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Abnormal gyral complexity in first-episode schizophrenia.   总被引:3,自引:0,他引:3  
BACKGROUND: Abnormalities in the patterns and frequency of cortical folding might help identify temporal and regionally specific disturbances in normal neurodevelopmental processes that occur in association with schizophrenia. Few studies, however, have investigated gyral complexity in schizophrenia. METHODS: High-resolution magnetic resonance images were used to examine differences in gyral complexity, measured three-dimensionally in five separate hemispheric regions covering the entire cortical surface, in patients with first-episode schizophrenia (n = 50) compared with demographically matched healthy comparison subjects (n = 50). The modulating effects of gender and hemisphere were also examined. RESULTS: Significant increases in cortical folding were observed in the right superior frontal cortex in male schizophrenic patients compared with male control subjects, but not between female diagnostic groups. Significant main effects of hemisphere were found in frontal, parietal, and occipital regions in directions complementary to cerebral torques. CONCLUSIONS: Results support previous findings of right frontal hypergyria in male schizophrenic patients and suggest that these abnormalities predate illness onset and are of neurodevelopmental origin. Therefore, in schizophrenia, sexually dimorphic developmental processes and differences in hemispheric connectivity, which have been shown to influence the organization and/or frequency of cortical folding, seem to be disturbed during gyral formation in utero.  相似文献   
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The midcingulate cortex, as part of the more anteriorly located cingulate regions, is thought to play a major role in cognitive processes like conflict monitoring or response selection. Regarding midcingulate fissurization, the occurrence of a second or paracingulate sulcus is more common in the left than in the right hemisphere and has been shown to be associated with an advantageous performance on tests of executive functions. However, the cognitive mechanisms underlying such behavioral differences are completely unknown. The current study addressed this issue by comparing subjects with a low and a high degree of left hemispheric midcingulate fissurization while collecting behavioral as well as electrophysiological correlates of Stroop interference. A high degree of fissurization was associated with decreased behavioral Stroop interference accompanied by a stronger and prolonged frontal negative potential to incongruent trials starting around 320 ms. This increased frontal negativity is assumed to reflect an enhanced activity of a conflict monitoring system located in the midcingulate cortex. In contrast and starting around 400 ms, subjects with low fissurization revealed an increased positivity over parieto-occipital regions suggesting a compensatory need for enhanced effortful cognitive control in this group. These results contribute to the understanding of the neuronal implementation of individual differences regarding attentional mechanisms.  相似文献   
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