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Review ArticleReview Article
Open Access

Alterations of the occipital lobe in schizophrenia

Hassaan Tohid, Muhammad Faizan and Uzma Faizan
Neurosciences Journal July 2015, 20 (3) 213-224; DOI: https://doi.org/10.17712/nsj.2015.3.20140757
Hassaan Tohid
From the University of California, Davis (Tohid), UC Davis, Los Angeles, UCLA, and the Napa State Hospital (Tohid), Napa, California, United States of America, and Sindh Medical College (Faizan, M, Faizan U), Dow University of Health Sciences, Jinnah Postgraduate Medical Center, Karachi, Pakistan
MBBS
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  • For correspondence: [email protected]
Muhammad Faizan
From the University of California, Davis (Tohid), UC Davis, Los Angeles, UCLA, and the Napa State Hospital (Tohid), Napa, California, United States of America, and Sindh Medical College (Faizan, M, Faizan U), Dow University of Health Sciences, Jinnah Postgraduate Medical Center, Karachi, Pakistan
MBBS
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Uzma Faizan
From the University of California, Davis (Tohid), UC Davis, Los Angeles, UCLA, and the Napa State Hospital (Tohid), Napa, California, United States of America, and Sindh Medical College (Faizan, M, Faizan U), Dow University of Health Sciences, Jinnah Postgraduate Medical Center, Karachi, Pakistan
MBBS
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    Table 1

    Relevant studies showing the association of the occipital lobe in the brain of schizophrenic patients.

    Author/publication yearCountryStudy designPopulationSample sizeDiagnostic criteriaMain findings
    Spalletta G et al, 201532Italy USACross-sectional study21 schizophrenia into its deficit (SZD) patients, 21 schizophrenia into its non-deficit (SZND) patients, and 21 healthy controls63DSM-IV-TRRadial diffusivity was found to be higher in the left forceps minor of schizophrenia into its deficit (SZD) patients, in the left internal capsule of schizophrenia into its non-deficit (SZND) patients, and in the right inferior fronto-occipital fasciculus in the whole schizophrenia group. Mean diffusivity increased from healthy controls to SZD patients to SZND patients in the right occipital lobe
    Guo X et al, 201333China USACross-sectional study57 patients (27 short DUP * and 30 long DUP*) and 30 healthy controls87The structured clinical interview for DSM-IV Axis I Disorders–Clinician Version administered by clinicians (QL and YS)Long DUP was found to be linked with temporal and occipitotemporal gray matter volume reduction in treatment naive schizophrenia.
    *Duration of untreated psychosis
    Anderson D et al, 201334USACross-sectional studyFifty-five patients with a diagnosis of schizophrenia or bipolar I disorder55Clinical interview using the SCID for DSM-IV DisordersSchizophrenic patients have lower fractional anisotropy in temporal (superior temporal and parahippocampal) and occipital (superior and middle occipital) white matter compared to patients with bipolar disorder and healthy volunteers
    Nieuwenhuis M 2012, et al35The NetherlandsCross-sectional study239 subjects (128 patients and 111 healthy controls) independent sample of 277 subjects (155 patients and 122 healthy controls)516Patient=DSM-IV-TRGray matter density was found to be increased in the left occipital lobe and the basal ganglia
    Healthy participants=never been mentally ill
    Fujimoto T et al, 201336JapanCross-sectional study10 right-handed male schizophrenia patients and 10 healthy controls20DSM-IV-TR criteriaA positive correlation of auditory hallucination and left occipital and right frontoparietal lobe areas was found
    Yao L et al, 201337ChinaMeta-analysis (DTI)271 first episode schizophrenia patients and 297 healthy controls568Inclusion exclusion criteria by keywordsWhite matter changes in the left inferior fronto-occipital fasciculus was found
    Plomp G et al, 201342SwitzerlandCross-sectional study20 schizophrenic patients (14 patients were inpatients; 8 were outpatients) 20 controls40(DSM-IV) criteria, based on SCID-CVActivity reduction was mostly seen in lateraloccipital cortex (in the ventral stream)
    Chan WY et al, 201043SingaporeCross-sectional study103 individuals comprising of 39 patients with first-episode schizophrenia and 64 healthy controls103DSM-IVFirst episode schizophrenic patient have lower white matter volume (right temporal-occipital region) diffusion anisotropy in the right temporal-occipital region revealed lower planar anisotropy, and higher linear anisotropy
    Miyata J et al, 201044JapanCross-sectional study26 schizophrenia patients and 27 healthy controls53Patient edition of the Structural Clinical Interview for DSM-IV Axis – 1 DisorderFacial emotion recognition subtask demonstrated a noteworthy relationship with fractional anisotropy reductions in the left occipital white matter
    Gutierrez D et al, 201545Spain GermanyCross-Sectional study101 first-episode psychosis patients (FEP) and 69 healthy volunteers170DSM-IVGradual reduction of gray matter volume in the frontal, temporal, parietal and occipital lobes of schizophrenic patients was found.
    Pirnia T et al, 201552USACross-sectional study26 schizophrenia patients (mean age: 33, 19m/7f), 30 controls (mean age: 29, 24m/6f), and 14 unaffected relatives of patients (mean age: 40, 5m/9f).70DSM-IV-Patient Version(SCID-1/P) and informant informationTemporo-occipital and parietal region hyper-activations were observed
    Hart SJ et al, 201353USACross-sectional study21 children with a first-degree family member with schizophrenia and 21 controls without FHR42DSM IV Disorders for adults and the Washington University Kiddie Schedule for Affective Disorders and Schizophrenia for childrenIt was found that during emotional processing, the FHR group showed reduced anterior cingulate activation, with reduced age-related recruitment of inferior frontal, parietal and occipital areas
    Rigucci S et al, 201354ItalyCross-sectional study19 patients with first episode of non-affective psychosis and 18 controls37DSM-IV-TR criteriaLoss in facial emotion recognition was found to be linked with temporo-occipital gray matter volume reduction
    Calderone DJ et al, 201355USACross-sectional study15 schizophrenic patients and 15 healthy volunteers30Structured Clinical Interview for DSM-IV (SCID) and available clinical informationOccipital activation volume reduction was observed
    Collin G et al, 201356The NetherlandsCross-sectional study146 schizophrenia patients and 122 healthy comparison subjects268DSM-IVReduced coupling was most prominent between fronto-parietal cortical regions and subcortical structures, and between frontal and occipital regions. Moreover, a marked association was found among frontal and limbic regions, and for temporo-occipital connections
    Woodward ND et al, 201257USACross-sectional study62 patients with schizophrenia and 77 healthy subjects139The Structured Clinical Interview for Diagnosing DSM-IV Disorders (SCID: 19)There was no difference in temporal, posterior parietal, or occipito-cortex connectivity with the thalamus
    Hoptman MJ et al, 201259USACross-sectional study23 healthy controls 25 patients48Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Patient version (SCID-I/P)Notable reductions in VMHC in patients in the occipital lobe, the thalamus, and the cerebellum
    Fujimoto T et al, 201261JapanCross-sectional study10 right-handed male schizophrenia patients10DSM-IV-TR criteriaERD and ERS changes were found in the left temporal pole and midline frontal and anterior cingulate cortex in theta ERS, occipital lobe in alpha ERS, and right temporal-frontal-parietal, midline frontal, and anterior cingulate cortex in beta ERD
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      Table 2

