Corpus callosum size in schizophrenia – a magnetic resonance imaging analysis

Abstract Previous MRI studies have shown differences in corpus callosum size between schizophrenic patients and controls. The corpus callosum (CC), as the main interhemispheric fiber tract, plays an important role in interhemispheric integration and communication. Though MRI studies suggest smaller CC in schizophrenia, there are still conflicting findings. Using in vivo magnetic resonance imaging, it was investigated whether the midsagittal area of CC differs between twenty-three right-handed male schizophrenic patients and twenty-three matched controls. Total CC area, five subregions of CC, total brain volume, gray and white matter were measured. No differences between schizophrenic patients and controls were found regarding all CC measurements, total brain volume, and gray matter tissue. However, a significant reduction of white matter tissue in the patient group emerged. There was no correlation between CC morphology and clinical variables such as age of onset, length of illness or symptom severity. Interestingly, five schizophrenic patients with a positive family history of schizophrenia showed significant reduction of the subregion C3, associated with a reduced total brain and gray and white matter volume. Significant reduction in the CC and its subregions was not confirmed in this group of patients with schizophrenia. In the subgroup of schizophrenic patients with a positive family history of schizophrenia, a significant reduction of the subregion corresponding to a part of the trunk of the CC was found.

[1]  Reinhard Steinberg,et al.  Brain dysfunction during motor activation and corpus callosum alterations in Schizophrenia measured by cerebral blood flow and magnetic resonance imaging , 1991, Biological Psychiatry.

[2]  Anthony S. David Callosal transfer in schizophrenia: Too much or too little? , 1993 .

[3]  H. Nasrallah,et al.  Corpus Callosum Thickness in Chronic Schizophrenia , 1983, British Journal of Psychiatry.

[4]  A. Raine,et al.  Structural and functional characteristics of the corpus callosum in schizophrenics, psychiatric controls, and normal controls: A magnetic resonance imaging and neuropsychological evaluation. , 1990 .

[5]  Jagath C. Rajapakse,et al.  Quantitative magnetic resonance imaging of the corpus callosum in childhood onset schizophrenia , 1997, Psychiatry Research: Neuroimaging.

[6]  Cristina Colombo,et al.  Size of the corpus callosum and auditory comprehension in schizophrenics and normal controls , 1993, Schizophrenia Research.

[7]  Stephan Arndt,et al.  Corpus callosum shape and size in male patients with schizophrenia , 1998, Biological Psychiatry.

[8]  P W Woodruff,et al.  A computerized magnetic resonance imaging study of corpus callosum morphology in schizophrenia , 1993, Psychological Medicine.

[9]  P. Stratta,et al.  Hemispheric asymmetries and schizophrenia: A preliminary magnetic resonance imaging study , 1989, Biological Psychiatry.

[10]  G D Pearlson,et al.  Auditory hallucinations and smaller superior temporal gyral volume in schizophrenia. , 1990, The American journal of psychiatry.

[11]  E. Wenger,et al.  Morphometric analysis of the corpus callosum using MR: correlation of measurements with aging in healthy individuals. , 1993, AJNR. American journal of neuroradiology.

[12]  G Schlaug,et al.  Corpus callosum and brain volume in women and men , 1995, Neuroreport.

[13]  S. F. Witelson Hand and sex differences in the isthmus and genu of the human corpus callosum. A postmortem morphological study. , 1989, Brain : a journal of neurology.

[14]  F. Aboitiz,et al.  Age-related changes in fibre composition of the human corpus callosum: sex differences. , 1996, Neuroreport.

[15]  R. C. Oldfield The assessment and analysis of handedness: the Edinburgh inventory. , 1971, Neuropsychologia.

[16]  Lynn E. DeLisi,et al.  Gender differences in corpus callosum size in first-episode schizophrenics , 1994, Biological Psychiatry.

[17]  P. Stratta,et al.  Brain morphology in schizophrenia by Magnetic Resonance Imaging (MRI) , 1988, Acta psychiatrica Scandinavica.

[18]  Joel Gelernter,et al.  Corpus callosum dimensions measured by magnetic resonance imaging in bipolar affective disorder and schizophrenia , 1989, Biological Psychiatry.

[19]  Roger Sperry Some effects of disconnecting the cerebral hemispheres , 1982 .

[20]  A. Farmer,et al.  Cerebral Ventricular Enlargement in Chronic Schizophrenia: Consistencies and Contradictions , 1987, British Journal of Psychiatry.

[21]  Jeffrey A. Lieberman,et al.  Anterior hippocampal volume reductions predict frontal lobe dysfunction in first episode schizophrenia , 1995, Schizophrenia Research.

[22]  Mathew Rj,et al.  Midsagittal sections of the cerebellar vermis and fourth ventricle obtained with magnetic resonance imaging of schizophrenic patients. , 1985, The American journal of psychiatry.

