Publication details

Prefrontal but not temporal gray matter changes in males with first-episode schizophrenia

Authors

KAŠPÁREK Tomáš PŘIKRYL Radovan MIKL Michal SCHWARZ Daniel ČEŠKOVÁ Eva KRUPA Petr

Year of publication 2007
Type Article in Periodical
Magazine / Source Progress in Neuro-Psychopharmacology and Biological Psychiatry
MU Faculty or unit

Faculty of Medicine

Citation
Web http://dx.doi.org/10.1016/j.pnpbp.2006.08.011
Field Psychiatry, sexuology
Keywords first-episode; optimized voxel-based morphometry; prefrontal cortex; schizophrenia
Description Objectives of the study was to investigate regional gray matter changes in the first-episode schizophrenia patients. We used optimized voxel-based morphometry in 22 first-episode schizophrenia patients and 18 healthy controls of comparable age, gender and handedness. The first episode group had significantly reduced gray matter volume in the prefrontal cortex (inferior and middle prefrontal gyrus, cingulate gyrus). We identified no differences in temporal cortex. Our data support the theoretical assumption that prefrontal dysfunction underlines the primary pathology and clinical manifestation of schizophrenia. We are inclined to explain the differences in the pattern of morphological changes reported in other first-episode studies - especially the lack of changes in the temporal cortex - by heterogenity of schizophrenia, potential progression and antipsychotic medication effect.
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