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Yıl:2005; Cilt: 18; Sayı: 3>> Özet
TAM METİN
Düşünen Adam: Psikiyatri ve Nörolojik Bilimler Dergisi; 2005;18(3):164-170
Corpus Callosum Agnezisi ve Şizofreni ilişkisi: Olgu Sunumu
MS Yazar, H Akar, E Erbek, L Alpkan, N Eradamlar
Bakırköy Ruh ve Sinir Hastalıkları Hastanesi
Şizofreni etiyolojisinde yapısal anomalilerin rolü sıklıkla üzerinde durulan konulardan birini oluşturmaktadır. Beyindeki en büyük ve işlevsel açıdan en önemli hemisferler arası bağlantı yapısı olan corpus callosum (CC) ile ilişkili yapısal ve işlevsel anomaliler de şizofreni tabloları ile ilgili olarak sıklıkla çeşitli yazarlar tarafından bildirilmiştir. Bu psikotik bozuklukların ortak özellikleri pozitif semptomların baskınlığı, EEG patolojisi olmaması, sınırda IQ, konneksiyon testlerinde bozulma olmaması, eşlik eden diğer anomalilerin varlığıdır. Vakalarda temel serebral yapılara ait yapısal anomalilerin varlığının tespiti, şizofreninin etyopatogehezinin anlaşılmasına önemli katkılar sunmaktadır. Biz bu olguyu, CC'nin gelişimsel anomalileri ile psikotik hastalıklar arasındaki ilişkiyi otomatik olarak nedensel kabul etmek mümkün olmamakla birlikte, en azından bir grup şizofreni hastasında yapısal anomalilerin tablonun gelişiminden sorumlu olmasının söz konusu olabileceğini vurgulaması açısından ele aldık.
Corpus Callosum Agenesis and Schizophrenia Relationship: A Case Report
Structural abnormalities are one of the most important issues in schizophrenia etiopathogenesis. Corpus callosum which is the biggest and most important interhemispheric pathway in the brain is often mentioned in struc¬tural abnormalities in schizophrenia. These psychotic disorders share some common features: Positive symptomatology dominates the clinical picture, there is lack of EEG pathology, borderline IQ level, lack of connection test findings and associated structural brain deformities. In this case report the relationship between this rare cerebral structural abnormality, corpus callosum agenesis and schizophrenia is discussed. It is not possible to establish a causal relationship between such structural abnormalities and psychosis. Nevertheless in some group of schizophrenic patients, they may play an important role in etiology.

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