David A S
Department of Psychological Medicine, King's College Hospital, London, UK.
Behav Brain Res. 1994 Oct 20;64(1-2):203-11. doi: 10.1016/0166-4328(94)90132-5.
Several empirical and theoretical connections exist between schizophrenia and the corpus callosum: (1) disconnection symptoms resemble certain psychotic phenomena; (2) abnormal interhemispheric transmission could explain typically schizophrenic phenomena; (3) cases of psychosis have been found in association with complete and partial agenesis of the callosum; (4) experimental neuropsychology with schizophrenic patients has revealed abnormal patterns of interhemispheric transfer; (5) studies using magnetic resonance imaging have shown abnormal callosal dimensions in schizophrenic patients. The evidence in support of these links is discussed critically. Novel neuropsychological approaches in the study of information transfer in the visual modality between the cerebral hemispheres, consistent with callosal hyperconnectivity in schizophrenic patients but not matched psychiatric controls are highlighted. Some suggestions for further work including integrating functional and structural measures are offered.
(1)分离症状类似于某些精神病性现象;(2)异常的半球间传递可以解释典型的精神分裂症现象;(3)已发现精神病病例与胼胝体完全或部分发育不全有关;(4)对精神分裂症患者进行的实验神经心理学研究揭示了半球间传递的异常模式;(5)使用磁共振成像的研究表明精神分裂症患者的胼胝体尺寸异常。对支持这些联系的证据进行了批判性讨论。强调了在研究大脑半球之间视觉模式信息传递方面的新型神经心理学方法,这些方法与精神分裂症患者的胼胝体过度连接一致,但与匹配的精神科对照不同。还提供了一些进一步工作的建议,包括整合功能和结构测量方法。