Regional cerebral blood flow in first-episode schizophrenia patients before and after antipsychotic drug treatment

被引:24
作者
Livingston, MG [1 ]
McCreadie, RG [1 ]
Bouch, CJK [1 ]
Brown, KW [1 ]
Brown, T [1 ]
Clark, S [1 ]
Corrigan, E [1 ]
Crocket, GT [1 ]
Graham, J [1 ]
Hughson, AVM [1 ]
Hunter, R [1 ]
Kemp, M [1 ]
McKane, J [1 ]
Matson, IC [1 ]
Reid, J [1 ]
Turner, MS [1 ]
Waterhouse, J [1 ]
Williamson, DJ [1 ]
Wood, E [1 ]
Berry, A [1 ]
Caris, HF [1 ]
Dow, MGT [1 ]
Greene, JG [1 ]
Li, CK [1 ]
McGovern, J [1 ]
Mahmood, Z [1 ]
Scott, AM [1 ]
Sim, A [1 ]
Weighill, VE [1 ]
Hadley, D [1 ]
Wiles, D [1 ]
Wyper, DJ [1 ]
Batchelor, DH [1 ]
Rendall, M [1 ]
Hammond, G [1 ]
机构
[1] Univ Glasgow, Acad Ctr, Gartnavel Royal Hosp, Dept Psychol Med, Glasgow G12 0XH, Lanark, Scotland
关键词
schizophrenia; SPECT; first episode; drug treatment;
D O I
10.1111/j.1600-0447.1998.tb10029.x
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
A total of 38 patients in a first presentation of schizophrenia prior to drug treatment underwent a single photon emission computerized tomography (SPECT) scanning programme whilst undertaking a verbal fluency task. Their scans were compared with those of 38 normal volunteer controls matched for age, sex and father's social class. Schizophrenic patients displayed a trend towards a reduced blood flow in comparison with controls. Comparing right with left hemispheres, asymmetrical blood now patterns were more likely to be found in patients in frontal regions than elsewhere. When 27 of the 38 patients underwent a repeat SPECT scanning programme after receiving 6 months of antipsychotic drug treatment, the hypofrontal blood flow pattern persisted. Increased blood now was observed bilaterally in the putamen. The more symmetrical blood flow pattern of the patients compared to the control subjects did not alter substantially.
引用
收藏
页码:440 / 449
页数:10
相关论文
共 31 条
[1]   NEGATIVE FEATURES, RETRIEVAL-PROCESSES AND VERBAL FLUENCY IN SCHIZOPHRENIA [J].
ALLEN, HA ;
LIDDLE, PF ;
FRITH, CD .
BRITISH JOURNAL OF PSYCHIATRY, 1993, 163 :769-775
[2]  
ANDREASEN NC, 1990, ARCH GEN PSYCHIAT, V47, P35
[3]  
[Anonymous], 1987, DIAGNOSTIC STAT MANU, V4th
[4]   CEREBRAL PERFUSION INHOMOGENEITIES IN SCHIZOPHRENIA DEMONSTRATED WITH SINGLE PHOTON-EMISSION COMPUTED-TOMOGRAPHY AND TC99M-HEXAMETHYLPROPYLENEAMINEOXIM [J].
BAJC, M ;
MEDVED, V ;
BASIC, M ;
TOPUZOVIC, N ;
BABIC, D .
ACTA PSYCHIATRICA SCANDINAVICA, 1989, 80 (05) :427-433
[5]   IMPORTANCE OF PHARMACOLOGICAL CONTROL IN PET STUDIES - EFFECTS OF THIOTHIXENE AND HALOPERIDOL ON CEREBRAL GLUCOSE-UTILIZATION IN CHRONIC-SCHIZOPHRENIA [J].
BARTLETT, EJ ;
WOLKIN, A ;
BRODIE, JD ;
LASKA, EM ;
WOLF, AP ;
SANFILIPO, M .
PSYCHIATRY RESEARCH-NEUROIMAGING, 1991, 40 (02) :115-124
[6]   DIFFERENTIAL BEHAVIORAL EFFECTS IN FRONTAL LOBE DISEASE [J].
BENTON, AL .
NEUROPSYCHOLOGIA, 1968, 6 (01) :53-&
[7]  
BUCHSBAUM MS, 1982, ARCH GEN PSYCHIAT, V39, P251
[8]  
BUCHSBAUM MS, 1992, ARCH GEN PSYCHIAT, V49, P935
[9]  
BUCHSBAUM MS, 1992, ARCH GEN PSYCHIAT, V49, P966
[10]  
CHAKOS MH, 1994, AM J PSYCHIAT, V151, P1430