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J Neuropsychiatry Clin Neurosci 1993; 5:287-293
Copyright © 1993 by American Neuropsychiatric Association
Midline cerebral malformations and schizophrenia
TF Scott, TR Price, MS George, J Brillman and W Rothfus
Department of Neurology, Medical College of Pennsylvania, Pittsburgh.
To investigate a possible association of midline cerebral malformations
with psychotic disorders, MRI and CT scans were blindly evaluated for 52
patients with schizophrenia, 9 with schizoaffective disease, and 79
consecutive nonpsychotic control subjects. Midline abnormalities were
present in 10 of 61 patients (16.4%) versus 4 of 79 control subjects (5.1%;
P < 0.05, chi-square). Of 52 schizophrenic patients, 8 had abnormalities
of the septum pellucidum (SP): 5 had cavum vergae (CaV), 2 had cavum septum
pellucidum (CaSP), and 1 had agenesis of the corpus callosum and SP. Of 9
schizoaffective patients, 2 had SP abnormalities: 1 CaV and 1 CaSP.
Abnormalities of the SP, especially CaV, were significantly more frequent
in women than in men (P < 0.02, chi-square).
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