The authors review environmental and neurodevelopmental risk factors for sc
hizophrenic disorders, with emphasis on minor physical anomalies, particula
rly craniofacial anomalies and dermatoglyphic variations. The high prevalen
ce of these anomalies among schizophrenic subjects supports the neurodevelo
pmental theory of the etiology of schizophrenia, since they suggest either
genetically or epigenetically controlled faulty embryonic development of st
ructures of ectodermal origin like brain and skin. This may disturb neurode
velopment that in turn may cause these subjects to be at increased risk for
the development of schizophrenia and related disorders, The precise confir
mation of this theory, at least in some cases, will provide further underst
anding of these illnesses, allowing easy and inexpensive identification of
subjects at risk and providing guidelines for the development of new pharma
cological interventions for early treatment and even for primary prevention
of the illness.