reveals central pontine abnormalities in clinically asymptomatic alcoholic men. , 2001, Alcoholism, clinical and experimental research.

[22]  J E Desmond,et al.  Thinning of the corpus callosum in older alcoholic men: a magnetic resonance imaging study. , 1996, Alcoholism, clinical and experimental research.

[23]  A Pfefferbaum,et al.  Frontal lobe volume loss observed with magnetic resonance imaging in older chronic alcoholics. , 1997, Alcoholism, clinical and experimental research.

[24]  B. Turetsky,et al.  Sex differences in aging of the human frontal and temporal lobes , 1994, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[25]  J. Kril,et al.  Neuropathology of alcoholism. , 1990, Alcohol and alcoholism.

[26]  J. Ragland,et al.  Marchiafava-Bignami disease: literature review and case report. , 2000, Neuropsychiatry, neuropsychology, and behavioral neurology.

[27]  D. Head,et al.  Selective aging of the human cerebral cortex observed in vivo: differential vulnerability of the prefrontal gray matter. , 1997, Cerebral cortex.

[28]  Adolf Pfefferbaum,et al.  In vivo quantification of the limbic system using MRI: Effects of normal aging , 1990, Psychiatry Research: Neuroimaging.

[29]  S. Monte Disproportionate Atrophy of Cerebral White Matter in Chronic Alcoholics , 1988 .

[30]  D. Pandya,et al.  Anatomic Organization of the Basilar Pontine Projections from Prefrontal Cortices in Rhesus Monkey , 1997, The Journal of Neuroscience.

[31]  K O Lim,et al.  Relationship between alcohol withdrawal seizures and temporal lobe white matter volume deficits. , 1996, Alcoholism, clinical and experimental research.

[32]  A. Mark,et al.  MRI in central pontine myelinolysis , 1995, Neurology.

[33]  D. Rubinstein,et al.  Asymptomatic pontine lesions found by magnetic resonance imaging: Are they central pontine myelinolysis? , 1997, Journal of the Neurological Sciences.

[34]  D. Hommer,et al.  Evidence for a gender-related effect of alcoholism on brain volumes. , 2001, The American journal of psychiatry.

[35]  P. Langlais,et al.  Cortical and subcortical white matter damage without Wernicke's encephalopathy after recovery from thiamine deficiency in the rat. , 1997, Alcoholism, clinical and experimental research.

[36]  J A Yesavage,et al.  Selective cortical and hippocampal volume correlates of Mattis Dementia Rating Scale in Alzheimer disease. , 1997, Archives of neurology.

[37]  K. Marder,et al.  Apolipoprotein E4 in Parkinson's disease , 1995, Neurology.

[38]  Sterling C. Johnson,et al.  Corpus callosum surface area across the human adult life span: Effect of age and gender , 1994, Brain Research Bulletin.

[39]  E. Sacanella,et al.  Atrophy of the corpus callosum in chronic alcoholism , 1997, Journal of the Neurological Sciences.

[40]  F. Lancaster Alcohol and white matter development--a review. , 1994, Alcoholism, clinical and experimental research.

[41]  K O Lim,et al.  Longitudinal changes in magnetic resonance imaging brain volumes in abstinent and relapsed alcoholics. , 1995, Alcoholism, clinical and experimental research.

[42]  Faith M. Gunning-Dixon,et al.  Age and sex differences in the cerebellum and the ventral pons: a prospective MR study of healthy adults. , 2001, AJNR. American journal of neuroradiology.

[43]  J. Townsend,et al.  Normal brain development and aging: quantitative analysis at in vivo MR imaging in healthy volunteers. , 2000, Radiology.

[44]  D M Hadley,et al.  Human cranial CSF volumes measured by MRI: sex and age influences. , 1987, Magnetic resonance imaging.

[45]  J. Kril,et al.  Patterns of neuronal loss in the cerebral cortex in chronic alcoholic patients , 1989, Journal of the Neurological Sciences.

[46]  H A Skinner,et al.  Reliability of alcohol use indices. The Lifetime Drinking History and the MAST. , 1982, Journal of studies on alcohol.

[47]  Edith V. Sullivan,et al.  Sex differences in corpus callosum size: relationship to age and intracranial size , 2001, Neurobiology of Aging.

[48]  E. Løberg,et al.  The frequency of brain lesions in alcoholics Comparison between the 5-year periods 1975–1979 and 1983–1987 , 1988, Journal of the Neurological Sciences.

[49]  J. Lauriello,et al.  Similar extent of brain dysmorphology in severely ill women and men with schizophrenia. , 1997, The American journal of psychiatry.

[50]  J. Desmond,et al.  Quantification of cerebellar structures with MRI , 1997, Psychiatry Research: Neuroimaging.

[51]  R Momenan,et al.  Decreased corpus callosum size among alcoholic women. , 1996, Archives of neurology.

[52]  K O Lim,et al.  Brain gray and white matter volume loss accelerates with aging in chronic alcoholics: a quantitative MRI study. , 1992, Alcoholism, clinical and experimental research.

[53]  J E Desmond,et al.  On‐ and offline Talairach registration for structural and functional MRI studies , 1997, Human brain mapping.