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PMID: 8790444 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.

Schizophrenia and cognitive dysmetria: a positron-emission tomography study of dysfunctional prefrontal-thalamic-cerebellar circuitry.

Andreasen NC, O'Leary DS, Cizadlo T, Arndt S, Rezai K, Ponto LL, Watkins GL, Hichwa RD

Abstract

Patients suffering from schizophrenia display subtle cognitive abnormalities that may reflect a difficulty in rapidly coordinating the steps that occur in a variety of mental activities. Working interactively with the prefrontal cortex, the cerebellum may play a role in coordinating both motor and cognitive performance. This positron-emission tomography study suggests the presence of a prefrontal-thalamic-cerebellar network that is activated when normal subjects recall complex narrative material, but is dysfunctional in schizophrenic patients when they perform the same task. These results support a role for the cerebellum in cognitive functions and suggest that patients with schizophrenia may suffer from a "cognitive dysmetria" due to dysfunctional prefrontal-thalamic-cerebellar circuitry.

MeSH Terms
Adult Cerebellum/diagnostic imaging Cognition Disorders/diagnostic imaging Female Humans Magnetic Resonance Imaging Male Memory Prefrontal Cortex/diagnostic imaging Radiography Schizophrenia/diagnostic imaging Thalamus/diagnostic imaging Tomography, Emission-Computed
Authors & Affiliations
8 authors, click to expand affiliations / ORCID
Andreasen N C
Mental Health Clinical Research Center, University of Iowa College of Medicine and Hospitals and Clinics, Iowa City 52242, USA.
O'Leary D S
Cizadlo T
Arndt S
Rezai K
Ponto L L
Watkins G L
Hichwa R D
References (46)
46 references, click to expand
  1. An emerging concept. The cerebellar contribution to higher function.
    Arch Neurol. 1991 Nov;48(11):1178-87 PMID: 1953406
  2. The medial temporal lobe memory system.
    Science. 1991 Sep 20;253(5026):1380-6 PMID: 1896849
  3. Patterns of cerebral blood flow in schizophrenia.
    Br J Psychiatry. 1992 Feb;160:179-86 PMID: 1540757
  4. Increased GABAA receptor binding in superficial layers of cingulate cortex in schizophrenics.
    J Neurosci. 1992 Mar;12(3):924-9 PMID: 1372045
  5. Image processing for the study of brain structure and function: problems and programs.
    J Neuropsychiatry Clin Neurosci. 1992 Spring;4(2):125-33 PMID: 1627972
  6. A three-dimensional statistical analysis for CBF activation studies in human brain.
    J Cereb Blood Flow Metab. 1992 Nov;12(6):900-18 PMID: 1400644
  7. Stereological quantitation of human brains from normal and schizophrenic individuals.
    Acta Neurol Scand Suppl. 1992;137:20-33 PMID: 1414258
  8. Frontostriatal disorder of cerebral metabolism in never-medicated schizophrenics.
    Arch Gen Psychiatry. 1992 Dec;49(12):935-42 PMID: 1360198
  9. Hypofrontality in neuroleptic-naive patients and in patients with chronic schizophrenia. Assessment with xenon 133 single-photon emission computed tomography and the Tower of London.
    Arch Gen Psychiatry. 1992 Dec;49(12):943-58 PMID: 1360199
  10. Functional mapping of brain areas implicated in auditory--verbal memory function.
    Brain. 1993 Feb;116 ( Pt 1):1-20 PMID: 8453452
  11. Voxel processing techniques for the antemortem study of neuroanatomy and neuropathology using magnetic resonance imaging.
    J Neuropsychiatry Clin Neurosci. 1993 Spring;5(2):121-30 PMID: 8508032
  12. Information processing and attention dysfunctions in schizophrenia.
    Schizophr Bull. 1993;19(2):233-59 PMID: 8322034
  13. Recent advances in the neuropathology of schizophrenia.
    Schizophr Bull. 1993;19(2):431-45 PMID: 8322039
  14. Neuroanatomical correlates of encoding in episodic memory: levels of processing effect.
    Proc Natl Acad Sci U S A. 1994 Mar 15;91(6):2008-11 PMID: 8134340
  15. Neuroanatomical correlates of retrieval in episodic memory: auditory sentence recognition.
    Proc Natl Acad Sci U S A. 1994 Mar 15;91(6):2012-5 PMID: 8134341
  16. Hemispheric encoding/retrieval asymmetry in episodic memory: positron emission tomography findings.
    Proc Natl Acad Sci U S A. 1994 Mar 15;91(6):2016-20 PMID: 8134342
  17. Images of the mind: studies with modern imaging techniques.
    Annu Rev Psychol. 1994;45:333-56 PMID: 8135505
  18. Brain regions associated with acquisition and retrieval of verbal episodic memory.
    Nature. 1994 Apr 14;368(6472):633-5 PMID: 8145849
  19. Effects of timing and duration of cognitive activation in [15O]water PET studies.
