Objective. The objective of this project was to test whether there are
differences in the size of the caudate nucleus in schizophrenic in-pa
tients with and without tardive dyskinesia. Method. The study was cros
s-sectional in design, examining group differences between institution
alised schizophrenic patients with and without tardive dyskinesia, usi
ng non-enhanced computerised tomography scans of the brain. The group
comprised 15 schizophrenic patients with persistent tardive dyskinesia
and 21 in-patient schizophrenic; controls who were group-matched for
demographic variables. Results. The dyskinetic subjects had a signific
antly larger left caudate nucleus and tended to have a larger right ca
udate nucleus than the controls. There were no differences between the
groups on any of the measures of cerebral atrophy. Conclusions. The f
indings can be understood within the context of models of neostriatal
function. It is possible that a larger caudate nucleus could be used t
o identify patients at risk of developing tardive dyskinesia.