2017
DOI: 10.1016/j.neuropharm.2017.01.018
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Perspectives on fronto-fugal circuitry from human imaging of alcohol use disorders

Abstract: Descriptions of the cognitive functions affected by alcohol use disorders (AUD) often highlight dysfunction of executive processes such attention, inhibitory control, working memory, and cognitive flexibility. Such complex cognitive functions have historically been ascribed to the prefrontal cortex. AUD, however, disrupts extensive areas of the brain. Structural and functional MRI studies suggest a central role for degradation of circuitry originating in the prefrontal cortex including nodes in widespread brai… Show more

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Cited by 59 publications
(53 citation statements)
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References 219 publications
(225 reference statements)
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“…Functional perturbation of the PFC has been consistently reported in alcohol use disorder and in animal models of EtOH exposure, which can lead to a shift toward less flexible behaviors mediated by subcortical structures (81)(82)(83). These shifts are thought to contribute to the progression from moderate drinking to uncontrolled, compulsive alcohol abuse.…”
Section: Discussionmentioning
confidence: 99%
“…Functional perturbation of the PFC has been consistently reported in alcohol use disorder and in animal models of EtOH exposure, which can lead to a shift toward less flexible behaviors mediated by subcortical structures (81)(82)(83). These shifts are thought to contribute to the progression from moderate drinking to uncontrolled, compulsive alcohol abuse.…”
Section: Discussionmentioning
confidence: 99%
“…Neuroradiologically, the mainstay of studies of uncomplicated alcoholism concurs with neuropathological findings, especially of white matter involvement . Quantitative MRI studies report tissue shrinkage typically in the anterior superior vermis, involving lobules I‐V with additional sites of volume deficit in the white matter of the cerebellar hemispheres (; for review,), also exacerbated by common alcoholism‐related concomitant complications …”
Section: Introductionmentioning
confidence: 90%
“…This assertion is supported by longitudinal evidence indicating that at least partial reversal of tissue volume deficits and ventricular dilatation occur early in abstinence-over days to weeks 6,7 -and that further cortical tissue shrinkage ensues with resumption of drinking. 1,8,9 The most commonly reported regions affected in vivo are frontally distributed, notably superior and middle lateral, orbital, and medial frontal gyri in individuals with treated [10][11][12] and never-treated 13 alcoholism. Prefrontal cortex is also a target of normal aging, showing pronounced volume decline from approximately age 50 years onward.…”
mentioning
confidence: 99%