Ventricular enlargement in schizophrenia: a primary change in the temporal lobe?

被引:32
作者
Chance, SA [1 ]
Esiri, MM [1 ]
Crow, TJ [1 ]
机构
[1] Univ Oxford, Oxford OX1 2JD, England
基金
英国医学研究理事会;
关键词
schizophrenia; ventricles; parahippocampal; sex; gyrus; temporal;
D O I
10.1016/S0920-9964(02)00344-4
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: The anatomical origin of the enlargement of the cerebral ventricles in schizophrenia is obscure. Methods: In this study, the volumes of the hemispheres and lateral ventricles were assessed in MRI scans of 43 formalin-fixed brains (23 from patients and 19 comparison subjects) using a spline 'snake' segmentation method. Results: A bilateral ventricular volume increase was found in schizophrenia. Whereas enlargement of the lateral ventricle (mean: 54%) as a whole was related to age of onset and was greater in females than in males, enlargement of the temporal horn (mean: 54%) was not strongly related to age of onset or sex. Lateral ventricle volume was negatively correlated with STG, fusiform and parahippocampal volume in schizophrenia. Hemispheric volumes were unchanged. Conclusions: The differing correlates of the components of ventricular enlargement suggest a degree of selectivity of the disease process with a focus in the temporal lobe. (C) 2002 Elsevier Science B.V. All rights reserved.
引用
收藏
页码:123 / 131
页数:9
相关论文
共 48 条
[1]  
ANDREASEN N, 1982, AM J PSYCHIAT, P139
[2]   Age at illness onset and left temporal lobe length in males with schizophrenia [J].
Bartzokis, G ;
Nuechterlein, KH ;
Marder, SR ;
Mintz, J ;
Dery, K ;
Laack, K .
PSYCHIATRY RESEARCH-NEUROIMAGING, 1996, 67 (03) :189-201
[3]   QUANTITATIVE-ANALYSIS OF CEREBRAL ASYMMETRIES - FRONTO-OCCIPITAL CORRELATION, SEXUAL DIMORPHISM AND ASSOCIATION WITH HANDEDNESS [J].
BEAR, D ;
SCHIFF, D ;
SAVER, J ;
GREENBERG, M ;
FREEMAN, R .
ARCHIVES OF NEUROLOGY, 1986, 43 (06) :598-603
[4]  
Blamire A., 1996, Schizophrenia Research, V18, P181, DOI 10.1016/0920-9964(96)85570-8
[5]  
BOGERTS B, 1990, PSYCHIAT RES-NEUROIM, V35, P1
[6]  
BOGERTS B, 1985, ARCH GEN PSYCHIAT, V42, P784
[7]  
BROWN R, 1986, ARCH GEN PSYCHIAT, V43, P36
[8]   SCHIZOPHRENIA AND THE BRAIN - A PROSPECTIVE CLINICONEUROPATHOLOGICAL STUDY [J].
BRUTON, CJ ;
CROW, TJ ;
FRITH, CD ;
JOHNSTONE, EC ;
OWENS, DGC ;
ROBERTS, GW .
PSYCHOLOGICAL MEDICINE, 1990, 20 (02) :285-304
[9]   Ventricular volume and asymmetry in schizotypal personality disorder and schizophrenia assessed with magnetic resonance imaging [J].
Buchsbaum, MS ;
Yang, S ;
Hazlett, E ;
Siegel, BV ;
Germans, M ;
Haznedar, M ;
OFlaithbheartaigh, S ;
Wei, TC ;
Silverman, J ;
Siever, LJ .
SCHIZOPHRENIA RESEARCH, 1997, 27 (01) :45-53
[10]   Regional gray matter, white matter, and cerebrospinal fluid distributions in schizophrenic patients, their siblings, and controls [J].
Cannon, TD ;
van Erp, TGM ;
Huttunen, M ;
Lönnqvist, J ;
Salonen, O ;
Valanne, L ;
Poutanen, VP ;
Standertskjöld-Nordenstam, CG ;
Gur, RE ;
Yan, M .
ARCHIVES OF GENERAL PSYCHIATRY, 1998, 55 (12) :1084-1091