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The British Journal of Psychiatry (2003) 183: 114-120
© 2003 The Royal College of Psychiatrists

Brain volume, asymmetry and intellectual impairment in relation to sex in early-onset schizophrenia

SIMON L. COLLINSON, DPhil and CLARE E. MACKAY, PhD

POWIC SANE Research Centre, Warneford Hospital, Oxford

ANTHONY C. JAMES, MRCPsych

Highfield Adolescent Unit, Warneford Hospital, Oxford

DIGBY J. QUESTED, MD

Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford

TANIA PHILLIPS, MRCPsych

Highfield Adolescent Unit, Warneford Hospital, Oxford

NEIL ROBERTS

Magnetic Resonance and Image Analysis Research Centre (MARIARC), University of Liverpool, Liverpool

TIMOTHY J. CROW, FMedSci

POWIC SANE Research Centre, University of Oxford, Warneford Hospital, Oxford

Correspondence: Professor T. J. Crow, POWIC SANE Research Centre, University Department of Psychiatry, Warneford Hospital, Oxford OX37JX, UK. E-mail: tim.crow{at}psych.ox.ac.uk

Declaration of interest None. Funding details in Acknowledgements.

Background Accumulating evidence suggests that early-onset schizophrenia arises from a disturbance in the normal trajectory of cerebral development.

Aims To investigate brain structure, asymmetry and IQ in early-onset schizophrenia.

Method Volumes of left and right cerebral hemispheres and IQ were assessed in 33 participants with early-onset DSM–IV schizophrenia and 30 members of a matched, normal control group.

Results Total brain volume was significantly smaller in the group with early-onset disease (‘cases’) relative to the control group (4.5%), especially for the left hemisphere in males (6.0%). A significant sex x diagnosis interaction in hemisphere asymmetry revealed that the female cases group had significantly reduced rightward asymmetry relative to the female control group and that the male cases tended to have reduced leftward asymmetry relative to the male control group. Decreased left hemisphere volume in males and decreased rightward hemispheric asymmetry in females correlated with reduced IQ.

Conclusions Sexually dimorphic alterations in asymmetry correlate with degree of intellectual impairment in early-onset schizophrenia.


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