Skip to main content
Indian Journal of Psychiatry logoLink to Indian Journal of Psychiatry
. 1998 Apr-Jun;40(2):180–185.

NEUROLOGICAL SOFT SIGNS, COGNITIVE DYSFUNCTION AND VENTRICULAR BRAIN RATION IN SCHIZOPHRENICS

Narottam Lal 1,*, SC Tiwari 2, Shrikant Srivastava 3, Abdul Khalid 4, Siddhartha 5, Neera Kohli 6
PMCID: PMC2965842  PMID: 21494466

Abstract

An association between cognitive dysfunction, neurological soft signs, enlarged brain ventricles and widened cortical sulci has been reported in schizophrenia. The present work aimed to study the relevance of positive and negative dichotomy with relation to neuropsychological performance of the schizophrenic patients, and the presence of neurological soft signs. In 23 schizophrenics patients diagnosed according to DSM-III-R of which 14 were of positive subtype and 9 were of negative subtype. At least one neurological soft sign was present in all the patients. The positive group had higher WMS and IQ scores and lower BGT scores than the negative group. Negative, correlation was seen for WMS and BGT scores with Ventricular Brain Ratio (VBR), and the soft signs showed positive correlation in the positive subtype only.

Keywords: Schizophrenia, positive subtype, negative subtype, neurological soft signs, neuropsychological tests, ventricular brain ratio

