Hostname: page-component-8448b6f56d-qsmjn Total loading time: 0 Render date: 2024-04-24T15:19:14.682Z Has data issue: false hasContentIssue false

P300 and CT Scan in Patients with Chronic Schizophrenia

Published online by Cambridge University Press:  02 January 2018

A. Romani*
Affiliation:
C. Mondino Institute, Neurological Clinic, Pavia, Child Psychiatrist
S. Merello
Affiliation:
San Colombano al Lambro Fatebenefratelli Psychiatric Hospital
L. Gozzoli
Affiliation:
Department of Neuroradiology, Neurological Clinic, Pavia
F. Zerbi
Affiliation:
Neurological Clinic, Pavia
M. Grassi
Affiliation:
Department of Biostatistics, Pavia
V. Cosi
Affiliation:
Neurological Clinic, Pavia
*
Neurological Clinic, Via Palestro 3, 27100-Pavia, Italy

Extract

Twenty chronic male schizophrenic subjects aged 30–50 years were examined by an auditory event-related potential procedure for the evaluation of the P300 component, a CT scan and a neuropsychological test battery. The P300 latency was increased and its amplitude was reduced. CT scan measures showed lateral and third ventricle enlargement, and there was a global neuropsychological impairment. Poor neuropsychological performances were consistently associated with delayed P300 latencies, but not with CT scan measures. Ventricular enlargement was more pronounced among subjects with a negative family history for major psychiatric disorders.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1987 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association Committee On Nomenclature and Statistics (1980) Diagnostic and Statistical Manual of Mental Disorders, 3rd edn. Washington DC: American Psychiatric Association.Google Scholar
Andreasen, N. C., Olsen, S. A., Dennert, J. W. & Smith, M. R. (1982a) Ventricular enlargement in schizophrenia: relationship to positive and negative symptoms. American Journal of Psychiatry, 139, 297302.Google Scholar
Andreasen, N. C., Olsen, S. A., Dennert, J. W. & Smith, M. R. Smith, M. R., Jacobi, C. G., Dennert, J. W. & Olsen, S. A. (1982b) Ventricular enlargement in schizophrenia: definition and prevalence. American Journal of Psychiatry, 139, 292296.Google Scholar
Ariel, R. N., Golden, C. J., Berg, R. A., Quaife, M. A., Dirksen, J. W., Forsell, T., Wilson, J. & Graber, B. (1983) Regional cerebral blood flow in schizophrenics. Archives of General Psychiatry, 40, 258263.Google Scholar
Baribeau-Braun, J., Picton, T. W. & Gosselin, J. Y. (1983) Schizophrenia: a neurophysiological evaluation of abnormal information processing. Science, 219, 874876.Google Scholar
Benes, F., Sunderland, P., Jones, B. D., Lemay, M., Cohen, B. & Lipinski, J. F. (1982) Normal ventricles in young schizophrenics. British Journal of Psychiatry, 141, 9093.Google Scholar
Cosi, V., Vitelli, E., Gozzoli, L., Corona, A., Ceroni, M. & Callieco, R. (1982) Visual evoked potentials in ageing of the brain. In Advances in Neurological: Vol. 32-Clinical Applications of Evoked Potentials in Neurology (eds J. Courjon, F. Mauguière & M. Revol). New York: Raven Press.Google Scholar
Davis, W. E., Dewolfe, A. S. & Gustafson, R. C. (1972) Intellectual deficit in process and reactive schizophrenia and brain injury. Journal of Consulting and Clinical Psychology, 38, 146.Google Scholar
Dewolfe, A. S., Barrel, R. P., Becker, B. C. & Spaner, F. E. (1971) Intellectual deficit in chronic schizophrenia and brain damage. Journal of Consulting and Clinical Psychology, 36, 197204.Google Scholar
Donnelly, E. F., Weinberger, D. R., Waldman, I. N. & Wyatt, R. J. (1980) Cognitive impairment associated with morphological brain abnormalities on computed tomography in chronic schizophrenic patients. Journal of Nervous and Mental Disease, 168, 305308.CrossRefGoogle ScholarPubMed
