Brain morphometric comparison of first-episode schizophrenia and temporal lobe epilepsy
Converging evidence has suggested that the abnormalities in brain morphology observed in schizophrenia are similar to those seen in temporal lobe epilepsy (TLE). The purpose of this study was to compare the features of these groups directly with measures of the brain using magnetic resonance (MR) mo...
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| Veröffentlicht in: | British journal of psychiatry 1997-06, Vol.170 (6), p.515-519 |
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| container_title | British journal of psychiatry |
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| creator | Barr, W. B. Ashtari, M. Bilder, R. M. Degreef, G. Lieberman, J. A. |
| description | Converging evidence has suggested that the abnormalities in brain morphology observed in schizophrenia are similar to those seen in temporal lobe epilepsy (TLE). The purpose of this study was to compare the features of these groups directly with measures of the brain using magnetic resonance (MR) morphometry.
Morphometric measures of ventricular and hippocampal volumes obtained from FLASH MR images were studied in 32 patients with first-episode schizophrenia (FES), 39 patients with TLE (21 left, 18 right), and 42 healthy controls.
Ventricular volumes in the FES and TLE groups were both significantly larger that those seen in controls and did not differ from each other. The FES group showed significantly larger temporal horns, while the TLE group had relatively larger frontal horns. Analyses of hippocampal volumes revealed a significant group by hemisphere effect. The FES group showed relative reductions in left hippocampal volume that were comparable only to TLE patients with seizures originating from the left hemisphere.
The results indicate that FES and TLE groups both show evidence of ventricular enlargement. Lateralised morphological abnormalities of the hippocampal formation in FES and left TLE are comparable, and may be specific to temporolimbic regions. |
| doi_str_mv | 10.1192/bjp.170.6.515 |
| format | Article |
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Morphometric measures of ventricular and hippocampal volumes obtained from FLASH MR images were studied in 32 patients with first-episode schizophrenia (FES), 39 patients with TLE (21 left, 18 right), and 42 healthy controls.
Ventricular volumes in the FES and TLE groups were both significantly larger that those seen in controls and did not differ from each other. The FES group showed significantly larger temporal horns, while the TLE group had relatively larger frontal horns. Analyses of hippocampal volumes revealed a significant group by hemisphere effect. The FES group showed relative reductions in left hippocampal volume that were comparable only to TLE patients with seizures originating from the left hemisphere.
The results indicate that FES and TLE groups both show evidence of ventricular enlargement. Lateralised morphological abnormalities of the hippocampal formation in FES and left TLE are comparable, and may be specific to temporolimbic regions.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.170.6.515</identifier><identifier>PMID: 9330016</identifier><identifier>CODEN: BJPYAJ</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adult ; Age Factors ; Brain - pathology ; Brain Diseases - pathology ; Brain research ; Case-Control Studies ; Convulsions & seizures ; Depression - genetics ; Electroencephalography ; Epilepsy ; Epilepsy, Temporal Lobe - pathology ; Family Health ; Female ; Humans ; Magnetic Resonance Imaging - methods ; Male ; Males ; Neuropathology ; Patients ; Psychiatry ; Risk Factors ; Schizophrenia ; Schizophrenia - pathology ; Variance analysis</subject><ispartof>British journal of psychiatry, 1997-06, Vol.170 (6), p.515-519</ispartof><rights>Copyright © 1997 The Royal College of Psychiatrists</rights><rights>Copyright Headley Brothers, Ltd. Invicta Press Jun 1997</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-32ccde7db17c633ad7eb73dbeacf184bc2feff65e450ac9c5b30a8766967151c3</citedby><cites>FETCH-LOGICAL-c381t-32ccde7db17c633ad7eb73dbeacf184bc2feff65e450ac9c5b30a8766967151c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0007125000258996/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,778,782,12829,27907,27908,30982,55611</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9330016$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barr, W. B.</creatorcontrib><creatorcontrib>Ashtari, M.</creatorcontrib><creatorcontrib>Bilder, R. M.</creatorcontrib><creatorcontrib>Degreef, G.</creatorcontrib><creatorcontrib>Lieberman, J. A.</creatorcontrib><title>Brain morphometric comparison of first-episode schizophrenia and temporal lobe epilepsy</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>Converging evidence has suggested that the abnormalities in brain morphology observed in schizophrenia are similar to those seen in temporal lobe epilepsy (TLE). The purpose of this study was to compare the features of these groups directly with measures of the brain using magnetic resonance (MR) morphometry.
Morphometric measures of ventricular and hippocampal volumes obtained from FLASH MR images were studied in 32 patients with first-episode schizophrenia (FES), 39 patients with TLE (21 left, 18 right), and 42 healthy controls.
