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Magnetic resonance imaging volumetric measurements of the superior temporal gyrus, hippocampus, parahippocampal gyrus, frontal and temporal lobes in late paraphrenia

Published online by Cambridge University Press:  09 July 2009

R. Howard ,
J. Mellers ,
R. Petty ,
D. Bonner ,
R. Menon ,
O. Almeida ,
M. Graves ,
C. Renshaw  and
R. Levy
R. Howard*
Affiliation:
Section of Old Age Psychiatry and Department of Neuropsychiatry, Institute of Psychiatry, the Maudsley Hospital and the Department of Radiological Sciences, Guy's Hospital, London
J. Mellers
Affiliation:
Section of Old Age Psychiatry and Department of Neuropsychiatry, Institute of Psychiatry, the Maudsley Hospital and the Department of Radiological Sciences, Guy's Hospital, London
R. Petty
Affiliation:
Section of Old Age Psychiatry and Department of Neuropsychiatry, Institute of Psychiatry, the Maudsley Hospital and the Department of Radiological Sciences, Guy's Hospital, London
D. Bonner
Affiliation:
Section of Old Age Psychiatry and Department of Neuropsychiatry, Institute of Psychiatry, the Maudsley Hospital and the Department of Radiological Sciences, Guy's Hospital, London
R. Menon
Affiliation:
Section of Old Age Psychiatry and Department of Neuropsychiatry, Institute of Psychiatry, the Maudsley Hospital and the Department of Radiological Sciences, Guy's Hospital, London
O. Almeida
Affiliation:
Section of Old Age Psychiatry and Department of Neuropsychiatry, Institute of Psychiatry, the Maudsley Hospital and the Department of Radiological Sciences, Guy's Hospital, London
M. Graves
Affiliation:
Section of Old Age Psychiatry and Department of Neuropsychiatry, Institute of Psychiatry, the Maudsley Hospital and the Department of Radiological Sciences, Guy's Hospital, London
C. Renshaw
Affiliation:
Section of Old Age Psychiatry and Department of Neuropsychiatry, Institute of Psychiatry, the Maudsley Hospital and the Department of Radiological Sciences, Guy's Hospital, London
R. Levy
Affiliation:
Section of Old Age Psychiatry and Department of Neuropsychiatry, Institute of Psychiatry, the Maudsley Hospital and the Department of Radiological Sciences, Guy's Hospital, London
*
1 Address for correspondence: Dr Robert Howard, Section of Old Age Psychiatry, Institute of Psychiatry, De Crespigny Park, London SE5 8AF.
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Synopsis

Quantified magnetic resonance measurements were made of superior temporal gyrus, parahippocampal gyrus, hippocampal, frontal and temporal lobe volumes and of the planar area of the thalamus and basal ganglia structures in 47 late paraphrenic patients and 33 healthy elderly controls. The late paraphrenics were divided into 31 schizophrenics and 16 patients with delusional disorder according to ICD-10 guidelines. Patients with delusional disorder tended to have smaller left temporal volumes compared with control subjects and patients with schizophrenia, but this difference failed to reach accepted levels of statistical significance after correction for the effects of multiple statistical comparisons, age and total brain size. Physiological right–left asymmetry, reported for temporal and frontal lobe volumes, was present in control, schizophrenic and delusional disorder subjects but delusional disorder patients had a significantly greater degree of temporal lobe asymmetry. The results add to the evidence for heterogeneity among late-onset psychoses and emphasize the subtle nature of any structural brain abnormalities in these patients.

Type
Original Articles
Information
Psychological Medicine , Volume 25 , Issue 3 , May 1995 , pp. 495 - 503
Copyright
Copyright © Cambridge University Press 1995

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