P. Rubin et al., COMPUTERIZED-TOMOGRAPHY IN NEWLY-DIAGNOSED SCHIZOPHRENIA AND SCHIZOPHRENIFORM DISORDER - A CONTROLLED BLIND-STUDY, British Journal of Psychiatry, 163, 1993, pp. 604-612
Patients with newly diagnosed schizophrenia (n = 27) or schizophrenifo
rm disorder (n = 22) and 24 healthy volunteers were investigated by CT
scan, the investigators being blind to subject status. The patients h
ad never received medication or had been treated only briefly with neu
roleptics. The patients had significantly smaller brain volume and bra
in length than the controls. The patients had greater sulcal enlargeme
nt in the case of both Sylvian and interhemispheric fissures and surfa
ce sulci in the frontal and parietal regions. The sulcal enlargement w
as more pronounced in male patients and on the left hemisphere. The st
udy revealed no enlargement of the lateral ventricles and only a trend
towards enlargement of the third ventricle in the patients. The findi
ngs were not explained by substance abuse or level of education.