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KMID : 0368820100490020256
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Journal of the Korean Neuropsychiatr Association
2010 Volume.49 No. 2 p.256 ~ p.259
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A Case of Schizophrenia with Periventricular Leukomalacia on Magnetic Resonance Imaging
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Lee Moon-In
Shin Hye-Rang
Kim Hack-Ryul
Park Sang-Hag
Kim Sang-Hoon
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Abstract
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Schizophrenia was once known as a functional psychosis, a disorder with no structural basis. However, nowadays research has identified and confirmed many structural abnormalities in schizophrenia. One prominent such feature is the combination of ventricular enlargement and decreased cerebral volume. Periventricular leukomalacia causes cerebral palsy, cognitive impairment, visual impairment, and seizures. Recent studies reveal that periventricular leukomalacia causes ventricular enlargement and many brain circuit disruptions. Ventricular enlargement caused by periventricular leukomalacia is the most common pathological marker of schizophrenia. In this study, we report a case with periventricular leukomalacia on MRI findings in a 28-year-old schizophrenia patient. This patient showed auditory hallucinations and somatic delusions. We highlight the structural abnormalities, especially periventricular leukomalacia, in this case of schizophrenia.
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KEYWORD
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Periventricular leukomalacia, Magnetic resonance imaging, Schizophrenia
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