    J Cereb Blood Flow Metab. 1994 May;14(3):423-30 PMID: 8163584
  20. Activation of a cerebellar output nucleus during cognitive processing.
    Science. 1994 Aug 12;265(5174):949-51 PMID: 8052851
  21. Thalamic abnormalities in schizophrenia visualized through magnetic resonance image averaging.
    Science. 1994 Oct 14;266(5183):294-8 PMID: 7939669
  22. Anatomical evidence for cerebellar and basal ganglia involvement in higher cognitive function.
    Science. 1994 Oct 21;266(5184):458-61 PMID: 7939688
  23. Functional anatomical studies of explicit and implicit memory retrieval tasks.
    J Neurosci. 1995 Jan;15(1 Pt 1):12-29 PMID: 7823123
  24. Neurological soft signs in neuroleptic-naive and neuroleptic-treated schizophrenic patients and in normal comparison subjects.
    Am J Psychiatry. 1995 Feb;152(2):191-6 PMID: 7840351
  25. Working memory dysfunction in schizophrenia.
    J Neuropsychiatry Clin Neurosci. 1994 Fall;6(4):348-57 PMID: 7841806
  26. Novelty encoding networks in the human brain: positron emission tomography data.
    Neuroreport. 1994 Dec 20;5(18):2525-8 PMID: 7696595
  27. Brain systems for encoding and retrieval of auditory-verbal memory. An in vivo study in humans.
    Brain. 1995 Apr;118 ( Pt 2):401-16 PMID: 7735882
  28. Short-term and long-term verbal memory: a positron emission tomography study.
    Proc Natl Acad Sci U S A. 1995 May 23;92(11):5111-5 PMID: 7761457
  29. Functional brain imaging studies of cortical mechanisms for memory.
    Science. 1995 Nov 3;270(5237):769-75 PMID: 7481764
  30. A functional neuroanatomy of hallucinations in schizophrenia.
    Nature. 1995 Nov 9;378(6553):176-9 PMID: 7477318
  31. Dopaminergic modulation of impaired cognitive activation in the anterior cingulate cortex in schizophrenia.
    Nature. 1995 Nov 9;378(6553):180-2 PMID: 7477319
  32. Regional brain activity in chronic schizophrenic patients during the performance of a verbal fluency task.
    Br J Psychiatry. 1995 Sep;167(3):343-9 PMID: 7496643
  33. Functional role of the prefrontal cortex in retrieval of memories: a PET study.
    Neuroreport. 1995 Oct 2;6(14):1880-4 PMID: 8547589
  34. Nonparametric analysis of statistic images from functional mapping experiments.
    J Cereb Blood Flow Metab. 1996 Jan;16(1):7-22 PMID: 8530558
  35. Functional sites of neuroleptic drug action in the human brain: PET/FDG studies with and without haloperidol.
    Am J Psychiatry. 1996 Jan;153(1):41-9 PMID: 8540590
  36. Pieces of the schizophrenia puzzle fall into place.
    Neuron. 1996 Apr;16(4):697-700 PMID: 8607988
  37. Abnormalities in midline attentional circuitry in schizophrenia: evidence from magnetic resonance and positron emission tomography.
    Eur Neuropsychopharmacol. 1995;5 Suppl:37-41 PMID: 8775757
  38. I. PET studies of memory: novel and practiced free recall of complex narratives.
    Neuroimage. 1995 Dec;2(4):284-95 PMID: 9343613
  39. Changes in the size and organisation of the brain in man and his ancestors.
    Brain Behav Evol. 1975;11(2):73-90 PMID: 1174934
  40. An HRP study of hypothalamo-cerebellar and cerebello-hypothalamic connections in squirrel monkey (Saimiri sciureus).
    J Comp Neurol. 1984 Nov 10;229(4):559-75 PMID: 6209312
  41. Physiologic dysfunction of dorsolateral prefrontal cortex in schizophrenia. I. Regional cerebral blood flow evidence.
    Arch Gen Psychiatry. 1986 Feb;43(2):114-24 PMID: 3947207
  42. Anatomical-functional correlation using an adjustable MRI-based region of interest atlas with positron emission tomography.
    J Cereb Blood Flow Metab. 1988 Aug;8(4):513-30 PMID: 3260594
  43. Reappraising the cerebellum: what does the hindbrain contribute to the forebrain?
    Behav Neurosci. 1989 Oct;103(5):998-1008 PMID: 2679667
  44. Schizophrenia: a subcortical neurotransmitter imbalance syndrome?
    Schizophr Bull. 1990;16(3):425-32 PMID: 1981107
  45. Comparing functional (PET) images: the assessment of significant change.
    J Cereb Blood Flow Metab. 1991 Jul;11(4):690-9 PMID: 2050758
  46. The human cerebro-cerebellar system: its computing, cognitive, and language skills.
    Behav Brain Res. 1991 Aug 29;44(2):113-28 PMID: 1751002
Article Info
Journal
Proceedings of the National Academy of Sciences of the United States of America
Abbr.
Proc Natl Acad Sci U S A
ISSN
0027-8424
Published
1996-09-03
Pages
9985-90
Language
English
Region
United States
NLM ID
7505876
PMCID
PMC38542
Subset
IM
Grants
NIMH NIH HHS · MH31593 · United States
NIMH NIH HHS · MH40856 · United States
NIMH NIH HHS · MHCRC43271 · United States
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