Magnetic resonance imaging findings were compared in 22 familial and 2
9 sporadic cases with DSM-III-R diagnoses of schizophrenia, schizoaffe
ctive, or schizophreniform disorders. Volumetric measurements were use
d to assess the size of brain structures, including the cranium, cereb
rum, lateral ventricles, temporal horns, third ventricle, lenticular n
uclei, amygdaloid-hippocampal complex, and cerebellum as well as the a
symmetry of the lateral ventricles. Increased volume of the lenticular
nuclei and greater ventricular asymmetry (the left ventricle being la
rger) were found in familial cases compared with sporadic cases and no
rmal control subjects. It is possible that increased lenticular nuclei
volume and greater lateral ventricular asymmetry reflect the role of
genetic factors in schizophrenia.