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Alcohol and Alcoholism Vol. 36, No. 6, pp. 556-563, 2001
© 2001 Medical Council on Alcohol

CORRELATION BETWEEN INHIBITION, WORKING MEMORY AND DELIMITED FRONTAL AREA BLOOD FLOW MEASURED BY 99mTc–BICISATE SPECT IN ALCOHOL–DEPENDENT PATIENTS

Xavier Noël,*, Jacques Paternot1, Martial Van der Linden2, Rita Sferrazza, Michel Verhas1, Catherine Hanak, Charles Kornreich, Philippe Martin1, Jacques De Mol, Isidor Pelc and Paul Verbanck

Department of Psychiatry and
1 Department of Nuclear Medicine, Free University of Brussels, Brugmann Hospital, Belgium and
2 Department of Cognitive Psychopathology, University of Geneva, Switzerland

Received 20 September 2000; in revised form 30 March 2001; accepted 23 May 2001

— Recently detoxified non-neurological alcoholic patients appear to be impaired in cognitive tasks measuring inhibitory processes as well as working memory (involving storage and manipulation of information). The aim of this study was to investigate in alcoholic participants the relationship between these two cognitive functions and regional cerebral blood flow (rCBF) studied at rest in regions of interest selected on the basis of recent PET studies which explored inhibitory and working memory in normal subjects. Twenty non-neurological alcoholic patients and 20 normal volunteers were selected for a neuropsychological exploration, including assessment of inhibition processes (by means of the Hayling test) and working memory (by means of the Alpha-span task). rCBF of alcoholics was also evaluated with a semi-quantitative method using a 99mTc–Bicisate single photon emission computed tomography (SPECT) procedure. Alcoholic patients performed worse than controls in the alphabetical condition of the Alpha-span task (involving manipulation and storage of information), and on the Hayling test. Significant correlation emerged between inhibition performance and both the bilateral inferior (left BA 47, r = –0.40; right BA 47, r = –0.599) and median frontal gyrus (left BA 10, r = –0.55; right BA 10, r = –0.59), but not with the region of reference (occipital/cerebellum, r = –0.13). Coordination of storage and manipulation was correlated with bilateral median frontal (left BA 10/46, r = –0.50; right BA 10/46, r = –0.45), but not with bilateral parietal area (left BA 7, r = –0.12, right BA 7, r = –0.18). These results suggest a relationship between inhibition and working memory deficits in alcoholic patients, and regional rCBF measured in frontal areas. Clinical implications of these data related to alcohol relapse are discussed.


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X. Noel, R. Sferrazza, M. Van der Linden, J. Paternot, M. Verhas, C. Hanak, I. Pelc, and P. Verbanck
CONTRIBUTION OF FRONTAL CEREBRAL BLOOD FLOW MEASURED BY 99mTc-BICISATE SPECT AND EXECUTIVE FUNCTION DEFICITS TO PREDICTING TREATMENT OUTCOME IN ALCOHOL-DEPENDENT PATIENTS
Alcohol Alcohol., July 1, 2002; 37(4): 347 - 354.
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