Duncan-Johnson, C. C., Roth, W. T. & Kopell, B. S. (1984) Effects of stimulus sequence on P300 and reaction time in schizophrenics: a preliminary report. In Brain and Information: Event Related Potential (eds R. Karrer, J. Cohen & P. Tueting). New York Academy of Sciences.Google Scholar
Fisman, M. (1975) The brain stem in psychosis. British Journal of Psychiatry, 126, 414422.Google Scholar
Golden, C. J., Moses, J. A., Zelazowski, R., Graber, B., Zatz, L. M., Horwath, T. B. & Berger, P. A. (1980) Cerebral ventricular size and neuropsychological impairment in young chronic schizophrenics. Archives of General Psychiatry, 37, 619623.Google Scholar
Goodin, D. S. Squires, K. C. & Starr, A. (1978) Long latency event-related components of the auditory evoked potential in dementia. Brain, 101, 635648.Google Scholar
Haug, J. O. (1962) Pneumoencephalographic studies in mental disease. Acta Psychiatrica Scandinavica, 165, Suppl., 1104.Google Scholar
Heaton, R. K., Baade, L. E. & Johnson, K. L. (1978) Neuropsychological test results associated with psychiatric disorders in adults. Psychological Bulletin, 85, 141162.CrossRefGoogle ScholarPubMed
Hiltmann, H. (1960) Kompendium der Psychodiagnostischen Tests. Bern: Hans Huber Verlag.Google Scholar
Huckman, M. S., Fox, J. & Topel, J. (1975) The validity of criteria for the evaluation of cerebral atrophy by CT. Radiology, 116, 8592.CrossRefGoogle Scholar
Itil, T. M., Saletu, B. & Davis, S. (1972) EEG findings in chronic schizophrenics based on digital computer period analysis in analog power spectra. Biological Psychiatry, 39, 765770.Google Scholar
Jernigan, T. L., Zatz, L. M., Moses, J. A. & Berger, P. A. (1982) Computed tomography in schizophrenics and in normal volunteers. Archives of General Psychiatry, 144, 193199.Google Scholar
Johnstone, E. C., Crow, T. J., Frith, C. D., Husband, J. & Kreel, L. (1976) Cerebral ventricular size and cognitive impairment in chronic schizophrenia. The Lancet, ii, 924926.Google Scholar
Johnstone, E. C., Crow, T. J., Frith, C. D., Husband, J. & Kreel, L. Stevens, M., Kreel, L. & Husband, J. (1978) The dementia of dementia praecox. Acta Psychiatrica Scandinavica, 57, 305324.Google Scholar
Lebart, L., Morineau, A. & Tabard, N. (1977) Techniques de la Description Statistique. Paris: Dunod.Google Scholar
Leppler, J. G. & Greenberg, H. J. (1984) The P3 potential and its clinical usefulness in the objective classification of dementia. Cortex, 20, 427433.Google Scholar
Levin, S. (1984) Frontal lobe disfunction in schizophrenia: II. Impairment of psychological brain functions. Journal of Psychiatric Research, 18, 5772.Google Scholar
Liddle, P. F. & Crow, T. J. (1984) Age disorientation in chronic schizophrenia is associated with global intellectual impairment. British Journal of Psychiatry, 144, 193199.Google Scholar
Lippman, S., Manshadi, M., Baldwin, H., Drasin, G., Rice, J. & Alrajeh, S. (1982) Cerebellar vermis dimensions on computerized tomographic scans of schizophrenic and bipolar patients. American Journal of Psychiatry, 139, 667668.Google Scholar
Nasrallah, H. A., Jacoby, C. G., McGalley-Whitters, M. & Kuperman, S. (1982) Cerebral ventricular enlargement in subtypes of chronic schizophrenia. Archives of General Psychiatry, 39, 774777.CrossRefGoogle ScholarPubMed
Nyback, H., Wiesel, F. A., Berggren, B. M. & Hindmarsh, T. (1982) Computed tomography of the brain in patients with acute psychosis and in healthy volunteers. Acta Psychiatrica Scandinavica, 65, 403413.Google Scholar
Okasha, A. & Madkour, O. (1982) Cortical and central atrophy in chronic schizophrenia. Acta Psychiatrica Scandinavica, 65, 2934.Google Scholar
