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A Magnetic Resonance Imaging Study of Schizophrenia: Brain Structure and Clinical Symptoms

Published online by Cambridge University Press:  02 January 2018

A. H. Young*
Affiliation:
Department of Psychiatry, University of Edinburgh
*
University Department of Psychiatry, Royal Edinburgh Hospital, Morningside Park, Edinburgh EH10 5HF

Abstract

Thirty-one patients with schizophrenia and 33 normal control subjects underwent MRI. The BPRS was used to rate clinical symptoms and the NART to estimate premorbid IQ. All were right handed. The temporal lobe was significantly smaller on the left than the right in both the control and schizophrenic groups. The amygdala was smaller on the left than the right in controls but not in schizophrenics. The parahippocampal gyrus was smaller on the left side in the schizophrenic group but not in controls. In the schizophrenic group, ventricular enlargement and cerebral atrophy were significantly related to severity of symptoms. Patients with marked negative symptoms had a bilateral reduction in the size of the head of caudate and the two measures were significantly correlated. Patients with marked positive symptoms had larger VBRs and again the clinical and morphometric changes were significantly correlated. There were no morphometric differences between patients with short duration (two years or less) and chronic symptoms.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1991 

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References

Alzheimer, A. (1897) Beiträge zur pathologischen anatomic der hirnrinde und zur anatomischen grundlage einiger psychosen. Monatsschrift fuer Psychiatrie und Neurologie, 2, 82120.CrossRefGoogle Scholar
Andreasen, N. C. Olsen, S. A. Dennert, J. W. et al (1982) Ventricular enlargement in schizophrenia: relationship to positive and negative symptoms. American Journal of Psychiatry, 139, 297302.Google Scholar
Annett, M. (1970) A classification of hand preference by association analysis. British Journal of Psychology, 62, 303321.Google Scholar
Besson, J. A. O. Corrigan, F. M. Cherryman, G. R. et al (1987) Nuclear magnetic resonance brain imaging in chronic schizophrenia. British Journal of Psychiatry, 150, 161163.Google Scholar
Bleuler, E. P. (1930) The physiogenic and the psychogenic in schizophrenia. American Journal of Psychiatry, 87, 203.Google Scholar
Bogerts, B. Meertz, E. & Schonfeldt-Bausch, R. (1985) Basal ganglia and limbic system pathology in schizophrenia. Archives of General Psychiatry, 42, 784791.Google Scholar
Brown, R. Colter, N. Corsellis, J. A. N. et al (1986) Postmortem evidence of structural brain changes in schizophrenia. Differences in brain weight, temporal horn area and parahippocampal gyrus compared with affective disorder. Archives of General Psychiatry, 43, 3642.CrossRefGoogle ScholarPubMed
DeLisi, L. E. Dauphinars, D. & Gershon, E. (1988) Perinatal complications and reduced size of brain limbic structures in familial schizophrenia. Schizophrenia Bulletin, 14, 185191.Google Scholar
Early, T. S. Reiman, E. M. Raichle, M. E. et al (1987) Left globus pallidus abnormality in never medicated patients with schizophrenia. Proceedings of the National Academy of Science, USA, 2, 561563.Google Scholar
Falkai, P. Bogerts, B. & Rozumek, M. (1988) Limbic pathology in schizophrenia: the Entorhud region — a morphometric study. Biological Psychiatry, 24, 515522.Google Scholar
Farmer, A. Jackson, R. McGuffin, P. et al (1987) Cerebral ventricular enlargement in chronic schizophrenics: consistencies and contradictions. British Journal of Psychiatry, 150, 324330.Google Scholar
