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精神分裂症中透明隔腔扩大的临床相关性:通过计算机断层扫描的再探讨

Clinical correlates of enlarged cavum septum pellucidum in schizophrenia: A revisit through computed tomography.

作者信息

Srivastava Naveen Kumar, Khanra Sourav, Chail Vivek, Khess Christoday R J

机构信息

Department of Psychiatry, Central Institute of Psychiatry, Ranchi 834006, India.

Department of Psychiatry, ICARE Institute of Medical Sciences & Research, Haldia 721645, India.

出版信息

Asian J Psychiatr. 2015 Jun;15:21-4. doi: 10.1016/j.ajp.2015.04.008. Epub 2015 Apr 20.

Abstract

Like prevalence of abnormal cavum septum pellucidum in patients of schizophrenia remains controversial, its role in clinical outcome, duration of illness and effect on treatment remains less understood as well. Our study examined clinical correlates of enlarged cavum septum pellucidum in schizophrenia. A total of 139 patients diagnosed with schizophrenia during the year 2012 and 2013 were taken for the study. We compared them in respect to the presence and absence of enlarged cavum septum pellucidum. We found 16 patients with enlarged cavum septum pellucidum and were compared with those without enlarged cavum septum pellucidum for socio-demographic and clinical variables. We also correlated these clinical variables with dimension of cavum septum pellucidum. We found statistically significant increased current age and duration of illness in patients with enlarged cavum septum pellucidum. The implications of these findings are discussed with possible confounding effect of current age on neuroimaging. No meaningful correlation was found. No difference in clinical variables was found. Retrospective design and use of computed tomography were limitation of our study.

摘要

精神分裂症患者中透明隔腔异常的患病率仍存在争议,其在临床结局、病程以及对治疗的影响方面也仍未得到充分理解。我们的研究探讨了精神分裂症患者中透明隔腔扩大的临床相关因素。本研究选取了2012年和2013年期间共139例被诊断为精神分裂症的患者。我们根据有无透明隔腔扩大对他们进行了比较。我们发现16例透明隔腔扩大的患者,并将他们与无透明隔腔扩大的患者在社会人口学和临床变量方面进行了比较。我们还将这些临床变量与透明隔腔的大小进行了相关性分析。我们发现透明隔腔扩大的患者当前年龄和病程在统计学上显著增加。我们讨论了这些发现的意义以及当前年龄对神经影像学可能产生的混杂效应。未发现有意义的相关性。未发现临床变量存在差异。回顾性设计和计算机断层扫描的使用是我们研究的局限性。

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