PMID- 16155817 OWN - NLM STAT- MEDLINE DCOM- 20051025 LR - 20131121 IS - 1139-9287 (Print) IS - 1139-9287 (Linking) VI - 33 IP - 5 DP - 2005 Sep-Oct TI - MDMA and serotonin: based on two cases. PG - 339-42 AB - 3,4-methylenedioxyamphetamine (MDMA) or "ecstasy" damages serotonin neurons in all animal species and there is growing evidence that this finding also applies to humans. This fact, together with the increasing extended use in the young population, has important repercussions in the appearance of specific psychopathologic and cognitive disturbances associated to its use. The authors present two clinical cases, in which psychopathological and cognitive symptoms are detected in MDMA users that support this hypothesis. Problems in the diagnosis of psychiatric disorders associated to MDMA and its clinical and therapeutic implications are discussed. FAU - Garcia Cabeza, I AU - Garcia Cabeza I AD - Hospital General Universitario Gregorio Maranon, Servicio de Psiquiatria I, Ibiza 43, 28009 Madrid, Spain. FAU - Zabala, A AU - Zabala A FAU - Soto-Montenegro, M L AU - Soto-Montenegro ML FAU - Arango, C AU - Arango C LA - eng PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Spain TA - Actas Esp Psiquiatr JT - Actas espanolas de psiquiatria JID - 100886502 RN - 0 (Hallucinogens) RN - 333DO1RDJY (Serotonin) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM MH - Adolescent MH - Adult MH - Amphetamine-Related Disorders/*complications MH - Brain/*drug effects/metabolism MH - *Hallucinogens/adverse effects MH - Humans MH - Male MH - *N-Methyl-3,4-methylenedioxyamphetamine/adverse effects MH - Psychoses, Substance-Induced/*etiology/*metabolism MH - Serotonin/*metabolism EDAT- 2005/09/13 09:00 MHDA- 2005/10/26 09:00 CRDT- 2005/09/13 09:00 PHST- 2005/09/13 09:00 [pubmed] PHST- 2005/10/26 09:00 [medline] PHST- 2005/09/13 09:00 [entrez] AID - 511105110 [pii] PST - ppublish SO - Actas Esp Psiquiatr. 2005 Sep-Oct;33(5):339-42.