Structural abnormalities in deficit and nondeficit schizophrenia

Robert W. Buchanan, Alan Breier, Brian Kirkpatrick, Ahmed Elkashef, Robert C. Munson, Fouad Gellad, William T. Carpenter

Research output: Contribution to journalArticle

230 Citations (Scopus)

Abstract

Objective: Previous studies have suggested the involvement of the frontal and parietal cortices and thalamus in a neural circuit underlying the production of primary enduring negative or deficit symptoms of schizophrenia. The purpose of this study was to examine whether structural changes in the proposed circuit are associated with the production of deficit symptoms. Method: Magnetic resonance imaging was used to measure the volume of selected circuit brain regions (i.e., the prefrontal region and caudate) and noncircuit brain regions (i.e., the amygdala/hippocampus complex) in 17 deficit and 24 nondeficit schizophrenic outpatients and 30 normal comparison subjects. Results: Right and left total prefrontal volumes discriminated deficit from nondeficit patients, with prefrontal volumes being smaller in nondeficit patients. There were no differences between the two schizophrenic subgroups in left caudate or right and left amygdala/hippocampus complex volumes. The right caudate was larger in deficit patients, but the difference between the two schizophrenic subgroups was not significant. There were no differences between deficit and normal subjects on any prefrontal region measure. Nondeficit patients had smaller total right and left prefrontal volumes than normal subjects. Both schizophrenic subgroups had larger left caudate volumes and smaller right and left amygdala/hippocampus complex volumes than the normal subjects. There was a trend for deficit patients to have larger right caudate volumes. Conclusions: These results suggest that structural changes in the prefrontal region are not responsible for deficit symptoms. The caudate, particularly the right caudate, may be associated with the production of these symptoms.

Original languageEnglish (US)
Pages (from-to)59-65
Number of pages7
JournalAmerican Journal of Psychiatry
Volume150
Issue number1
StatePublished - 1993
Externally publishedYes

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Schizophrenia
Amygdala
Hippocampus
Parietal Lobe
Brain
Frontal Lobe
Thalamus
Outpatients
Magnetic Resonance Imaging

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Buchanan, R. W., Breier, A., Kirkpatrick, B., Elkashef, A., Munson, R. C., Gellad, F., & Carpenter, W. T. (1993). Structural abnormalities in deficit and nondeficit schizophrenia. American Journal of Psychiatry, 150(1), 59-65.

Structural abnormalities in deficit and nondeficit schizophrenia. / Buchanan, Robert W.; Breier, Alan; Kirkpatrick, Brian; Elkashef, Ahmed; Munson, Robert C.; Gellad, Fouad; Carpenter, William T.

In: American Journal of Psychiatry, Vol. 150, No. 1, 1993, p. 59-65.

Research output: Contribution to journalArticle

Buchanan, RW, Breier, A, Kirkpatrick, B, Elkashef, A, Munson, RC, Gellad, F & Carpenter, WT 1993, 'Structural abnormalities in deficit and nondeficit schizophrenia', American Journal of Psychiatry, vol. 150, no. 1, pp. 59-65.
Buchanan RW, Breier A, Kirkpatrick B, Elkashef A, Munson RC, Gellad F et al. Structural abnormalities in deficit and nondeficit schizophrenia. American Journal of Psychiatry. 1993;150(1):59-65.
Buchanan, Robert W. ; Breier, Alan ; Kirkpatrick, Brian ; Elkashef, Ahmed ; Munson, Robert C. ; Gellad, Fouad ; Carpenter, William T. / Structural abnormalities in deficit and nondeficit schizophrenia. In: American Journal of Psychiatry. 1993 ; Vol. 150, No. 1. pp. 59-65.
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