Journal of Neuroscience -
1 days and 16 hours ago
Publication Date: 2008 Nov 19 PMID: 19020027br/Authors: Koenigs, M. - Huey, E. D. - Calamia, M. -
Raymont, V. - Tranel, D. - Grafman, J.br/Journal: J Neuroscibr/br/The neuroanatomical correlates of
depression remain unclear. Functional imaging data have associated depression with abnormal
patterns of activity in prefrontal cortex (PFC), including the ventromedial (vmPFC) and
dorsolateral (dlPFC) sectors. If vmPFC and dlPFC are critical neural substrates for the
pathogenesis of depression, then damage to either area should affect the expression of depressive
symptoms. Using patients with brain lesions we show that, relative to nonfrontal lesions, bilateral
vmPFC lesions are associated with markedly low levels of depression, whereas bilateral dorsal PFC
lesions (involving dorsomedial and dorsolateral areas in both hemispheres) are associated with
substantially higher levels of depression. These findings demonstrate that vmPFC and dorsal PFC are
critically and causally involved in depression, although with very different roles: vmPFC damage
confers resistance to depression, whereas dorsal PFC damage confers vulnerability.br/br/post to: a
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