Some recent autopsy studies indicate that alpha-aminobutyric acid (GAB
A) function is decreased in brain areas that involve some of the well-
described structural changes observed in schizophrenia. The current st
udy examined the relationship between CSF and plasma GABA levels and b
rain structural measures in schizophrenia. Sixty-two drug-free, physic
ally healthy male patients with schizophrenia (DSM-IIIR) were evaluate
d for plasma and CSF GABA, as well as brain structural measures on CT
scans. Plasma levels of GABA were associated with prefrontal sulcal wi
dening and VBRs, but not global sulcal widening in the schizophrenic p
atients. CSF GABA measures were not associated with brain structural m
easures, but were associated with age and age of onset. The significan
t relationship between plasma GABA, but not CSF GABA, and specific bra
in morphology measures in schizophrenic patients suggests that if GABA
transmission is impaired in schizophrenia, it is a local, but not glo
bal, phenomenon. (C) 1998 Elsevier Science Ireland Ltd.