[1] Asahikawa Med Coll, Dept Psychiat & Neurol, Asahikawa, Hokkaido 0788510, Japan
[2] Yokohama City Univ, Sch Med, Dept Psychiat, Yokohama, Kanagawa 2360004, Japan
[3] Tohoku Univ, Sch Med, Dept Neurol, Sendai, Miyagi 9808575, Japan
[4] Case Western Reserve Univ, Inst Pathol, Cleveland, OH 44106 USA