[23]  B. Toone,et al.  Computerized tomographic scan changes in early schizophrenia – preliminary findings , 1986, Psychological Medicine.

[24]  Fred L Bookstein,et al.  Landmark-based morphometric analysis of first-episode schizophrenia , 1999, Biological Psychiatry.

[25]  N C Andreasen,et al.  Image processing for the study of brain structure and function: problems and programs. , 1992, The Journal of neuropsychiatry and clinical neurosciences.

[26]  T. Goldberg,et al.  Morphometry of the corpus callosum in monozygotic twins discordant for schizophrenia: a magnetic resonance imaging study. , 1990, Journal of neurology, neurosurgery, and psychiatry.

[27]  Henry A. Nasrallah,et al.  A histological study of the corpus callosum in chronic schizophrenia , 1983, Psychiatry Research.

[28]  J. Kelsoe,et al.  Quantitative neuroanatomy in schizophrenia. A controlled magnetic resonance imaging study. , 1988, Archives of general psychiatry.

[29]  R. Murray,et al.  Twin concordance for congenital and adult‐onset psychosis: a preliminary study of the validity of a novel classification of schizophrenia , 1994, Acta psychiatrica Scandinavica.

[30]  D. Weinberger,et al.  Anatomical abnormalities in the brains of monozygotic twins discordant for schizophrenia. , 1990, The New England journal of medicine.

[31]  Z. Wang,et al.  Localization of functional projections from corpus callosum to cerebral cortex. , 1991, Chinese medical journal.

[32]  N C Andreasen,et al.  Voxel processing techniques for the antemortem study of neuroanatomy and neuropathology using magnetic resonance imaging. , 1993, The Journal of neuropsychiatry and clinical neurosciences.

[33]  R. Mathew,et al.  Midsagittal sections of the cerebellar vermis and fourth ventricle obtained with magnetic resonance imaging of schizophrenic patients. , 1985, The American journal of psychiatry.

[34]  T. Crow,et al.  The size and fibre composition of the corpus callosum with respect to gender and schizophrenia: a post-mortem study. , 1999, Brain : a journal of neurology.

[35]  J. Ehrhardt,et al.  Regional brain abnormalities in schizophrenia measured with magnetic resonance imaging. , 1994, JAMA.

[36]  P. Stratta,et al.  Quantification of corpus callosum and ventricles in schizophrenia with nuclear magnetic resonance imaging: a pilot study. , 1989, The American journal of psychiatry.

[37]  W. Meier-Ruge,et al.  Age‐Related White Matter Atrophy in the Human Brain , 1992, Annals of the New York Academy of Sciences.

[38]  L. DeLisi,et al.  A prospective follow-up study of brain morphology and cognition in first-episode schizophrenic patients: Preliminary findings , 1995, Biological Psychiatry.

[39]  B Horwitz,et al.  Corpus callosum atrophy is a possible indicator of region- and cell type-specific neuronal degeneration in Alzheimer disease: a magnetic resonance imaging analysis. , 1998, Archives of neurology.

[40]  Hisanobu Kaiya,et al.  The morphology of the corpus callosum in schizophrenia An MRI study , 1988, Schizophrenia Research.

[41]  I. C. Wright,et al.  Corpus callosum size and inter-hemispheric function in schizophrenia , 1997, Schizophrenia Research.

[42]  T. Crow,et al.  Reduction in temporal lobe size in siblings with schizophrenia: A magnetic resonance imaging study , 1990, Psychiatry Research: Neuroimaging.

[43]  Henry A. Nasrallah,et al.  A controlled magnetic resonance imaging study of corpus callosum thickness in schizophrenia , 1986, Biological Psychiatry.

[44]  Shon Lewis Structural brain imaging in biological psychiatry. , 1996, British medical bulletin.

[45]  L. Bigelow,et al.  Quantitative Brain Measurements in Chronic Schizophrenia , 1972, British Journal of Psychiatry.

[46]  L. DeLisi,et al.  Schizophrenia as a chronic active brain process: a study of progressive brain structural change subsequent to the onset of schizophrenia , 1997, Psychiatry Research: Neuroimaging.

[47]  H. Kaiya,et al.  Computerised Tomography in Schizophrenia , 1989, British Journal of Psychiatry.

[48]  S. Kuperman,et al.  Clinical differences between schizophrenic patients with and without large cerebral ventricles. , 1983, The Journal of clinical psychiatry.

[49]  L. Siever,et al.  133 Lateral ventricular enlargement in schizophrenic probands and their siblings with schizophrenia-related disorders , 1997, Schizophrenia Research.

[50]  P. McKenna,et al.  Schizophrenia – a Brain Disease? a Critical Review of Structural and Functional Cerebral Abnormality in the Disorder , 1995, British Journal of Psychiatry.

[51]  M. LeMay,et al.  Abnormalities of the left temporal lobe and thought disorder in schizophrenia. A quantitative magnetic resonance imaging study. , 1992, The New England journal of medicine.