Ventricular volumes in the FES and TLE groups were both significantly larger that those seen in controls and did not differ from each other. The FES group showed significantly larger temporal horns, while the TLE group had relatively larger frontal horns. Analyses of hippocampal volumes revealed a significant group by hemisphere effect. The FES group showed relative reductions in left hippocampal volume that were comparable only to TLE patients with seizures originating from the left hemisphere.
The results indicate that FES and TLE groups both show evidence of ventricular enlargement. Lateralised morphological abnormalities of the hippocampal formation in FES and left TLE are comparable, and may be specific to temporolimbic regions.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Brain - pathology</subject><subject>Brain Diseases - pathology</subject><subject>Brain research</subject><subject>Case-Control Studies</subject><subject>Convulsions & seizures</subject><subject>Depression - genetics</subject><subject>Electroencephalography</subject><subject>Epilepsy</subject><subject>Epilepsy, Temporal Lobe - pathology</subject><subject>Family Health</subject><subject>Female</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Male</subject><subject>Males</subject><subject>Neuropathology</subject><subject>Patients</subject><subject>Psychiatry</subject><subject>Risk Factors</subject><subject>Schizophrenia</subject><subject>Schizophrenia - pathology</subject><subject>Variance analysis</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkE1rGzEQhkVJcNwkxxwDSg-9rS2tVpL3mJh-BAy5NOQoJO2sV2Z3pUhrivvro2LT0NLT8DIP7wwPQjeULCity6XZhQWVZCEWnPIPaE4rWRa0EvwMzQkhsqAlJxfoY0q7HFlVyhma1YwRQsUcvTxE7UY8-Bg6P8AUncXWD0FHl_yIfYtbF9NUQMi5AZxs53750EUYncZ6bPAEQ_BR97j3BnDmegjpcIXOW90nuD7NS_T89cuP9fdi8_TtcX2_KSxb0algpbUNyMZQaQVjupFgJGsMaNvSVWVs2ULbCg4VJ9rWlhtG9EoKUQtJObXsEn0-9oboX_eQJjW4ZKHv9Qh-n5SsWclFVWXw0z_gzu_jmH9TpaxWnEomM1QcIRt9ShFaFaIbdDwoStRv2yrbVtm2EirbzvztqXRvBmj-0Ce9eX933Hdu2_10EVS0WY7t_upYnm7qwUTXbOH9s_9ffQNexZdW</recordid><startdate>19970601</startdate><enddate>19970601</enddate><creator>Barr, W. 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B. ; Ashtari, M. ; Bilder, R. M. ; Degreef, G. ; Lieberman, J. 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B.</au><au>Ashtari, M.</au><au>Bilder, R. M.</au><au>Degreef, G.</au><au>Lieberman, J. A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brain morphometric comparison of first-episode schizophrenia and temporal lobe epilepsy</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>1997-06-01</date><risdate>1997</risdate><volume>170</volume><issue>6</issue><spage>515</spage><epage>519</epage><pages>515-519</pages><issn>0007-1250</issn><eissn>1472-1465</eissn><coden>BJPYAJ</coden><abstract>Converging evidence has suggested that the abnormalities in brain morphology observed in schizophrenia are similar to those seen in temporal lobe epilepsy (TLE). The purpose of this study was to compare the features of these groups directly with measures of the brain using magnetic resonance (MR) morphometry.
Morphometric measures of ventricular and hippocampal volumes obtained from FLASH MR images were studied in 32 patients with first-episode schizophrenia (FES), 39 patients with TLE (21 left, 18 right), and 42 healthy controls.
Ventricular volumes in the FES and TLE groups were both significantly larger that those seen in controls and did not differ from each other. The FES group showed significantly larger temporal horns, while the TLE group had relatively larger frontal horns. Analyses of hippocampal volumes revealed a significant group by hemisphere effect. The FES group showed relative reductions in left hippocampal volume that were comparable only to TLE patients with seizures originating from the left hemisphere.
The results indicate that FES and TLE groups both show evidence of ventricular enlargement. Lateralised morphological abnormalities of the hippocampal formation in FES and left TLE are comparable, and may be specific to temporolimbic regions.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>9330016</pmid><doi>10.1192/bjp.170.6.515</doi><tpages>5</tpages></addata></record> |
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| ispartof | British journal of psychiatry, 1997-06, Vol.170 (6), p.515-519 |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Cambridge University Press Journals Complete |
| subjects | Adult Age Factors Brain - pathology Brain Diseases - pathology Brain research Case-Control Studies Convulsions & seizures Depression - genetics Electroencephalography Epilepsy Epilepsy, Temporal Lobe - pathology Family Health Female Humans Magnetic Resonance Imaging - methods Male Males Neuropathology Patients Psychiatry Risk Factors Schizophrenia Schizophrenia - pathology Variance analysis |
| title | Brain morphometric comparison of first-episode schizophrenia and temporal lobe epilepsy |
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