Freud, S. (1964) Project for a scientific psychology. Standard Edition of the Complete Psychological Works of Sigmund Freud, (trans. Strachey, J.), Vol. 1, pp. 283397. Toronto: Hogarth Press.Google Scholar
Geschwind, N. & Galaburda, A. N. (1985) Cerebral lateralization. Biological mechanisms, associations and pathology. Archives of Neurology, 42, 428459.Google Scholar
Hamilton, M. (1967) Development of a rating scale for primary depressive illness. British Journal of Social and Clinical Psychology, 6, 278296.Google Scholar
Haug, J. O. (1962) Pneumoencephalographic studies in mental disease. Acta Psychiatrica Scandinavica (suppl. 165).Google Scholar
Jack, C. R. Jr Gehring, D. G. Sharbrough, F. W. et al (1988) Temporal lobe volume measurement from MR images: accuracy and left right asymmetry in normal persons. Journal of Computer Assisted Tomography, 12, 2129.Google Scholar
Johnstone, E. C. Crow, T. J. Frith, C. D. et al (1976) Cerebral ventricular size and cognitive impairment in schizophrenia. Lancet, ii, 924926.Google Scholar
Johnstone, E. C. Owens, D. G. C. Crow, T. J. et al (1989) Temporal lobe structure as determined by nuclear magnetic resonance in schizophrenia and bipolar affective disorder. Journal of Neurology, Neurosurgery and Psychiatry, 52, 736741.CrossRefGoogle ScholarPubMed
Kelsoe, J. R. Cadet, J. L. Pickar, D. et al (1988) Quantitative neuroanatomy in schizophrenia. A controlled magnetic resonance imaging study. Archives of General Psychiatry, 45, 533541.Google Scholar
Kraepelin, E. (1919) Dementia Praecox and Paraphrenia. Edinburgh: Churchill Livingstone.Google Scholar
LeMay, M. & Kido, D. K. (1978) Asymmetries of cerebral hemispheres on computed tomograms. Journal of Computer Assisted Tomography, 2, 471476.Google Scholar
Nelson, H. E. (1982) National Adult Reading Test Manual. Windsor: NFER-Nelson.Google Scholar
Nienwerhuys, R. Voogd, J. & Chr Van, Huijzen (1981) The Human Central Nervous System. A Synopsis and Atlas (2nd edn, revised). Berlin: Springer Verlag.Google Scholar
Overall, J. E. & Gorham, D. R. (1962) The Brief Psychiatric Rating Scale. Psychiatric Reports, 10, 799812.Google Scholar
Reveley, M. A. (1985) CT scans in schizophrenia. British Journal of Psychiatry, 146, 367371.CrossRefGoogle ScholarPubMed
Reynolds, G. P. (1983) Increased concentrations and lateral asymmetry of amygdala dopamine in schizophrenia. Nature, 305, 527528.CrossRefGoogle ScholarPubMed
Reynolds, G. P. (1989) Beyond the dopamine hypothesis: the neurochemical pathology of schizophrenia. British Journal of Psychiatry, 155, 305316.Google Scholar
Roberts, G. W. & Crow, T. J. (1987) The neuropathology and schizophrenia, a progress report. In Recurrent and Chronic Psychoses (ed. Crow, T. J.), British Medical Bulletin, 43, No. 3. Edinburgh: Churchill Livingstone.Google Scholar
Smith, R. C. Baumgartner, R. & Calderon, M. (1987) Magnetic resonance imaging studies of the brains of schizophrenic patients. Psychiatry Research, 20, 3346.CrossRefGoogle ScholarPubMed
Southard, E. E. (1915) On the topographical distribution of cortex lesions and anomalies in dementia praecox, with some account of their functional significance. American Journal of Insanity, 71, 603671.Google Scholar
Spitzer, R. L. Endicott, J. & Robins, E. (1978) Research Diagnostic Criteria. Instrument No. 58. New York: New York Psychiatric Institute.Google Scholar
Suddath, R. L. Casanova, M. F. Goldberg, T. E. et al (1989) Temporal lobe pathology in schizophrenia: a quantitative magnetic resonance imaging study. American Journal of Psychiatry, 146, 464472.Google ScholarPubMed
Weinberger, D. Wagner, R. & Wyatt, R. (1983) Neuropathologies studies of schizophrenia: a selected review. Schizophrenia Bulletin, 9, 193212.Google Scholar
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