Cortical thickness correlates of minor neurological signs in patients with first episode psychosis

Crown Copyright © 2018. Published by Elsevier B.V. All rights reserved..

Neurological soft signs (NSS) are subtle abnormalities of motor and sensory function that are present in the absence of localized brain pathological lesions. In psychoses they have been consistently associated with a distinct pattern of cortical and subcortical brain structural alterations at the level of the heteromodal cortex and basal ganglia. However, a more specific and accurate evaluation of the cytoarchitecture of the cortical mantle could further advance our understanding of the neurobiological substrate of psychosis. We investigated the relationship between brain structure and NSS in a sample of 66 patients at their first episode of psychosis. We used the Neurological Evaluation Scale for neurological assessment and high-resolution MRI and Freesurfer to explore cortical thickness and surface area. Higher rates of NSS were associated with a reduction of cortical thickness in the precentral and postcentral gyri, inferior-parietal, superior temporal, and fusiform gyri. Higher rates of NSS were also associated with smaller surface areas of superior temporal gyrus and frontal regions (including middle frontal, superior and orbito-frontal gyri). Finally, more sensory integration signs were also associated with larger surface area of the latero-occipital region. We conclude that the presence of NSS in psychosis is associated with distinct but widespread changes in cortical thickness and surface area, in areas crucial for sensory-motor integration and for the fluid execution of movement. Studying these morphological correlates with advanced neuroimaging techniques can continue to improve our knowledge on the neurobiological substrate of these important functional correlates of psychosis.

Medienart:

E-Artikel

Erscheinungsjahr:

2018

Erschienen:

2018

Enthalten in:

Zur Gesamtaufnahme - volume:200

Enthalten in:

Schizophrenia research - 200(2018) vom: 22. Okt., Seite 104-111

Sprache:

Englisch

Beteiligte Personen:

Ciufolini, Simone [VerfasserIn]
Ponteduro, Maria Francesca [VerfasserIn]
Reis-Marques, Tiago [VerfasserIn]
Taylor, Heather [VerfasserIn]
Mondelli, Valeria [VerfasserIn]
Pariante, Carmine M [VerfasserIn]
Bonaccorso, Stefania [VerfasserIn]
Chan, Raymond [VerfasserIn]
Simmons, Andy [VerfasserIn]
David, Anthony [VerfasserIn]
Di Forti, Marta [VerfasserIn]
Murray, Robin M [VerfasserIn]
Dazzan, Paola [VerfasserIn]

Links:

Volltext

Themen:

Cortical thickness
First-episode psychosis
Journal Article
Magnetic resonance imaging
Neurological soft signs
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 08.04.2019

Date Revised 23.03.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.schres.2018.05.005

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM284319864