Randall P L
Med Hypotheses. 1983 Mar;10(3):247-80. doi: 10.1016/0306-9877(83)90114-7.
Abnormalities of functional connection between specialized areas in the human brain may underlie the symptoms which constitute the schizophrenia syndrome. Callosal and intrahemispheric fibres may be equally involved. The clinical emergence of symptoms in the later stages of brain maturation may be dependent on myelination of these fibre groups, both of which have extended myelination cycles. Ontogenetically earlier variants of the same mechanism could theoretically result in dyslexia and the syndromes of Kanner and Gilles de la Tourette. As new and unique extensions of specialized function emerge within the evolving brain, biological trial and error of connection both within and between them may produce individuals possessing phylogenetically advanced abilities, or equally, others possessing a wide range of abnormalities including those which comprise the schizophrenia syndrome. A dormant phenotypic potential for schizophrenia may exist in individuals who never develop symptoms during the course of a lifetime though some of these may become clinically apparent under the influence of various precipitating factors. It is concluded that abnormal functional connection and its normal and "supernormal" counterparts may be natural, essential, and inevitable consequences of brain evolution, and that this may have been so throughout the history of vertebrate brain evolution.
人类大脑特定区域之间功能连接的异常可能是构成精神分裂症综合征症状的基础。胼胝体纤维和半球内纤维可能同样受到影响。大脑成熟后期症状的临床出现可能取决于这些纤维束的髓鞘形成,而这两者都有延长的髓鞘形成周期。从个体发生学角度来看,相同机制的早期变体理论上可能导致诵读困难以及坎纳综合征和图雷特综合征。随着不断进化的大脑中出现新的独特的特定功能扩展,它们内部和之间连接的生物尝试和错误可能产生具有系统发育上先进能力的个体,或者同样地,产生具有广泛异常的个体,包括那些构成精神分裂症综合征的异常。精神分裂症的潜在表型可能存在于一生中从未出现症状的个体中,尽管其中一些人可能在各种诱发因素的影响下出现临床症状。得出的结论是,异常功能连接及其正常和“超常”对应物可能是大脑进化的自然、必要和不可避免的结果,并且在整个脊椎动物大脑进化历史中可能一直如此。