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When Thoughts Are in a Race: Area 10 and Bipolar Disorders

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Racing thought, when patients incessantly shift from one word or sentence to another while pending previous ones unfinished, is a symptom of (hypo)mania in bipolar disorders received less attention hitherto. Here, based on few evidence, we aim to unfold our hypothetical viewpoint that the frontopolar cortex that is believed to play a part in multitasking and management of competing goals might be dysfunctional in bipolar patients and may contribute in induction of flight of ideas. We then address new avenues for future research and try to encourage researchers to design more comprehensive studies to either accept or decline this proposed conjecture.

Abstract

Racing thought, when patients incessantly shift from one word or sentence to another while pending previous ones unfinished, is a symptom of (hypo)mania in bipolar disorders received less attention hitherto. Here, based on few evidence, we aim to unfold our hypothetical viewpoint that the frontopolar cortex that is believed to play a part in multitasking and management of competing goals might be dysfunctional in bipolar patients and may contribute in induction of flight of ideas. We then address new avenues for future research and try to encourage researchers to design more comprehensive studies to either accept or decline this proposed conjecture.

참고문헌 (12)

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  10. Mansouri FA, "Managing competing goals-a key role for the frontopolar cortex", Nat Rev Neurosci, 18, pp.645~657 (2017)
  11. Kaladjian A, "Reduced brain activation in euthymic bipolar patients during response inhibition : an event-related fMRI study", Psychiatry Res, 173, pp.45~51 (2009)
  12. Schneider MR, "The effects of carbamazepine on prefrontal activation in manic youth with bipolar disorder", Psychiatry Res, 223, pp.268~270 (2014)

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