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Increased spontaneous gamma power and synchrony in schizophrenia patients having higher minor physical anomalies
Sai Krishna Tikka1, Shamsul Haque Nizamie, Basudeb Das
1Department of Psychiatry, Central Institute of Psychiatry, Kanke, Ranchi 834006, Jharkhand, India. cricsai@gmail.com
Abstract:
The higher frequency of minor physical anomalies (MPAs) in schizophrenia provides morphological evidence for the neurodevelopmental theory. Abnormal gamma oscillations (>30 Hz) seen in the electroencephalogram (EEG) in schizophrenia have been hypothesized to result from developmental insults. This study investigated spontaneous gamma oscillations in schizophrenia patients having higher and lower number of MPAs. Forty drug naïve/free schizophrenia patients and 20 matched healthy controls were assessed for MPAs on the Extended Waldrop Scale (EWS). All participants underwent an awake, resting 192-channel EEG recording. Spontaneous gamma spectral power and coherence were estimated in the low- (30-50 Hz) and high-gamma (51-70 and 71-100 Hz) bands. Significantly higher power was observed in high-MPA than healthy control group in low-gamma band over right frontal, parietal and temporal regions. Spectral power in the high-gamma band (71-100 Hz) was also significantly higher in the high-MPA schizophrenia subgroup than in the healthy control group over left frontal, parietal and temporal regions. Additionally, regional intra-hemispheric and inter-hemispheric coherence in the low-gamma band was significantly higher in the high-MPA schizophrenia subgroup than on the healthy control group. This study is the first to provide evidence of increased spontaneous gamma power and synchrony in schizophrenia patients having higher MPAs, supporting the idea that it may represent a distinct subgroup of schizophrenia with a neurodevelopmental basis.
Insights
Schizophrenia patients with more minor physical anomalies show increased gamma oscillations and synchrony on EEG. This suggests a distinct neurodevelopmental subgroup may exist in schizophrenia.
Area of Science:
- Neuroscience
- Psychiatry
- Genetics
Background:
- Minor physical anomalies (MPAs) are more frequent in schizophrenia, supporting neurodevelopmental theories.
- Abnormal gamma oscillations (>30 Hz) in electroencephalogram (EEG) recordings of schizophrenia patients are linked to developmental insults.
Purpose of the Study:
- To investigate spontaneous gamma oscillations in schizophrenia patients with varying numbers of MPAs.
- To explore the relationship between MPAs, gamma oscillations, and potential neurodevelopmental origins in schizophrenia.
Main Methods:
- Assessed 40 drug-naïve/free schizophrenia patients and 20 healthy controls for MPAs using the Extended Waldrop Scale (EWS).
- Recorded awake, resting 192-channel EEG data from all participants.
- Estimated spontaneous gamma spectral power and coherence in low- (30-50 Hz) and high-gamma (51-100 Hz) bands.
Main Results:
- Schizophrenia patients with high MPAs exhibited significantly higher high-gamma band power (71-100 Hz) over left frontal, parietal, and temporal regions compared to controls.
- Increased low-gamma band power (30-50 Hz) was observed in high-MPA patients over right frontal, parietal, and temporal regions.
- Significantly higher regional intra- and inter-hemispheric coherence in the low-gamma band was found in the high-MPA schizophrenia subgroup versus controls.
Conclusions:
- This study provides the first evidence of elevated spontaneous gamma power and synchrony in schizophrenia patients with higher MPA counts.
- Findings support the hypothesis that increased gamma activity in schizophrenia may be associated with a distinct neurodevelopmental subgroup.
- The results highlight the potential of MPAs and gamma oscillations as biomarkers for specific schizophrenia subtypes with neurodevelopmental underpinnings.
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