A viral hypothesis for the pathogenesis of schizophrenia has been unde
r serious consideration for more than 70 years. To date, attempts have
failed to identify a specific virus which contributes to the aetiolog
y of the disorder. There has, however, been a recent resurgence of int
erest in a possible relationship between viral illness and schizophren
ia. This renewed attention is the result of epidemiological evidence s
uggesting an excess of winter births in patients with schizophrenia, i
ndications of foetal insults in persons who develop schizophrenia and
an association between foetal exposure to the influenza virus and the
subsequent development of schizophrenia. Advances in our understanding
of the pathophysiology of viral diseases and the development of sophi
sticated techniques to study them have resulted in more complex viral
hypotheses of schizophrenic aetiology, such as viral disruption of nor
mal neurodevelopment, viral induced autoimmunity and retroviral integr
ation. These hypotheses are now beginning to be tested experimentally.