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[精神分裂症的神经病理学]

[Neuropathology of schizophrenias].

作者信息

Bogerts B

出版信息

Fortschr Neurol Psychiatr. 1984 Dec;52(12):428-37. doi: 10.1055/s-2007-1002212.

Abstract

Up to now it is not known whether the ventricular enlargement in schizophrenics demonstrated by neuroradiological investigations is caused by a general brain atrophy or a more or less selective degeneration of one or several areas. Therefore, the volumes of several parts of the basal ganglia, of the diencephalon and of the limbic system were determined by planimetry of myelin-stained serial sections in post mortem brains of 14 schizophrenic patients and 13 control cases. The important limbic structures of the temporal lobe (amygdala, hippocampal formation), the ventricle closely surrounding structures of the diencephalon, and the pallidum internum are significantly smaller in the schizophrenic group, whereas the volumes of the pallidum externum, of the three parts of the striatum (caudatum, putamen, n. accumbens), of the red nucleus, and of the large thalamic cell groups have not significantly changes. The volume reductions are interpreted as focal degenerative shrinkages of unknown etiology.

摘要

到目前为止,尚不清楚神经放射学检查所显示的精神分裂症患者的脑室扩大是由一般性脑萎缩引起,还是由一个或几个区域或多或少的选择性退变所致。因此,通过对14例精神分裂症患者和13例对照病例的尸检大脑中髓鞘染色连续切片进行平面测量,确定了基底神经节、间脑和边缘系统几个部分的体积。精神分裂症组中,颞叶的重要边缘结构(杏仁核、海马结构)、间脑周围紧密环绕的脑室以及苍白球内部明显较小,而苍白球外部、纹状体的三个部分(尾状核、壳核、伏隔核)、红核以及丘脑大细胞群的体积没有显著变化。体积减小被解释为病因不明的局灶性退行性萎缩。

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