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Updated: Aug 15, 2026

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Published on: April 23, 2021
White matter hyperintensity signals associated with vascular risk factors in schizophrenia
F W Brown1, R R Lewine, P A Hudgins
1Department of Psychiatry and Behavioral Science, Emory University School of Medicine, Atlanta, GA, USA.
Abstract:
1. A sample of 165 schizophrenic subjects was compared to a normal control group in order to evaluate associations between white matter hyperintensity signals and vascular risk factors. 2. A comprehensive medical chart review was completed on all subjects evaluating potential vascular risk factors. Brain MRI acquisition was performed with 0.5 and 1.5 Telsa Philips scanners. 3. Prevalence rates of WMH signals in schizophrenic subjects and normal controls were 4.8% and 4.9%, respectively. 4. A significant association was found for schizophrenics with WHM signals to schizophrenics without signals for hypertension and history of CVA's. 5. This finding is consistent with an etiology of WMH signals in schizophrenia being related to vascular disease.
Insights
Schizophrenia patients with white matter hyperintensity signals showed higher rates of hypertension and cerebrovascular accidents (CVAs). This suggests vascular disease may contribute to white matter changes in schizophrenia.
Area of Science:
- Neuroscience
- Psychiatry
- Radiology
Background:
- White matter hyperintensities (WMH) are frequently observed in neuroimaging studies.
- The relationship between WMH and vascular risk factors in schizophrenia requires further investigation.
Purpose of the Study:
- To investigate the association between white matter hyperintensity signals and vascular risk factors in individuals with schizophrenia compared to a healthy control group.
Main Methods:
- A cohort of 165 schizophrenic subjects and a normal control group were assessed.
- Vascular risk factors were evaluated through comprehensive medical chart reviews.
- Brain MRI scans were acquired using 0.5 and 1.5 Tesla Philips scanners to detect WMH signals.
Main Results:
- Prevalence of WMH signals was similar between schizophrenic subjects (4.8%) and controls (4.9%).
- Schizophrenic individuals with WMH signals exhibited a significant association with hypertension and a history of cerebrovascular accidents (CVAs).
Conclusions:
- WMH signals in schizophrenia are linked to vascular risk factors, specifically hypertension and CVAs.
- These findings support the hypothesis that vascular disease plays a role in the etiology of WMH in schizophrenia.
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