Full Text

The Full Text of this article is available as a PDF (231.1 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Andreasen N. C., Ehrhardt J. C., Swayze V. W., 2nd, Alliger R. J., Yuh W. T., Cohen G., Ziebell S. Magnetic resonance imaging of the brain in schizophrenia. The pathophysiologic significance of structural abnormalities. Arch Gen Psychiatry. 1990 Jan;47(1):35–44. doi: 10.1001/archpsyc.1990.01810130037006. [DOI] [PubMed] [Google Scholar]
  2. Andreasen N., Nasrallah H. A., Dunn V., Olson S. C., Grove W. M., Ehrhardt J. C., Coffman J. A., Crossett J. H. Structural abnormalities in the frontal system in schizophrenia. A magnetic resonance imaging study. Arch Gen Psychiatry. 1986 Feb;43(2):136–144. doi: 10.1001/archpsyc.1986.01800020042006. [DOI] [PubMed] [Google Scholar]
  3. Chua S. E., McKenna P. J. Schizophrenia--a brain disease? A critical review of structural and functional cerebral abnormality in the disorder. Br J Psychiatry. 1995 May;166(5):563–582. doi: 10.1192/bjp.166.5.563. [DOI] [PubMed] [Google Scholar]
  4. Cox S. M., Ludwig A. M. Neurological soft signs and psychopathology. I. Findings in schizophrenia. J Nerv Ment Dis. 1979 Mar;167(3):161–165. doi: 10.1097/00005053-197903000-00004. [DOI] [PubMed] [Google Scholar]
  5. Crow T. J. Molecular pathology of schizophrenia: more than one disease process? Br Med J. 1980 Jan 12;280(6207):66–68. doi: 10.1136/bmj.280.6207.66. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Donnelly E. F., Weinberger D. R., Waldman I. N., Wyatt R. J. Cognitive impairment associated with morphological brain abnormalities on computed tomography in chronic schizophrenic patients. J Nerv Ment Dis. 1980 May;168(5):305–308. doi: 10.1097/00005053-198005000-00011. [DOI] [PubMed] [Google Scholar]
  7. Goldberg T. E., Greenberg R. D., Griffin S. J., Gold J. M., Kleinman J. E., Pickar D., Schulz S. C., Weinberger D. R. The effect of clozapine on cognition and psychiatric symptoms in patients with schizophrenia. Br J Psychiatry. 1993 Jan;162:43–48. doi: 10.1192/bjp.162.1.43. [DOI] [PubMed] [Google Scholar]
  8. Golden C. J., Moses J. A., Jr, Zelazowski R., Graber B., Zatz L. M., Horvath T. B., Berger P. A. Cerebral ventricular size and neuropsychological impairment in young chronic schizophrenics. Measurement by the standardized Luria-Nebraska Neuropsychological Battery. Arch Gen Psychiatry. 1980 Jun;37(6):619–623. doi: 10.1001/archpsyc.1980.01780190017001. [DOI] [PubMed] [Google Scholar]
  9. Goldstein G., Zubin J. Neuropsychological differences between young and old schizophrenics with and without associated neurological dysfunction. Schizophr Res. 1990 Mar-Apr;3(2):117–126. doi: 10.1016/0920-9964(90)90044-8. [DOI] [PubMed] [Google Scholar]
  10. Hyde T. M., Nawroz S., Goldberg T. E., Bigelow L. B., Strong D., Ostrem J. L., Weinberger D. R., Kleinman J. E. Is there cognitive decline in schizophrenia? A cross-sectional study. Br J Psychiatry. 1994 Apr;164(4):494–500. doi: 10.1192/bjp.164.4.494. [DOI] [PubMed] [Google Scholar]
  11. Johnstone E. C., Crow T. J., Frith C. D., Husband J., Kreel L. Cerebral ventricular size and cognitive impairment in chronic schizophrenia. Lancet. 1976 Oct 30;2(7992):924–926. doi: 10.1016/s0140-6736(76)90890-4. [DOI] [PubMed] [Google Scholar]
  12. Johnstone E. C., Crow T. J., Frith C. D., Stevens M., Kreel L., Husband J. The dementia of dementia praecox. Acta Psychiatr Scand. 1978 Apr;57(4):305–324. doi: 10.1111/j.1600-0447.1978.tb06899.x. [DOI] [PubMed] [Google Scholar]
  13. Kolakowska T., Williams A. O., Jambor K., Ardern M. Schizophrenia with good and poor outcome. III: Neurological 'soft' signs, cognitive impairment and their clinical significance. Br J Psychiatry. 1985 Apr;146:348–357. doi: 10.1192/bjp.146.4.348. [DOI] [PubMed] [Google Scholar]
  14. Lewis S. W. Computerised tomography in schizophrenia 15 years on. Br J Psychiatry Suppl. 1990;(9):16–24. [PubMed] [Google Scholar]
  15. Owens D. G., Johnstone E. C., Crow T. J., Frith C. D., Jagoe J. R., Kreel L. Lateral ventricular size in schizophrenia: relationship to the disease process and its clinical manifestations. Psychol Med. 1985 Feb;15(1):27–41. doi: 10.1017/s0033291700020900. [DOI] [PubMed] [Google Scholar]
  16. Raz S., Raz N. Structural brain abnormalities in the major psychoses: a quantitative review of the evidence from computerized imaging. Psychol Bull. 1990 Jul;108(1):93–108. doi: 10.1037/0033-2909.108.1.93. [DOI] [PubMed] [Google Scholar]
  17. Siddharatha, Lal N., Tewari S. C., Dalal P. K., Kohli N., Srivastava S. A computed tomographic study of schizophrenia. Indian J Psychiatry. 1997 Apr;39(2):115–121. [PMC free article] [PubMed] [Google Scholar]
  18. Spohn H. E., Strauss M. E. Relation of neuroleptic and anticholinergic medication to cognitive functions in schizophrenia. J Abnorm Psychol. 1989 Nov;98(4):367–380. doi: 10.1037//0021-843x.98.4.367. [DOI] [PubMed] [Google Scholar]
  19. Van Horn J. D., McManus I. C. Ventricular enlargement in schizophrenia. A meta-analysis of studies of the ventricle:brain ratio (VBR) Br J Psychiatry. 1992 May;160:687–697. doi: 10.1192/bjp.160.5.687. [DOI] [PubMed] [Google Scholar]
  20. Weinberger D. R., Torrey E. F., Neophytides A. N., Wyatt R. J. Lateral cerebral ventricular enlargement in chronic schizophrenia. Arch Gen Psychiatry. 1979 Jul;36(7):735–739. doi: 10.1001/archpsyc.1979.01780070013001. [DOI] [PubMed] [Google Scholar]
  21. Williams A. O., Reveley M. A., Kolakowska T., Ardern M., Mandelbrote B. M. Schizophrenia with good and poor outcome. II: Cerebral ventricular size and its clinical significance. Br J Psychiatry. 1985 Mar;146:239–246. doi: 10.1192/bjp.146.3.239. [DOI] [PubMed] [Google Scholar]

Articles from Indian Journal of Psychiatry are provided here courtesy of Wolters Kluwer -- Medknow Publications

RESOURCES