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The diencephalon in schizophrenia: Evidence for reduced thickness of the periventricular grey matter

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Summary

To find out whether ventricular enlargement in schizophrenia, as demonstrated by neuroradiological methods, is caused by an atrophy of ventricle surrounding diencephalic structures, volume measurements and linear measurements of the whole thalamus, all large thalamic subnuclei and some extrathalamic brain parts were carried out on serial sections of post mortem brains belonging to the Vogt collection. The only significantly diminished parameter of this study was the thickness of the periventricular grey matter surrounding the third ventricle, while the volume and linear measurements of the whole thalamus and all large thalamic subnuclei were not significantly changed. The findings are discussed with respect to current hypotheses of diencephalic dysfunction in schizophrenia.

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References

  • Amler G (1956) Zum Problem Hirntumor und Psychose unter besonderer Berücksichtigung der Hypophysentumoren und der haptischen Halluzinationen. Nervenarzt 27:30–32

    Google Scholar 

  • Bäumer H (1954) Veränderungen des Thalamus bei Schizophrenie. J Hirnforsch 1:157–172

    Google Scholar 

  • Bailey P, Davis EW (1942) Effects of lesions of the periaquaeductal grey matter in the cat. Proc Soc Exp Biol Med 51:305–306

    Google Scholar 

  • Bateman JF, Papez JW (1951) Significance of the thalamus in psychoses. J Clin Exp Psychopathol 1:89–103

    Google Scholar 

  • Bateson C, Jackson DD, Haley J, Weakland JH (1956) Toward a theory of schizophrenia. Behav Sci 1:251–264

    Google Scholar 

  • Bogerts B (1984) Zur Neuropathologie der Schizophrenien. Fortschr Neurol Psychiatr (in press)

  • Cairns H, Oldfield RC, Pennybaker JB, Whitteridge D (1941) Akinetic mutism with an epidermoid cyst of the third ventricle. Brain 64:273–290

    Google Scholar 

  • Cramon D v, Kühnlein I., Wolfram A (1981) Die thalamische Demenz. Fortschr Neurol Psychiatr 49:129–135

    Google Scholar 

  • Crow TJ (1982) Two syndromes in schizophrenia? Trends Neurosci 5:351–354

    Google Scholar 

  • Czernik A (1972) Zur Psychopathologie und Persönlichkeitsstruktur der „primären Thalamusschwäche”. Arch Psychiatr Nervenkr 216:101–118

    Google Scholar 

  • Dastur DK (1959) The pathology of schizophrenia. Arch Neurol Psychiatr 81:601–614

    Google Scholar 

  • David GB (1957) The pathological anatomy of the schizophrenias. In: Richter D (ed) Schizophrenia: somatic aspects. Pergamon Press, London, pp 93–103

    Google Scholar 

  • Dewan JM, Pandurangi AK, Lee SH, Ramachandran T, Levy B, Boucher M, Yozawitz A, Major LF (1983) Central brain morphology in chronic schizophrenic patients: a controlled CT study. Biol Psychiatry 18:1133–1140

    Google Scholar 

  • Dom R, de Saedeler J, Bogerts B, Hopf A (1981) Quantitative cytometric analysis of basal ganglia in catatonic schizophrenics. In: Perris C, Struwe G, Jansson B (eds) Biological psychiatry. Elsevier, Amsterdam, pp 723–726

    Google Scholar 

  • Ewald G (1950) Vegetatives System und Psychiatrie. Fortschr Neurol Psychiatr 18:577–605

    Google Scholar 

  • Förster O, Gagel O (1934) Ein Fall von Ependymcyste des III. Ventrikels. Z Ges Neurol Psychiatr 149:312–344

    Google Scholar 

  • Frangos E, Athanassenas G (1982) Differences in lateral brain ventricular size among various types of chronic schizophrenics. Acta Psychiatr Scand 66:459–463

    Google Scholar 

  • Fünfgeld EW (1925) Pathologisch-anatomische Untersuchungen bei Dementia praecox mit besonderer Berücksichtigung des Thalamus opticus. Z Ges Neurol Psychiatr 95:411–463

    Google Scholar 

  • Fünfgeld EW (1952) Der Nucleus anterior bei Schizophrenie. J Hirnforsch 1:147–155

    Google Scholar 

  • Gattaz WF, Kasper S, Kohlmeyer K, Beckmann H (1981) Die craniale Computertomographie in der Schizophrenieforschung. Fortschr Neurol Psychiatr 49:286–291

    Google Scholar 

  • Gross G, Huber G (1972) Sensorische Störungen bei Schizophrenen. Arch Psychiatr Nervenkr 216:119–130

