Reversed hemispheric asymmetry during simple visual perception in schizophrenia

Processing of sensory information in the human brain progresses from primary areas, dedicated to a single sensory feature, to multimodal areas, which integrate many features across sensory modalities. For some of these processes hemispheric dominance has developed. Here we report the results of a passive viewing task using positron emission tomography. Subjects were scanned twice while staring at a stationary visual noise pattern. Normal subjects showed a significant reduction of regional cerebral blood flow (rCBF) in a distributed right hemisphere network of brain regions during the second visual task. Schizophrenic subjects, however, showed significant increases of right hemisphere rCBF during the second visual task and showed significant decreases only in the left hemisphere. These results are consistent with the notion of reversed hemispheric asymmetry during the processing of sensory information in schizophrenia.

[1]  K. Heilman,et al.  The right hemisphere: neuropsychological functions. , 1986, Journal of neurosurgery.

[2]  Craig E. L. Stark,et al.  When zero is not zero: The problem of ambiguous baseline conditions in fMRI , 2001, Proceedings of the National Academy of Sciences of the United States of America.

[3]  N. Andreasen The Scale for the Assessment of Negative Symptoms (SANS): Conceptual and Theoretical Foundations , 1989, British Journal of Psychiatry.

[4]  M. Raichle,et al.  Searching for a baseline: Functional imaging and the resting human brain , 2001, Nature Reviews Neuroscience.

[5]  R. Gur,et al.  Laterality and frontality of cerebral blood flow and metabolism in schizophrenia: Relationship to symptom specificity , 1989, Psychiatry Research.

[6]  P. Flor-Henry LATERALIZED TEMPORAL‐LIMBIC DYSFUNCTION AND PSYCHOPATHOLOGY * , 1976 .

[7]  Wexler Be Cerebral laterality and psychiatry: a review of the literature. , 1980 .

[8]  L. Harris,et al.  Early theory and research on hemispheric specialization. , 1999, Schizophrenia bulletin.

[9]  Alex Martin,et al.  Modulation of human medial temporal lobe activity by form, meaning, and experience , 1997, Hippocampus.

[10]  B. Mazoyer,et al.  Cortical networks for working memory and executive functions sustain the conscious resting state in man , 2001, Brain Research Bulletin.

[11]  N. Geschwind,et al.  Human Brain: Left-Right Asymmetries in Temporal Speech Region , 1968, Science.

[12]  G L Shulman,et al.  INAUGURAL ARTICLE by a Recently Elected Academy Member:A default mode of brain function , 2001 .

[13]  R. Gur,et al.  Laterality in functional brain imaging studies of schizophrenia. , 1999, Schizophrenia bulletin.

[14]  S. Kay,et al.  The positive and negative syndrome scale (PANSS) for schizophrenia. , 1987, Schizophrenia bulletin.

[15]  Alex Martin,et al.  Automatic activation of the medial temporal lobe during encoding: Lateralized influences of meaning and novelty , 1999, Hippocampus.

[16]  R. Gur,et al.  Left hemisphere dysfunction and left hemisphere overactivation in schizophrenia. , 1978, Journal of abnormal psychology.

[17]  M. Mesulam,et al.  From sensation to cognition. , 1998, Brain : a journal of neurology.

[18]  A. Harrington Nineteenth-century ideas on hemisphere differences and “duality of mind” , 1985, Behavioral and Brain Sciences.

[19]  J. Gruzelier,et al.  Functional neuropsychophysiological asymmetry in schizophrenia: a review and reorientation. , 1999, Schizophrenia bulletin.