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精神分裂症、胼胝体与半球间通信:综述

Schizophrenia, corpus callosum, and interhemispheric communication: a review.

作者信息

Coger R W, Serafetinides E A

机构信息

Research and Development Service, West LA VA Medical Center, Brentwood Division, CA 90073.

出版信息

Psychiatry Res. 1990 Nov;34(2):163-84. doi: 10.1016/0165-1781(90)90017-y.

Abstract

The literature suggests that some schizophrenic patients may have a dysfunction in the transfer of information between the two cerebral hemispheres via the corpus callosum (CC). The presence of an abnormally thickened CC in some schizophrenic patients and an abnormally thin CC in others suggests a possible anatomic basis for abnormal organization of cognitive functions in these patients resulting from either increased or decreased communication between the two cerebral hemispheres. The findings of the anatomic studies have suggested a connection between a thickened CC and both early onset and negative symptom patterns in schizophrenic patients. Similarly, onset of symptoms later in life and positive symptom patterns have been associated with a thinner CC. Behavioral and electrophysiological findings appear to support the idea that the same subgroups may be associated with opposite patterns of effective transfer of information between the cerebral hemispheres. Careful analysis of the transfer of information between the cerebral hemispheres for selected groups of schizophrenic patients and normal controls could provide important information about cerebral organization and possible mechanisms operative in schizophrenia.

摘要

文献表明,一些精神分裂症患者可能在通过胼胝体(CC)在两个大脑半球之间传递信息方面存在功能障碍。一些精神分裂症患者存在胼胝体异常增厚,而另一些患者则胼胝体异常变薄,这表明这些患者认知功能异常组织可能存在解剖学基础,其原因是两个大脑半球之间的交流增加或减少。解剖学研究结果表明,胼胝体增厚与精神分裂症患者的早发和阴性症状模式之间存在联系。同样,症状在生命后期出现以及阳性症状模式与较薄的胼胝体有关。行为和电生理研究结果似乎支持这样一种观点,即相同的亚组可能与大脑半球之间信息有效传递的相反模式有关。对选定的精神分裂症患者组和正常对照组之间大脑半球信息传递进行仔细分析,可能会提供有关大脑组织以及精神分裂症中可能起作用的机制的重要信息。

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