    Google Scholar 

  • Gross G, Gruber G, Schüttler R (1982) Computerized tomography studies on schizophrenic diseases. Arch Psychiatr Nervenkr 231:519–526

    Google Scholar 

  • Grünthal E (1942) Über thalamische Demenz. Monatsschr Psychiatr Neurol 106:114–128

    Google Scholar 

  • Haug JC (1982) Pneumencephalographic evidence of brain atrophy in acute and chronic schizophrenic patients. Acta Psychiatr Scand 66:374–383

    Google Scholar 

  • Hempel K-J (1958) Histopathologische Untersuchungen am Supranucleus medio-dorsalis thalami bei Schizophrenic. J Hirnforsch 4:205–253

    Google Scholar 

  • Hempel K-J, Treff M (1959) Über „normale Lücken” und „pathologische Lückenbildungen” in einem subcorticalen Griseum (mediodorsaler Thalamuskern). Beitr Pathol 121:287–300

    Google Scholar 

  • Hempel K-J, Treff M (1960) Besteht eine Korrelation zwischen dem Nervenzellausfall und den Schwundzellveränderungen bei der Katatonie? J Hirnforsch 4:479–485

    Google Scholar 

  • Henneberg R (1903) Über Ventrikel- und Ponstumoren. Charité-Ann 27:493–524

    Google Scholar 

  • Heyck H (1954) Kritischer Beitrag zur Frage anatomischer Verände-rungen im Thalamus bei Schizophrenie. Monatsschr Psychiatr Neurol 128:106–128

    Google Scholar 

  • Huber G (1957) Die coenaesthetische Schizophrenic. Fortschr Neurol Psychiatr 25:491–520

    Google Scholar 

  • Huber G (1961) Chronische Schizophrenie. Synopsis klinischer und radiologischer Untersuchungen an defektschizophrenen Anstaltspatienten. In: Huber G (ed) Einzeldarstellungen aus der theoretischen und klinischen Medizin, Bd 13. Dr. Hüthig Verlag, Heidelberg

    Google Scholar 

  • Huber G (1976) Indizien für die Somatosehypothese bei den Schizophrenien. Forschr Neurol Psychiatr 44:77–94

    Google Scholar 

  • Jacobi W, Winkler H (1927) Encephalographische Studien an chronisch Schizophrenen. Arch Psychiatr Nervenkr 81:299–332

    Google Scholar 

  • Johnstone EC, Crow TJ, Frith CD, Husband J, Keel L (1976) Cerebral ventricular size and cognitive impairment in chronic schizophrenia. Lancet II:924–926

    Google Scholar 

  • Klages W (1954) Körpermilßempfindungen bei Thalamuskranken und Schizophrenen. Arch Psychiatr Nervenkr 192:130–142

    Google Scholar 

  • Klages W (1965) Über eine thalamische Trias in der Symptomatik schizophener Psychosen. Arch Psychiatr Nervenkr 206:562–575

    Google Scholar 

  • Lapresle J, Haguenau M (1973) Anatomico-clinical correlation in focal thalamic lesions. Z Neurol 205:29–46

    Google Scholar 

  • Lange H, Thörner G, Hopf A, Schröder KF (1976) Morphometric studies of the neuropathological changes in choreatic diseases. J Neurol Sci 28:401–425

    Google Scholar 

  • Lemke R (1936) Untersuchungen über die soziale Prognose der Schizophrenie unter besonderer Berücksichtigung des encephalographischen Befundes. Arch Psychiatr Nervenkr 104:89–136

    Google Scholar 

  • Leonhard K (1952) Die Klinik des Thalamus opticus. Nervenarzt 21:200–208

    Google Scholar 

  • Leutinger S (1954) Zwei Fälle von paranoid-halluzinatorischen Psychosen bei Hirntumoren. Diss, Düsseldorf

    Google Scholar 

  • Lidz T, Cornelison AR, Singer MT, Schafer S, Fleck S (1965) In: Lidz T, Fleck S, Cornelison AR (eds) Schizophrenia and the family. International Universities Press, New York

    Google Scholar 

  • McKissock W, Paine KWE (1958) Primary tumors of the thalamus. Brain 81:41–63

    Google Scholar 

  • Malamud N (1967) Psychiatric disorder with intracranial tumors of the limbic system. Arch Neurol 17:113–123

    Google Scholar 

  • Meyer A (1928) Über einen Fall von Tumor der mesodiencephalen Region nebst Bemerkungen iffier den Ursprung der Zentralen Haubenbahn. Arch Psychiatr Nervenkr 84:540–551

    Google Scholar 

  • Meyer A (1963) Psychoses of obscure pathology. In: Greenfield JG (ed) Neuropathology. Edward Arnold Ltd, London, pp 528–582

