Summary
Frontal and occipital lobe width were determined in the computed tomographic (= CT) scans of 135 schizophrenic patients, 158 neuropsychiatrically healthy and 102 psychiatric control subjects, including patients with affective psychosis, neurosis and schizoaffective psychosis. Most healthy right handed subjects demonstrate a relative enlargement of the right frontal as well as left occipital lobe compared to the oposite hemisphere. These normal frontal and occipital lobe asymmetries were selectively reduced in schizophrenics (f.: 5%, p <.0005; o.: 3%, p <.05), irrespective of the psychopathological subgroup. Schizophrenic neuroleptic non-responders revealed a significant reduction of frontal lobe asymmetry (3%, p <.05), while no correlation between BPRS-subscores and disturbed cerebral laterality could be detected. In sum the present study demonstrates disturbed cerebral lateralisation in schizophrenic patients supporting the hypothesis of interrupted early brain development in schizophrenia.
Similar content being viewed by others
References
Andreasen NC, Dennert JW, Olsen SA, Damasio AR (1982) Hemispheric asymmetries and schizophrenia. Am J Psychiatry 139: 427–430
Bilder RM, Wu H, Degreef G, Ashtari M, Mayerhoff DI, Loebel A, Lieberman JA (1993) Yakovlevian Torque is absent in first episode schizophrenia. Schizophr Res 9 (2,3): 193
Bogerts B (1990) The neuropathology of schizophrenia: pathophysiological and neurodevelopmental implications. In: Mednick SA, CannonTD, Barr CE (eds) Fetal neural development and adult schizophrenia. Cambridge University Press, pp 153–173
Crow TJ (1986) The continuum of psychosis and its implication for the structure of the gene. Br J Psychiatry 149: 419–429
Crow TJ (1990) Temporal lobe asymmetries as the key to the etiology of schizophrenia. Schizophr Bull 16 (3): 433–443
Crow TJ, Colter N, Frith CD, Johnstone EC, Owens DGC (1989) Developmental arrest of cerebral asymmetries in early onset schizophrenia. Psychiatry Res 29: 247–253
Falkai P, Bogerts B, Greve B, Pfeiffer U, Machus B, Fölsch-Reetz B, Majtenyi C, Ovary I (1992) Loss of sylvian fissure asymmetry in schizophrenia. A quantitative post mortem study. Schizophr Res 7: 23–32
Falkai P, Bogerts B, Schneider T, Greve B (1993) Reduced frontal and occipital lobe asymmetry on the CT-scans of schizophrenic patients. Its specifity and clinical significance. Schizophr Res 9 (2,3): 198
Green MF, Satz P, Smith Ch, Nelson L (1989) Is there atypical handedness in schizophrenia? J Abnorm Psychol 98 (1): 57–61
Jernigan TL, Zatz LM, Moses JA, Cardellino, JP (1982) Computed tomography in schizophrenics and normal volunteers. II. Cranial asymmetry. Arch Gen Psychiatry 39: 765–770
Keefe RS, Mohs RC, Losoncy MF, Davidson M, Silverman JM, Dendler KS, Horvath TB, Nora R, Davis KL (1987) Characteristics of very poor outcome in schizophrenia. Am J Psychiatry 144: 889–895
Keefe RSE, Mohs RC, Losonczy MF, Davidson M, Silverman JM, Horvath TB, Davis KL (1989) Premorbid sociosexual functioning and longterm outcome in schizophrenia. Am J Psychiatry 146: 206–211
Kling AS, Kurtz N, Tachiki K, Orzeck A (1983) CT scans in subgroups of chronic schizophrenics. J Psychiatr Res 17: 375–384
Kraepelin E (1899) Psychiatrie, 6. Aufl. Barth, Leipzig
