Gn. Smith et al., OBSTETRIC COMPLICATIONS AND AGE-RELATED-CHANGES IN BRAIN MORPHOLOGY IN SCHIZOPHRENIA, Biological psychiatry, 40(12), 1996, pp. 1200-1208
Birth problems can lead to changes in brain morphology in the general
population and an increased prevalence of both birth problems and alte
red brain morphology are found in patients with schizophrenia. The pur
pose of this study was to test the hypothesis that these two findings
are related, Birth history and the size of ventricular and sulcal spac
es from nine regions of the brain were assessed in 80 male subjects wi
th schizophrenia, No differences were found between patients with and
those without a history of birth problems for the size of any brain sp
ace; however, ventricular size increased significantly with age in pat
ients who had no birth complications but Hot in patients with a histor
y of birth problems, The size of cortical sulci increased with age in
patients with and those without a history of birth problems. These res
ults suggest that region-specific rates of change in size may identify
clinically meaningful patient subgroups. (C) 1996 Society of Biologic
al Psychiatry