Alterations in the volume of thalamic nuclei in patients with schizophrenia and persistent auditory hallucinations

Bibliographic Details
Title: Alterations in the volume of thalamic nuclei in patients with schizophrenia and persistent auditory hallucinations
Authors: Marta Perez-Rando, Uriel K.A. Elvira, Gracian García-Martí, Marien Gadea, Eduardo J Aguilar, Maria J Escarti, Mónica Alba Ahulló-Fuster, Eva Grasa, Iluminada Corripio, Julio Sanjuan, Juan Nacher
Source: NeuroImage: Clinical, Vol 35, Iss , Pp 103070- (2022)
Publisher Information: Elsevier, 2022.
Publication Year: 2022
Collection: LCC:Computer applications to medicine. Medical informatics
LCC:Neurology. Diseases of the nervous system
Subject Terms: Thalamic nuclei, Auditory hallucinations, PSYRATS, MGN, MD, PuA, Computer applications to medicine. Medical informatics, R858-859.7, Neurology. Diseases of the nervous system, RC346-429
More Details: The thalamus is a subcortical structure formed by different nuclei that relay information to the neocortex. Several reports have already described alterations of this structure in patients of schizophrenia that experience auditory hallucinations. However, to date no study has addressed whether the volumes of specific thalamic nuclei are altered in chronic patients experiencing persistent auditory hallucinations. We have processed structural MRI images using Freesurfer, and have segmented them into 25 nuclei using the probabilistic atlas developed by Iglesias and collaborators (Iglesias et al., 2018). To homogenize the sample, we have matched patients of schizophrenia, with and without persistent auditory hallucinations, with control subjects, considering sex, age and their estimated intracranial volume. This rendered a group number of 41 patients experiencing persistent auditory hallucinations, 35 patients without auditory hallucinations, and 55 healthy controls. In addition, we have also correlated the volume of the altered thalamic nuclei with the total score of the PSYRATS, a clinical scale used to evaluate the positive symptoms of this disorder. We have found alterations in the volume of 8 thalamic nuclei in both cohorts of patients with schizophrenia: The medial and lateral geniculate nuclei, the anterior, inferior, and lateral pulvinar nuclei, the lateral complex and the lateral and medial mediodorsal nuclei. We have also found some significant correlations between the volume of these nuclei in patients experiencing auditory hallucinations, and the total score of the PSYRATS scale. Altogether our results indicate that volumetric alterations of thalamic nuclei involved in audition may be related to persistent auditory hallucinations in chronic schizophrenia patients, whereas alterations in nuclei related to association cortices are evident in all patients. Future studies should explore whether the structural alterations are cause or consequence of these positive symptoms and whether they are already present in first episodes of psychosis.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2213-1582
Relation: http://www.sciencedirect.com/science/article/pii/S2213158222001358; https://doaj.org/toc/2213-1582
DOI: 10.1016/j.nicl.2022.103070
Access URL: https://doaj.org/article/aed640d9df724d1ba2a1a71645038652
Accession Number: edsdoj.640d9df724d1ba2a1a71645038652
Database: Directory of Open Access Journals
More Details
ISSN:22131582
DOI:10.1016/j.nicl.2022.103070
Published in:NeuroImage: Clinical
Language:English