Brain, Vol 121, Issue 2 191-203, Copyright © 1998 by Oxford University Press
TD Griffiths, T Sigmundsson, N Takei, D Rowe and RM Murray
Neurological assessment was carried out on patients with schizophrenia from
multiply and singly affected families, their relatives, and a normal
control group (214 subjects). A systematic examination was used in which
abnormal signs were divided into 'primary' and 'integrative' signs. Primary
signs were elicited by a standard clinical neurological examination and
included signs of focal damage to nuclei and tracts, whilst integrative
signs were selected as reflecting distributed brain function. The
assessments were carried out to test the hypotheses that (i) neurological
abnormalities are present in schizophrenia, (ii) the pattern of abnormality
is different in familial and sporadic schizophrenic subjects, and (iii) the
well relatives of familial (but not sporadic) schizophrenic subjects will
show neurological abnormalities. An excess of primary signs compared with
the controls was demonstrated in the sporadic schizophrenic group only.
Both the familial schizophrenics and their first-degree relatives (but not
their sporadic counterparts) showed an increase in integrative signs. The
results support the existence of different mechanisms of underlying brain
dysfunction in familial and sporadic schizophrenia.
ARTICLES
Neurological abnormalities in familial and sporadic schizophrenia
Wellcome Department of Cognitive Neurology, Institute of Neurology, London, UK.
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