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Hat Size in Schizophrenia

Daniel R. Weinberger, MD; Karen Faith Berman, MD; Mary Iadarola; Naomi Driesen; Craig Karson, MD; Richard Coppola, PhD
Arch Gen Psychiatry. 1987;44(7):672-672. doi:10.1001/archpsyc.1987.01800190092014
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To the Editor.—  The report by Andreasen et al1 of reduced midsagittal frontal lobe area in patients with schizophrenia is an interesting contribution to the sizeable literature implicating pathologic changes of the frontal cortex in this illness. It is the latest echo of numerous claims made by neuropathologists during the first half of this century2; it is consistent with several computed tomography (CT) studies that have reported increased cortical markings prefrontally3; and it may relate to physiological cerebral imaging data suggesting cognitively specific dysfunction of the prefrontal cortex.3In contrast to the prefrontal finding, Andreasen and colleagues'1 observation of reduced midsagittal cranial area is surprising and much less consistent with earlier studies. If this finding can be confirmed, it has profound meaning for our understanding of the pathogenesis of schizophrenia. Since brain and cranial development are closely linked, reduced head size implicates a pathologic insult

REFERENCES

Andreasen N, Nasrallah HA, Dunn V, Olson SC, Grove WM, Ehrhardt JC, Coffman JA, Crossett JHW:  Structural abnormalities in the frontal system in schizophrenia: A magnetic resonance imaging study . Arch Gen Psychiatry 1986;;43:136-144.
Kirch DG, Weinberger DR:  Anatomical neuropathology in schizophrenia: Postmortem findings , in Nasrallah HA, Weinberger DR (eds): The Neurology of Schizophrenia . Amsterdam, Elsevier Science Publishers, 1986;, chap 14.
Weinberger DR, Kleinman JE:  Observations on the brain in schizophrenia , in Hales RE, Frances AJ (eds): Psychiatry Update 1986, American Psychiatric Association Annual Review . Washington, DC, APA Press, 1986;, pp 42-67.
Kovelman JA, Scheibel AB:  A neurohistological correlate of schizophrenia . Biol Psychiatry 1984;;19:1601-1621.
Benes FM, Davidson J, Bird ED:  Quantitative cytoarchitectural studies of the cerebral cortex of schizophrenics . Arch Gen Psychiatry 1986;;43:31-35.
Zhu XP, Checkley DR, Kickey DS, Isherwood I:  Accuracy of area measurements made from MR images compared with computed tomography . J Comput Assist Tomogr 1986;;10:96-102.
Mathew RJ, Partain CL, Prakash R, Kulkarni MV, Logan TP, Wilson WH:  A study of the septum pellucidum and corpus callosum in schizophrenia with MR imaging . Acta Psychiatr Scand 1985;;72:414-421.

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Andreasen N, Nasrallah HA, Dunn V, Olson SC, Grove WM, Ehrhardt JC, Coffman JA, Crossett JHW:  Structural abnormalities in the frontal system in schizophrenia: A magnetic resonance imaging study . Arch Gen Psychiatry 1986;;43:136-144.
Kirch DG, Weinberger DR:  Anatomical neuropathology in schizophrenia: Postmortem findings , in Nasrallah HA, Weinberger DR (eds): The Neurology of Schizophrenia . Amsterdam, Elsevier Science Publishers, 1986;, chap 14.
Weinberger DR, Kleinman JE:  Observations on the brain in schizophrenia , in Hales RE, Frances AJ (eds): Psychiatry Update 1986, American Psychiatric Association Annual Review . Washington, DC, APA Press, 1986;, pp 42-67.
Kovelman JA, Scheibel AB:  A neurohistological correlate of schizophrenia . Biol Psychiatry 1984;;19:1601-1621.
Benes FM, Davidson J, Bird ED:  Quantitative cytoarchitectural studies of the cerebral cortex of schizophrenics . Arch Gen Psychiatry 1986;;43:31-35.
Zhu XP, Checkley DR, Kickey DS, Isherwood I:  Accuracy of area measurements made from MR images compared with computed tomography . J Comput Assist Tomogr 1986;;10:96-102.
Mathew RJ, Partain CL, Prakash R, Kulkarni MV, Logan TP, Wilson WH:  A study of the septum pellucidum and corpus callosum in schizophrenia with MR imaging . Acta Psychiatr Scand 1985;;72:414-421.

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