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CT and MRI Abnormalities in Schizophrenia: The New Developmental Biology of Psychosis?

Published online by Cambridge University Press:  13 June 2014

John L Waddington*
Affiliation:
Royal College of Surgeons in Ireland, St. Stephen's Green, Dublin 2

Abstract

Despite more than a decade of studies, biological psychiatry has yet to satisfactorily resolve the issue of whether new brain imaging technologies reliably indicate the presence of abnormal cerebral morphology in schizophrenia. The present Perspective offers an alternative view on this topic, as a counter-point to one previously offered in the Journal. It addresses several of the methodological problems inherent to such studies, and evaluates some of the more recent aspects of the literature. Those structural abnormalities which have been reported in schizophrenia appear most readily explicable as a consequence of neurodevelopmental anomalies.

Type
Perspective
Copyright
Copyright © Cambridge University Press 1989

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References

1.Johnstone, EC, Crow, TJ, Frith, CDet al.Cerebral ventricular size and cognitive impairment in chronic schizophrenia. Lancet 1976; ii: 924926.CrossRefGoogle Scholar
2.Crow, TJ. Molecular pathology of schizophrenia: more than one disease process? Br Med J 1980; 280: 6668.CrossRefGoogle ScholarPubMed
3.Dinan, TG, Lawton, C and Kohen, D. CT scan abnormalities in schizophrenia: another pink spot? Irish J Psychol Med 1988; 5: 7172.Google Scholar
4.Waddington, JL. Structural brain pathology and clinical features in schizophrenia: further clues on the neurobiology of psychosis? Trends Neurosci 1985; 8: 374375.CrossRefGoogle Scholar
5.Shelton, RC, Karson, CN, Doran, ARet al.Cerebral structural pathology in schizophrenia. Am J Psychiat 1988; 145: 154163.Google ScholarPubMed
6.Smith, GN and lacono, WG. Lateral ventricular size in schizophrenia and choice of control group. Lancet 1986; i: 1450.CrossRefGoogle Scholar
7.Raz, S, Raz, N and Bigler, ED. Ventriculomegaly in schizophrenia: is the choice of control group important. Psychiat Res 1988; 24: 7177.CrossRefGoogle Scholar
8.lacono, WG, Smith, GN, Moreau, Met al.Ventricular and sulcal size at the onset of psychosis. Am J Psychiat 1988; 145: 820824.Google Scholar
9.Kemali, D, Maj, M, Galderisi, Set al.Clinical and neuropsychological correlates of cerebral ventricular enlargement in schizophrenia. J Psychiat Res 1985; 19: 587596.CrossRefGoogle ScholarPubMed
10.Losonczy, MF, Song, IS, Mohs, RCet al.Correlates of lateral ventricular size in chronic schizophrenia. Am J Psychiat 1986;143:976981.Google ScholarPubMed
11.Rabins, P, Pearlson, G, Jayaram, Get al.Increased ventricle-to-brain ratio in late-onset schizophrenia. Am J Psychiat 1987; 144: 12161218.Google ScholarPubMed
12.Stahl, SM, Jernigan, T, Pfefferbaum, Aet al.Brain computerized tomography in subtypes of severe chronic schizophrenia. Psychol Med 1988; 18: 7377.CrossRefGoogle ScholarPubMed
13.Jernigan, TL, Zatz, LM, Moses, JAet al.Computed tomography in schizophrenia and normal volunteers. Arch Gen Psychiat 1982; 39: 765770.CrossRefGoogle ScholarPubMed
14.Luchins, DJ and Meltzer, HY. A comparison of CT findings in acute and chronic ward schizophrenics. Psychiat Res 1986; 17:714.CrossRefGoogle ScholarPubMed
15.Pandurangi, AK, Pelonero, AL, Goldberg, Set al.Differences in CT findings within schizophrenics may be due to varying severity of illness. Schiz Res 1988; 1: 273276.CrossRefGoogle Scholar
16.Smith, RC, Baumgartner, R and Calderon, M. Magnetic resonance imaging studies of the brains of schizophrenic patients. Psychiat Res 1987; 20: 3346.CrossRefGoogle ScholarPubMed
17.Rossi, A, Stratta, P, Gallucci, Met al.Brain morphology in schizophrenia by magnetic resonance imaging (MRI). Acta Psychiat Scand 1988; 77: 741745.CrossRefGoogle ScholarPubMed
18.Kelsoe, JR, Cadet, JL, Pickar, Det al.Quantitative neuroanatomy in schizophrenia: a controlled magnetic resonance imaging study. Arch Gen Psychiat 1988; 45: 533541.CrossRefGoogle ScholarPubMed
19.Seeman, MV. Current outcome in schizophrenia: women vs men. Acta Psychiat Scand 1986; 73: 609617.CrossRefGoogle ScholarPubMed
20.Goldstein, JM. Gender differences in the course of schizophrenia. Am J Psychiat 1988; 145: 684689.Google ScholarPubMed
21.Waddington, JL, O'Callaghan, E, Larkin, Cet al.Magnetic resonance imaging of the brain and its application to the study of schizophrenia. J Irish Coll Phys Surg 1988; 17: 134135.Google Scholar