      Structural, functional, and metabolic changes in the occipital lobe summary of the study by Steen et al.70

      Changes in the occipital lobeEvidence for occipital alterations in schizophrenia
      Structural changesReduction in the white matter integrity of the occipital cortex and fusiform gyrus in schizophrenia as compared to controls
      A higher frequency of reverse asymmetry in the occipital lobe in schizophrenics
      No significant change in occipital lobe volume over time in schizophrenia compared to controls
      Functional changesModerate evidence suggests people with schizophrenia demonstrate reduced activity in the middle occipital gyrus during executive function tasks
      Moderate quality evidence shows decreased functional activity in the fusiform gyrus and right lingual gyrus during memory encoding, and memory retrieval in schizophrenic patients compared to controls
      Moderate quality evidence shows that schizophrenic patients show decreased activation during emotion processing tasks in the fusiform, lentiform and middle occipital gyri
      Metabolic changesMetabolic changes considering N-Acetyl Aspartate were found in the occipital lobe in schizophrenic patients
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    1 Jul 2015
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    Alterations of the occipital lobe in schizophrenia
    Hassaan Tohid, Muhammad Faizan, Uzma Faizan
    Neurosciences Journal Jul 2015, 20 (3) 213-224; DOI: 10.17712/nsj.2015.3.20140757

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    Alterations of the occipital lobe in schizophrenia
    Hassaan Tohid, Muhammad Faizan, Uzma Faizan
    Neurosciences Journal Jul 2015, 20 (3) 213-224; DOI: 10.17712/nsj.2015.3.20140757
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