Objective-Early-onset bipolar disorder is thought to be a particularly severe variant of the illness. Continuity with the adult form of illness remains unresolved, but preliminary evidence suggests similar biological underpinnings. Recently, we observed localized hippocampal decreases in unmedicated adults with bipolar disorder that were not detectable with conventional volumetric measures. Using the same three-dimensional mapping methods, we sought to investigate whether a similar pattern exists in adolescents with bipolar disorder.Method-High-resolution brain magnetic resonance images were acquired from 16 adolescents meeting DSM-IV criteria for bipolar disorder (mean age 15.5 ± 3.4 years, 50% female) and 20 demographically matched, typically developing control subjects. Three-dimensional parametric mesh models of the hippocampus were created from manual tracings of the hippocampal formation.Results-Controlling for total brain volume, total hippocampal volume was significantly smaller in adolescent patients with bipolar disorder relative to controls (by 9.2%). Statistical mapping results, confirmed by permutation testing, revealed significant localized deformations in the head and tail of the left hippocampus in adolescents with bipolar disorder, relative to normal controls. In addition, there was a significant positive correlation between hippocampal size and age in patients with bipolar disorder, whereas healthy controls showed an inverse relation.Discussion-Localized hippocampal deficits in adolescent patients with bipolar disorder suggest a possible neural correlate for memory deficits observed in this illness. Moreover, age-related increases in hippocampal size in patients with bipolar disorder, not observed in healthy controls, may reflect abnormal developmental mechanisms in bipolar disorder. This possibility must be confirmed by longitudinal studies.Correspondence to Dr. Carrie E. Bearden, Department of Psychiatry and Biobehavioral Sciences, UCLA, 300 Building Medical Plaza, Suite 2265, Los Angeles, CA 90095; e-mail: cbearden@mednet.ucla.edu. This article is the subject of an editorial by Dr. Hilary P. Blumberg in this issue.Disclosure: Dr. Birmaher has participated in forums sponsored by Solvay Pharmaceuticals and Abcomm, and has received royalties from Random House.The other authors report no conflicts of interest. Much less is known about the neurobiological underpinnings of juvenile-onset bipolar disorder, although it is thought to be a particularly severe variant of the illness, 9,10 potentially with a higher genetic loading. 11 Its continuity with the adult form of the illness remains unresolved, but neuroanatomical findings to date in early-onset bipolar disorder appear similar to those for adults, with most studies finding no differences in global hippocampal volume between children with bipolar disorder and controls. [12][13][14] In contrast, two studies have identified hippocampal volume decreases in young patients with bipolar disorder. 15,16 In particular, in a sample of adolescents...