22.Pakkenberg, B. Post-mortem study of chronic schizophrenic brains. Br J Psychiat 1987; 151: 744752.CrossRefGoogle ScholarPubMed
23.Farmer, A, Jackson, R, McGuffin, Pet al.Cerebral ventricular enlargement in chronic schizophrenia: consistencies and contradictions. Br J Psychiat 1987; 150: 324330.CrossRefGoogle ScholarPubMed
24.Keilp, JG, Sweeney, JA, Jacobsen, Pet al.Cognitive impairment in schizophrenia: specific relations to ventricular size and negative symptomatology. Biol Psychiat 1988; 24: 4755.CrossRefGoogle ScholarPubMed
25.Pandurangi, AK, Bilder, RM, Rieder, ROet al.Schizophrenic symptoms and deterioration: relation to computed tomographic findings. J Nerv Ment Dis 1988; 176: 200206.CrossRefGoogle ScholarPubMed
26.Owens, DGC, Johnstone, EC, Crow, TJet al.Lateral ventricular size in schizophrenia: relationship to the disease process and its clinical manifestations. Psychol Med 1985; 15: 2741.CrossRefGoogle Scholar
27.Nyman, H, Nyback, H, Wiesel, F-Aet al.Neuropsychological test performance, brain morphological measures and CSF monoamine metabolites in schizophrenic patients. Acta Psychiat Scand 1986; 74: 292301.CrossRefGoogle ScholarPubMed
28.Goldberg, TE, Kleinman, JE, Daniel, DGet al.Dementia praecox revisited: age disorientation, mental status, and ventricular enlargement. Br J Psychiat 1988; 153: 187190.CrossRefGoogle ScholarPubMed
29.Bilder, RM, Degreef, G, Pandurangi, AKet al.Neuropsychological deterioration and CT scan findings in chronic schizophrenia. Schiz Res 1988; 1: 3745.CrossRefGoogle ScholarPubMed
30.Lawson, WB, Waldman, IN, Weinberger, DRet al.Schizophrenic dementia: clinical and computed axial tomography correlates. J Nerv Ment Dis 1988; 176: 207212.CrossRefGoogle ScholarPubMed
31.Weinberger, DR, Cannon-Spoor, E, Potkin, SGet al.Poor premorbid adjustment and CT scan abnormalities in chronic schizophrenia. Am J Psychiat 1980; 137: 14101413.Google ScholarPubMed
32.Seidman, LJ, Sokolove, RL, McElroy, Cet al.Lateral ventricular size and social network differentiation in young nonchronic schizophrenic patients. Am J Psychiat 1987; 144: 512514.Google ScholarPubMed
33.Weinberger, DR. Implications of normal brain development for the pathogenesis of schizophrenia. Arch Gen Psychiat 1987;44:660669.CrossRefGoogle ScholarPubMed
34.Murray, RM and Lewis, SR. Is schizophrenia a neurodevelopmental disorder? Br Med J 1987; 295: 681682.CrossRefGoogle ScholarPubMed
35.Waddington, JL. The ageing brain, neuroleptic drugs and the enigma of schizophrenia. Irish J Med Sci 1988; 157: 135141.CrossRefGoogle ScholarPubMed
36.Goldin, LR, DeLisi, LE, Gershon, ES. Unravelling the relationship between genetic and environmental risk factors in psychiatric disorders. Br J Psychiat 1987; 151: 302305.CrossRefGoogle ScholarPubMed
37.McGuffin, P, Farmer, A, Gottesman, II. Is there really a split in schizophrenia: the genetic evidence. Br J Psychiat 1987; 150: 581582.CrossRefGoogle ScholarPubMed
38.Karson, CN, Coppola, R and Daniel, DG. Alpha frequency in schizophrenia: an association with enlarged cerebral ventricles. Am J Psychiat 1988; 145: 861864.Google ScholarPubMed
39.Berman, KF, Weinberger, DR, Shelton, RCet al.A relation between anatomical and physiological brain pathology in schizophrenia: lateral cerebral ventricular size predicts cortical blood flow. Am J Psychiat 1987; 144: 12771282.Google ScholarPubMed
40.Illowsky, BP, Juliano, DM, Bigelow, LBet al.Stability of CT scan findings in schizophrenia: results of an 8 year follow-up study. J Neurol Neurosurg Psychiat 1988; 51: 209213.CrossRefGoogle ScholarPubMed
41.Nagata, K, Basugi, N, Fukushima, Tet al.A quantitative study of physiological cerebral atrophy with aging: a statistical analysis of the normal range. Neuroradiology 1987; 29: 327332.CrossRefGoogle Scholar
42.Stafford, JL, Albert, MS, Naeser, MAet al.Age-related differences in computed tomographic scan measurements. Arch Neurol 1988; 45: 409415.CrossRefGoogle ScholarPubMed
43.Rossi, A, Stratta, P, Casacchia, Met al.Age and duration of illness as predictors of ventricular brain ratio (VBR) size in chronic schizophrenic patients. Acta Psychiat Scand 1987; 76: 256260.CrossRefGoogle ScholarPubMed
44.Tanaka, Y, Hazama, H, Kawahara, Ret al.Computerized tomography of the brain in schizophrenic patients. Acta Psychiat Scand 1981; 63: 191197.CrossRefGoogle ScholarPubMed