eScholarship@UMMS

Title

Temporal lobe morphology in childhood-onset schizophrenia

Authors

Leslie K. Jacobsen, University of Maryland School of Medicine
Jay N. Giedd, University of Maryland School of Medicine
A. Catherine Vaituzis, the University of Maryland School of Medicine
Susan D. Hamburger, National Institute of Mental Health
Jagath C. Rajapakse, University of Maryland School of Medicine
Jean A. Frazier, University of Massachusetts Medical SchoolFollow
Debra Kaysen, Northwestern University School of Medicine
Marge C. Lenane, National Institute of Mental Health
Kathleen McKenna, National Institute of Mental Health
Charles T. Gordon, National Institute of Mental Health
Judith L. Rapoport, National Institute of Mental Health

UMMS Affiliation

Department of Psychiatry

Publication Date

1996-03-01

Document Type

Article

Subjects

Adolescent; Age of Onset; Amygdala; Child; Female; Hippocampus; Humans; Magnetic Resonance Imaging; Male; Psychiatric Status Rating Scales; Schizophrenia; Schizophrenia, Childhood; *Schizophrenic Psychology; Sex Factors; Temporal Lobe

Disciplines

Psychiatry

Abstract

OBJECTIVE: Neurodevelopmental models of schizophrenia imply that a more severe early brain lesion may produce earlier onset of psychotic symptoms. The medial temporal lobes have been proposed as possible locations for such a lesion. The authors tested this hypothesis in a group of children and adolescents with childhood-onset schizophrenia who had severe, chronic symptoms and who were refractory to treatment with typical neuroleptics.

METHOD: Anatomic brain magnetic resonance imaging scans were acquired with a 1.5-T scanner for 21 patients (mean age=14.6 years, SD=2.1) who had onset of schizophrenia by age 12 (mean age at onset=10.2, SD=1.5) and 41 normal children. Volumes of the temporal lobe, superior temporal gyrus, amygdala, and hippocampus were measured by manually outlining these structures on contiguous 2-mm thick coronal slices.

RESULTS: Patients with childhood-onset schizophrenia had significantly smaller cerebral volumes. With no adjustment for brain volume, no diagnostic differences were observed for any temporal lobe structure. Unexpectedly, with adjustment for total cerebral volume, larger volumes of the superior temporal gyrus and its posterior segment and a trend toward larger temporal lobe volume emerged for the patients with schizophrenia. These patients lacked the normal (right-greater-than-left) hippocampal asymmetry.

CONCLUSIONS: These findings do not indicate a more severe medial temporal lobe lesion as the basis of very early onset schizophrenia.

Source

Am J Psychiatry. 1996 Mar;153(3):355-61.

Journal/Book/Conference Title

The American journal of psychiatry

Related Resources

Link to Article in PubMed

PubMed ID

8610822

Repository Citation

Jacobsen LK, Giedd JN, Vaituzis AC, Hamburger SD, Rajapakse JC, Frazier JA, Kaysen D, Lenane MC, McKenna K, Gordon CT, Rapoport JL. (1996). Temporal lobe morphology in childhood-onset schizophrenia. Psychiatry Publications and Presentations. Retrieved from https://escholarship.umassmed.edu/psych_pp/367