Metabolic disconnection between the mediodorsal nucleus of the thalamus and cortical Brodmann's areas of the left hemisphere in schizophrenia

Am J Psychiatry. 2005 Sep;162(9):1733-5. doi: 10.1176/appi.ajp.162.9.1733.

Abstract

Objective: The authors' goal was to examine interregional correlations of thalamocortical metabolic activity during a verbal learning task in schizophrenia.

Method: They used [18F]fluorodeoxyglucose positron emission tomography in 41 unmedicated patients with schizophrenia and 59 normal comparison subjects.

Results: A metabolic disconnection was observed in patients with schizophrenia in the left hemisphere between the mediodorsal nucleus and widespread frontotemporal cortical regions, and stronger-than-normal intercorrelations were found between the pulvinar and superior temporal, selected parietal, posterior cingulate, and occipital areas.

Conclusions: Deficits in the functional interrelationships between the left frontotemporal cortices and the left mediodorsal nucleus of the thalamus complement inferences from postmortem and magnetic resonance imaging volumetric studies identifying a thalamic diathesis in schizophrenia.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Brain Mapping / methods*
  • Cerebral Cortex / diagnostic imaging
  • Cerebral Cortex / metabolism*
  • Female
  • Fluorodeoxyglucose F18
  • Frontal Lobe / metabolism
  • Functional Laterality / physiology*
  • Glucose / metabolism
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Mediodorsal Thalamic Nucleus / diagnostic imaging
  • Mediodorsal Thalamic Nucleus / metabolism*
  • Middle Aged
  • Neural Pathways / metabolism
  • Positron-Emission Tomography
  • Schizophrenia / diagnostic imaging
  • Schizophrenia / metabolism*
  • Temporal Lobe / metabolism
  • Verbal Learning / physiology

Substances

  • Fluorodeoxyglucose F18
  • Glucose