    Google Scholar 

  • Meyer W (1957) Untersuchungen über das Volumen des Nucleus medialis thalami bei Schizophrenien und Vergleichsfällen. Diss, Düsseldorf

    Google Scholar 

  • Meyer JS, Hunter J (1952) Behavioural deficits following diencephalic lesions. Neurology 2:112–130

    Google Scholar 

  • Morgan LO, Gregory HS (1935) Pathological changes in the tuber cinereum in a group of psychoses. J Nerv Ment Dis 82:286–298

    Google Scholar 

  • Nieto D, Escobar A (1972) Major psychoses. In: Minckler J (ed) Pathology of the nervous system. McGraw-Hill, NewYork, pp 2654–2665

    Google Scholar 

  • Papez JW, Bateman JR (1950) Cytological changes in cells of thalamic nuclei in senile, paranoid and manic psychoses. J Nerv Ment Dis 112:401–415

    Google Scholar 

  • Pechtel CJ, Masserman JH, Schreiner L, Levitt M (1955) Differential aspects of lesions of the mediodorsal nuclei of the thalamus and neurotic behaviour in the cat. J Nerv Ment Dis 121:25–33

    Google Scholar 

  • Peters G (1967) Die symptomatischen Schizophrenien. In: Gruhle HW, Jung R, Meyer-Gross W, Muffler M (eds) Psychiatric der Gegenwart, I/1A. Springer, Berlin Heidelberg New York, pp 298–305

    Google Scholar 

  • Poeck K, Pilleri G (1961) Wutverhalten und pathologischer Schlaf bei Tumoren der vorderen Mittellinie. Arch Psychiatr Nervenkr 201:593–604

    Google Scholar 

  • Schreiner L, McK Rioch D, Pechtel C, Masserman JH (1953) Behavioural changes following thalamic injury in the cat. J Neurophysiol 16:234–246

    Google Scholar 

  • Schüttler R, Huber G, Gross G (1974) Psychopathologische Remissionstypen bei Schizophrenen und echoenzephalographischer Befund am 3. Ventrikel. Arch Psychiatr Nervenkr 218:251–264

    Google Scholar 

  • Stertz G (1931) Über den Anteil des Zwischenhirns an der Symptomsgestaltung organischer Erkrankungen des Zentralnervensystems: Ein diagnostisch brauchbares Zwischensyndrom. Dtsch Z Nervenheilkd 117-119:630–665

    Google Scholar 

  • Stevens JR (1982) Neuropathology of schizophrenia. Arch Gen Psychiatry 39:1131–1139

    Google Scholar 

  • Stoerring GE (1938) Zur Psychopathologie des Zwischenhirns (Thalamus und Hypothalamus). Arch Psychiatr Nervenkr 107:786–847

    Google Scholar 

  • Tanaka Y, Hazamy H, Kawahara R, Kolayashi K (1981) Computerized tomography of the brain in schizophrenic patients. A controlled study. Acta Psychiatr Scand 63:191–197

    Google Scholar 

  • Treff WM, Hempel K-J (1958) Die Zelldichte bei Schizophrenen und klinisch Gesunden. J Hirnforsch 4:314–369

    Google Scholar 

  • Treff WM, Hempel K-J (1959) Zur Frage quantitativ nachweisbarer pathologisch-anatomischer Befunde bei der Katatonie. Arch Psychiatr Nervenkr 199:508–518

    Google Scholar 

  • Treff WM, Hempel K-J (1960) Ergebnisse qualitativer und quantitativer Untersuchung in einem subcorticalen Griseum bei der Schizophrenic. Dtsch Z Nervenheilkd 181:241–251

    Google Scholar 

  • Vogt C, Vogt O (1948) Über anatomische Substrate. Bemerkungen zu patho-anatomischen Befunden bei Schizophrenic. Ärztl Forsch 3:1–7

    Google Scholar 

  • Weinberger DR, Torrey EF, Neophytides AN, Wyatt RJ (1979) Lateral cerebral ventricular enlargement in chronic schizophrenia. Arch Gen Psychiatry 36:735–739

    Google Scholar 

  • Weinstein MR (1954) Histopathological changes in the brain of schizophrenia. Arch Neurol Psychiatry 71:539–553

    Google Scholar 

  • Weisenburg TH (1911) Tumors of the third ventricle. Brain 33:236–260

    Google Scholar 

  • Winkelman NW, Book MH (1949) Observations on the histopathology of schizophrenia. Am J Psychiatry 105:889–896

    Google Scholar 

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Lesch, A., Bogerts, B. The diencephalon in schizophrenia: Evidence for reduced thickness of the periventricular grey matter. Eur Arch Psychiatr Neurol Sci 234, 212–219 (1984). https://doi.org/10.1007/BF00381351

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