在第一发精神分裂症中岛屿皮层的粗略解剖变异
Tsutomu Takahashi1, Daiki Sasabayashi1, Yoichiro Takayanagi2
1Department of Neuropsychiatry, University of Toyama Graduate School of Medicine and Pharmaceutical Sciences, Toyama, Japan; Research Center for Idling Brain Science, University of Toyama, Toyama, Japan.
Schizophrenia research
|August 7, 2023
概括
患有第一发精神分裂症 (FE-Sz) 的患者表现出明显的岛内皮层解剖学,包括更多的转移,与早期发病和积极症状有关. 这些大脑发育的差异可能是精神分裂症的早期标志物.
科学领域:
- 神经成像是一种神经成像.
- 神经解剖学是一个神经解剖学.
- 精神病学是一个精神病学.
背景情况:
- 磁共振成像 (MRI) 研究表明,精神分裂症患者的岛内皮质中的灰质减少.
- 岛内皮层的粗体解剖特征及其在精神分裂症中的临床相关性尚不清楚,尽管存在显著的个体差异.
研究的目的:
- 为了研究岛屿粗体解剖学的变化 (乳腺发育,分裂模式和数量).
- 检查岛屿解剖学,临床变量和第一发精神分裂症 (FE-Sz) 的灰质体积之间的关系.
主要方法:
- 分析了66名FE-Sz患者和66名健康对照者的MRI扫描.
- 评估了岛屿回旋发育,分裂模式和数量,以及临床数据和灰质体积.
主要成果:
- FE-Sz患者表现出更多的双边岛屿,辅助,中短和后长发育良好.
- 在FE-Sz中增加的岛屿旋转与较年轻的发病年龄和严重的积极症状相关.
- 没有发现主要岛屿旋转分裂模式的显著差异;FE-Sz岛屿灰质体积减少与粗解剖或临床因素无关.
结论:
- 岛屿旋转组织反映了怀孕中期到晚期的大脑发育.
- 在精神分裂症中岛屿皮层的粗略解剖特征,独立于灰质体积,可能表明早期神经发育异常.
- 这些解剖学变异可能成为精神分裂症的早期诊断标志物.
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