Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-22T08:46:41.375Z Has data issue: false hasContentIssue false

Cerebral Ventricular Asymmetry and Ventriculomegaly Interact to Increase Risk for Schizophrenia: A Case Report and Recommendation for Routine Fetal Sonography

Published online by Cambridge University Press:  07 November 2014

Abstract

A 60-year-old patient with a clinical diagnosis of schizophrenia underwent a magnetic resonance imaging (MRI) scan related to the evaluation of isolated seizures that emerged while medicated with clozapine. Unexpectedly, the MRI scan revealed evidence of asymmetric and enlarged cerebral ventricles that were interpreted as congenital in origin. The presence of both congenital lateral ventricular asymmetry and ventriculomegaly may interact to increase risk of schizophrenia. The history and clinical features, including cognitive testing, of the illustrative patient are presented.

Type
Review Article
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1.Beke, A, Csabay, L, Rigo, J Jr, Harmath, A, Papp, Z. Follow-up studies of newborn babies with congenital ventriculomegaly. J Perinat Med. 1999; 27: 495505.CrossRefGoogle ScholarPubMed
2.Bloom, SL, Bloom, DD, Dellanebbia, C, Martin, LB, Lucas, MJ, Twickler, DM. The developmental outcome of children with antenatal mild isolated ventriculomegaly. Obstet Gynecol. 1997; 90: 9397.CrossRefGoogle ScholarPubMed
3.Vergani, P, Locatelli, A, Strobelt, N, et al. Clinical outcome of mild fetal ventriculomegaly. Am J Obstet Gynecol. 1998; 178: 218222.CrossRefGoogle ScholarPubMed
4.Cardoza, JD, Goldstein, RB, Filly, RA. Exclusion of fetal ventriculomegaly with a single measurement: the width of the lateral ventricular atrium. Radiology. 1998; 169: 711714.CrossRefGoogle Scholar
5.Gilmore, JH, van Tol, J, Kliewer, MA, et al. Mild ventriculomegaly detected in utero with ultrasound: clinical associations and implications for schizophrenia. Schizophrenia Res. 1998; 33: 133140.CrossRefGoogle ScholarPubMed
6.Vintzileos, AM, Ingardia, CJ, Nochimson, DJ. Congenital hydrocephalus: a review and protocol for perinatal management. Obstet Gynecol. 1983; 62: 539549.Google ScholarPubMed
7.Achiron, R, Yagel, S, Rotstein, Z, Inbar, O, Mashiach, S, Lipitz, S. Cerebral lateral ventricular asymmetry: is this a normal ultrasonographic finding in the fetal brain? Obstet Gynecol. 1997; 89: 233237.CrossRefGoogle Scholar
8.Gilmore, JH, va Tol, JJ, Streicher, HL, et al. Outcome in children with fetal mild ventriculomegaly: a case series. Schizophrenia Res. 2001; 48: 219226.CrossRefGoogle ScholarPubMed
9.Lipitz, S, Yagel, S, Malinger, G, Meizner, I, Zalel, Y, Achiron, R. Outcome of fetuses with isolated borderline unilateral ventriculomegaly diagnosed at mid-gestation. Ultrasound Obstet Gynecol. 1998; 12: 2326.CrossRefGoogle ScholarPubMed
10.Nuechterlein, KH, Green, MF, Kern, RS, et al. The MATRICS consensus cognitive battery, part 1: Test selection, reliability, and validity. Am J Psychiatry. 2008; 165: 203213.CrossRefGoogle ScholarPubMed
11.Leviton, A, Gilles, F. Ventriculomegaly, delayed myelination, white matter hypoplasia, and “periventricular” leukomalacia: how are they related? Pediatr Neurol. 1996; 15: 127136.CrossRefGoogle ScholarPubMed
12.Giuffre, R, Pastore, FS, De Santis, S. Connatal (fetal) hydrocephalus: an acquired pathology? Child's Nerv Syst. 1995; 11: 97101.CrossRefGoogle Scholar
13.Davies, N, Russell, A, Jones, P, Murray, RM. Which characteristics of schizophrenia predate psychosis? J Psychiatr Res. 1998; 32: 121131.CrossRefGoogle ScholarPubMed
14.Collinson, SL, Mackay, CE, James, AC, et al. Brain volume, asymmetry and intellectual impairment in relation to sex in early-onset schizophrenia. Br J Psychiatry. 2003; 183: 114120.CrossRefGoogle ScholarPubMed
15.Weinberger, DR. Brain disease and psychiatric illness: when should a psychiatrist order a CAT scan? Am J Psychiatry. 1984; 141: 15211527.Google Scholar