LeMay M (1976) Morphological cerebral asymmetries of modern man, fossil man and nonhuman primate. Ann NY Acad Sci 280: 349–366
LeMay M (1977) Asymmetries of the skull and handedness: phrenology revisited. J Neurol Sci 32: 243–253
LeMay M and Kido DK (1978) Asymmetries of the cerebral hemispheres on computed tomograms. J Comput Assist Tomogr 2: 471–476
Losonczy MF, Song IS, Mohs RC, Small AN, Davidson M, Johns CA, Davis KL (1986) Correlates of lateral ventricle size in chronic schizophrenia. I. Behavioral and treatment response measures. Am J Psychiatry 143: 976–981
Luchins DJ, Meltzer HY (1983) A blind controlled study of occipital cerebral asymmetry in schizophrenia. Psychiatr Res 10: 87–95
Luchins DJ, Meltzer HY (1986) A comparison of CT findings in acute and chronic ward schizophrenics. Psychiatr Res 17: 7–14
Luchins DJ, Weinberger DR, Wyatt RJ (1979) Schizophrenia: evidence of a subgroup with reversed cerebral asymmetry. Arch Gen Psychiatry 36: 1309–1311
Luchins DJ, Morishisa JM, Weinberger DR, Wyatt RJ (1981) Cerebral asymmetry and cerebellar atrophy in schizophrenia: a controlled postmortem study. Am J Psychiatry 138: 1501–1503
Luchins DJ, Weinberger DR, Wyatt RJ (1982) Schizophrenia and cerebral asymmetry detected by computed tomography. Am J Psychiatry 139: 753–757
Nasrallah HA, Jacoby CG, McCalley-Whitters M, Kuperman S (1982) Celebrai ventricular enlargement in subtypes of chronic schizophrenia. Arch Gen Psychiatry 39: 774–777
Nybäck H, Wiesel FA, Berggren BM, Hindmarsh T (1982) Computed tomography of the brain in patients with acute psychosis and in healthy volunteers. Acta Psychiatr Scand 65: 403–414
Overall JE, Gorham DR (1962) The Brief Psychiatric Rating Scale. Psychol Rep 10: 799–812
Pieniadz JM, Naeser MA (1984) Computed tomographic scan cerebral asymmetries and morphologic brain asymmetries. Arch Neurol 41: 403–409
Shan-Ming Y, Flor-Henry P, Dayi C, Tiangi L, Shuguang Q, Zenxiang M (1985) Imbalance of hemispheric functions in the major psychoses: a study of handedness in the People's Repulic of China. Biol Psychiatry 20: 906–917
Shenton ME, Kikinis R, Jolesz FA, Pollak SD, LeMay M, Wible CG, Hokama H, Martin J, Metcalf D, Coleman M, McCarley RW (1992) Abnormalities of the left temporal lobe and thought disorder in schizophrenia. N Engl J Med 327: 604–612
Smith RC, Baumgartner R, Ravichandran GK, Largen J, Calderon M, Burd A, Mauldin M (1987) Cortical atrophy and white matter density in the brains of schizophrenics. Acta Psychiatr Scand 75: 11–19
Stratta P, Rossi A, Gallucci M, Amicarelli I, Passariello R, Casacchia M (1989) Hemisphernic asymmetries and schizophrenia: a preliminary magnetic resonance imaging study. Biol Psychiatry 25: 275–284
Tsai LY, Jacoby CG, Stewart MA (1983) Morphological cerebral asymmetries in autistic children. Biol Psychiatry 18: 317–327
Zipursky RB, Lim KO, Pfefferbaum A (1990) Volumetric assessment of cerebral asymmetry from CT scans. Psychiatry Res (Neuroimaging) 35: 71–89
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Falkai, P., Schneider, T., Greve, B. et al. Reduced frontal and occipital lobe asymmetry on the CT-scans of schizophrenic patients. Its specificity and clinical significance. J. Neural Transmission 99, 63–77 (1995). https://doi.org/10.1007/BF01271470
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF01271470