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利用磁共振成像(MRI)研究精神分裂症和偏头痛患者的枕叶脑沟模式。

Occipital sulci patterns in patients with schizophrenia and migraine headache using magnetic resonance imaging (MRI).

作者信息

Sulejmanpašić Gorana, Suljić Enra, Šabanagić-Hajrić Selma

机构信息

Department of Psychiatry; University Clinical Center Sarajevo, Sarajevo, Bosnia and Herzegovina.

Department of Neurology; University Clinical Center Sarajevo, Sarajevo, Bosnia and Herzegovina.

出版信息

Med Glas (Zenica). 2016 Aug 1;13(2):95-102. doi: 10.17392/855-16.

Abstract

Aim To examine the presence of morphologic variations of occipital sulci patternsin patients with schizophrenia and migraine headacheregarding gender and laterality using magnetic resonance imaging (MRI). Methods This study included 80 patients and brain scans were performed to analyze interhemispheric symmetry and the sulcal patterns of the occipital region of both hemispheres. Average total volumes of both hemispheres of the healthy population were used for comparison. Results There was statistically significant difference between subjects considering gender (p=0.012)with no difference regarding age(p=0.1821). Parameters of parieto-occipital fissure (p=0.0314), body of the calcarine sulcus (p=0.0213), inferior sagittal sulcus (p=0.0443), and lateral occipital sulcus (p=0.0411) showed statistically significant difference only of left hemisphere in male patients with schizophrenia with shallowerdepth of the sulcus. Conclusion Representation of neuroanatomical structures suggests the existence of structural neuroanatomic disorders with focal brain changes. Comparative analysis of occipital lobe and their morphologic structures (cortical dysmorphology) in patients with schizophreniausing MRI, according to genderindicates a significant cortical reduction in the left hemisphere only in the group of male patients compared to female patients and the control group.

摘要

目的 使用磁共振成像(MRI)检查精神分裂症和偏头痛患者枕沟模式的形态学变化在性别和偏侧性方面的情况。方法 本研究纳入80名患者,进行脑部扫描以分析半球间对称性和双侧半球枕叶区域的脑沟模式。使用健康人群双侧半球的平均总体积进行比较。结果 在考虑性别时,受试者之间存在统计学显著差异(p = 0.012),而在年龄方面无差异(p = 0.1821)。顶枕裂(p = 0.0314)、距状沟体(p = 0.0213)、下矢状沟(p = 0.0443)和枕外侧沟(p = 0.0411)的参数仅在患有精神分裂症的男性患者的左半球显示出统计学显著差异,脑沟深度较浅。结论 神经解剖结构的表现提示存在伴有局灶性脑改变的结构性神经解剖学障碍。根据性别,使用MRI对精神分裂症患者的枕叶及其形态结构(皮质畸形)进行比较分析表明,与女性患者和对照组相比,仅在男性患者组中左半球存在明显的皮质减少。

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