STRUCTURAL ABNORMALITIES Flashcards

1
Q

ENLARGED VENTRICLES

A
  • ventricles are cavities that transport cerebrospinal fluid.
  • this fluid provides protection buoyancy and chemical stability to the brain and spine
  • 4 ventricles in the brain left and right lateral ventricles in frontal occipital and temporal lobes
  • third ventricles between left and right thalamus and fourth between pons and medulla oblongata
  • schizos have larger ventricles than others
  • weinberger et al used cat scans and reported ventricle size was bigger in 58 chronic schizos compared to 56 non 40% of schizos were outside the range of control group and 53% exceeded two standard deviations of the control groups mean score
  • andreasen studied mri scans of those with and without and found schizos had ventricles 20-50% larger than controls
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2
Q

CORTICAL ATROPHY

A
  • this is the loss of nuerons in the cerebral cortex this can happen all over the brain making it look like it has shrunk or can be in limited areas
  • in which case the atrophy affects cognitive functions of that area
  • the atrophy results in the widening of the grooves covering the cerebral cortex this damage appears on 20-35% of people with chronic schizophrenia
  • vita et al used CAT scans to asses 124 schizos and 45 controls found 33% of schizos showed moderate to severe atrophy
  • found was not related to age or family history but some realtion in males and if there was ventricle enlargement
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3
Q

REVERSED CEREBRAL ASYMMETRY

A
  • in most individuals without s the left hemisphere is slightly larger known as cerebral asymmetry
  • however in schizos right is notably larger
  • relevant when considering language function is in left so damage or deterioration in the left can lead to poverty of language (alogia)
  • luchins et al compared CAT scans of 80 right handed schizos to 57 right handed nons
  • found an increase in frequency of reversals in both frontal and occipital lobes in schizos but only in those with no other form of atrophy
  • those with evidence of atrophy had no higher level of reversals than the control group
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4
Q

SEASON OF BIRTH

A
  • some factors linked to being neurodevelopmental on schiz such as season of birth
  • disanto found in 60,000 people diagnosed with schiz or depression those born in January more likely to be diagnosed as schiz than those born in July to September.
  • researchers suggest this is due to mothers being exposed to flu or vitamin d definciency
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