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Yıl:1999; Cilt: 9; Sayı: 2>> Özet
TAM METİN
Klinik Psikofarmakoloji Bülteni; 1999;9(2):99-103
Şizofreni etyolojisinde nörogelişimsel hipotez
AG Hariri, GU Özer, ME Ceylan, N Ceylan, B Yazan, AO Önal
Bakırköy Ruh ve Sinir Hastalıkları Hastanesi, İstanbul
Yakın zamana kadar şizofreni etyopatogenezinde çeşitli kavramlardan söz edilmiş, ancak genç erişkin dönemde ortaya çıkan serebral patolojiler üzerinde durulmaya başlandıktan sonra, şizofreni nörobiyolojisine daha fazla eğilme gereği doğmuştur. Son zamanlarda şizofreninin bir nörogelişimsel hastalık olduğu düşüncesi daha kabul edilir olmuştur. Bu görüşe göre, henüz klinik semptomatoloji kendini göstermeden çok önceleri, hatta beyin gelişimi esnasındaki primer serebral hasar ya da başka bir patolojik süreç (nörogenezizde aksama, hatalı nöronal migrasyon, hücresel ve bölgesel farklılaşmadaki yetersizlik, sinaptik eliminasyonda bozukluk, hormonal vb. nedenlerle sinaptik stabilizasyonda aksama gibi) şizofreni gelişimini başlatmaktadır.

Bu yazıda öncelikle normal beyin gelişimi anlatılarak, bazı anomalilerin şizofreni ile bağlantıları ve serebral hatalı gelişim üzerine yapılan çalışmalar tartışılmıştır.

Schizophrenia: Neurodevelopmental hypothesis
Until recently many concepts about schizophrenia ethiopathogenesis have been talked about. But the importance of the cerebral pathologies appearing during the adolescence period, was understood the need for examining the schizophrenia has come to date. Recently schizophrenia is accepted as a neurodevelopmental disease. According to this idea, a long time before the clinical symptomatology appears, a primer cerebral damage or another pathologic period (like the deficiency in the neurogenesis, deficient neuronal migration, the inadequation in the cellular or regional differentiation, the deficiency in the synaptic stabilization caused by hormones or other reasons) initiates the schizophrenia.

In this article, first of all we will explain the normal cerebral development and we will point out the relationship between some anomalies and schizophrenia and the studies on in the cerebral development will be discussed.

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