TY - JOUR PY - 2001// TI - CSF studies in violent offenders. II. Blood-brain barrier dysfunction without concurrent inflammation or structure degeneration JO - Journal of neural transmission A1 - Soderstrom, H. A1 - Blennow, K. A1 - Manhem, A. A1 - Forsman, A. SP - 879 EP - 886 VL - 108 IS - 7 N2 - Cerebral dysfunction without corresponding structural pathology has been reported in brain imaging studies of violent offenders. Biochemical markers in the CSF reflect various types of CNS pathology, such as blood-brain barrier dysfunction (CSF/S albumin ratio), infectious or inflammatory processes (IgG and IgM indices), neuronal or axonal degeneration (CSF-tau protein) and synaptic de- or regeneration (CSF-growth associated protein-43 (GAP-43)). We compared these CSF markers in 19 non-psychotic perpetrators of severe violent crimes undergoing pretrial forensic psychiatric investigation and 19 age- and sex-matched controls. Index subjects had significantly higher albumin ratios (p = 0.002), indicating abnormal vascular permeability as part of the complex CNS dysfunction previously reported in violent offenders. Axis I disorders, including substance abuse or current medication, did not explain this finding. Since Ig-indices, CSF-tau protein or CSF-GAP-43 were not increased, there was no support for inflammation or neuronal/synaptic degeneration as etiological factors to CNS dysfunction in this category of subjects.

Language: en

LA - en SN - 0300-9564 UR - http://dx.doi.org/ ID - ref1 ER -