Owens, D. G. C., Johnstone, E. C., Crow, T. J., Frith, C. D., Jagoe, J. R. & Kreel, L. (1983) Lateral ventricular size in schizophrenia: relationship to the disease process and its clinical manifestations. Psychological Medicine, 15, 2741.Google Scholar
Pfefferbaum, A., Wenegrat, B. G., Ford, J. M., Roth, W. T. & Kopell, B. S. (1984) Clinical application of the P3 component of event related potentials: II. Dementia, depression and schizophrenia. Electroencephalography and Clinical Neurophysiology, 59, 104124.Google Scholar
Reveley, A. M., Reveley, M. A. & Murray, R. M. (1984) Cerebral ventricular enlargement in non-genetic schizophrenia: a controlled twin study. British Journal of Psychiatry, 144, 8993.Google Scholar
Rieder, R. O., Mann, L. S., Weinberger, D. R., Van Kammen, D. P. & Post, R. M. (1983) Computed tomographic scans in patients with schizophrenia, schizoaffective and bipolar affective disorder. Archives of General Psychiatry, 40, 735739.Google Scholar
Robertson, G. & Taylor, P. J. (1985) Some cognitive correlates of schizophrenic illness. Psychological Medicine, 15, 8198.Google Scholar
Rochford, J. M., Detre, T., Tucker, G. T. & Harrow, M. (1970) Neuropsychological impairments in functional psychiatric disease. Archives of General Psychiatry, 22, 114119.Google Scholar
Romani, A., Molini, E., Zerbi, F., Tosca, P. & Cosi, V. (1984) P300 latency, age and cognitive styles. Bollettino della Societa Italiana di Biologia Sperimentale, 60, 21192125.Google Scholar
Romani, A., Molini, E., Zerbi, F., Tosca, P. & Cosi, V. Merello, S. & Grassi, M. (1987) Neuropsychological performance of chronic schizophrenic patients: a principal component analysis approach. Bolletino della Società Italiana di Biologia Sperimentale (in press).Google Scholar
Roth, W. T., Cannon, E. H. & Washington, M. A. (1972) Some features of the auditory evoked response in schizophrenics. Archives of General Psychiatry, 27, 466471.Google Scholar
Roth, W. T., Cannon, E. H. & Washington, M. A. Horwath, T. B., Pfefferbaum, A. & Kopell, B. (1980) Event related potentials in schizophrenics. Electroencephalography and Clinical Neurophysiology, 48, 127139.Google Scholar
Schulsinger, F., Parnas, J., Peterson, E. T., Schulsinger, H., Teasdale, T. W., Mednick, S. A., Moller, L. & Silverton, L. (1984) Cerebral ventricular size in the offspring of schizophrenic mothers. Archives of General Psychiatry, 41, 602606.Google Scholar
Small, I. F., Small, J. G., Milstein, V. & Moore, J. E. (1972) Neuropsychological observations with psychosis and somatic treatment. Journal of Nervous and Mental Disease, 139, 479487.Google Scholar
Smith, A. (1964) Mental deterioration in chronic schizophrenia. Journal of Nervous and Mental Disease, 139, 479487.Google Scholar
Tanaka, Y., Hazama, H., Kawahara, R. & Kobayashi, K. (1981) Computerized tomography of the brain in schizophrenic patients. Acta Psychiatrica Scandinavica, 63, 191197.CrossRefGoogle ScholarPubMed
Taylor, M. A. & Abrams, R. (1984) Cognitive impairment in schizophrenia. American Journal of Psychiatry, 141, 196201.Google Scholar
Torrey, E. F. & Peterson, M. R. (1976) The viral hypothesis of schizophrenia. Schizophrenia Bulletin, 2, 136146.CrossRefGoogle ScholarPubMed
Verleger, R. & Cohen, R. (1978) Effects of certainty, modality shift and guess outcome on evoked potentials and reaction times in schizophrenics. Psychological Medicine, 8, 8193.Google Scholar
Weinberger, D. R., Torrey, E. F., Neophytides, A. N. & Wyatt, R. J. (1979) Lateral cerebral ventricular enlargement in chronic schizophrenia. Archives of General Psychiatry, 36, 735739.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.