Literature DB >> 22265363

Parietal lobe volume deficits in adolescents with schizophrenia and adolescents with cannabis use disorders.

Sanjiv Kumra1, Paul Robinson, Rabindra Tambyraja, Daniel Jensen, Caroline Schimunek, Alaa Houri, Tiffany Reis, Kelvin Lim.   

Abstract

OBJECTIVE: In early-onset schizophrenia (EOS), the earliest structural brain volumetric abnormalities appear in the parietal cortices. Early exposure to cannabis may represent an environmental risk factor for developing schizophrenia. This study characterized cerebral cortical gray matter structure in adolescents in regions of interest (ROIs) that have been implicated in EOS and cannabis use disorders (CUD).
METHOD: T1-weighted magnetic resonance images were acquired from adolescents with EOS (n = 35), CUD (n = 16), EOS + CUD (n = 13), and healthy controls (HC) (n = 51). Using FreeSurfer, brain volume was examined within frontal, temporal, parietal and subcortical ROIs by a 2 (EOS versus no EOS) × 2 (CUD versus no CUD) design using multivariate analysis of covariance. In ROIs in which volumetric differences were identified, additional analyses of cortical thickness and surface area were conducted.
RESULTS: A significant EOS-by-CUD interaction was observed. In the left superior parietal region, both "pure" EOS and "pure" CUD had smaller gray matter volumes that were associated with lower surface area compared with HC. A similar alteration was observed in the comorbid group compared with HC, but there was no additive volumetric deficit found in the comorbid group compared with the separate groups. In the left thalamus, the comorbid group had smaller gray matter volumes compared with the CUD and HC groups.
CONCLUSIONS: These preliminary data indicate that the presence of a CUD may moderate the relationship between EOS and cerebral cortical gray matter structure in the left superior parietal lobe. Future research will follow this cohort over adolescence to further examine the impact of cannabis use on neurodevelopment.

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Year:  2011        PMID: 22265363     DOI: 10.1016/j.jaac.2011.11.001

Source DB:  PubMed          Journal:  J Am Acad Child Adolesc Psychiatry        ISSN: 0890-8567            Impact factor:   8.829


  23 in total

1.  White matter abnormalities and cognitive impairment in early-onset schizophrenia-spectrum disorders.

Authors:  Katherine A Epstein; Kathryn R Cullen; Bryon A Mueller; Paul Robinson; Susanne Lee; Sanjiv Kumra
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2.  Cannabis use in youth is associated with limited alterations in brain structure.

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Review 5.  Gray matter alterations in schizophrenia high-risk youth and early-onset schizophrenia: a review of structural MRI findings.

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7.  The impact of ADHD persistence, recent cannabis use, and age of regular cannabis use onset on subcortical volume and cortical thickness in young adults.

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Review 9.  Neuroimaging schizophrenia: a picture is worth a thousand words, but is it saying anything important?

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