Skip to main content
Log in

Basal ganglia abnormalities in tardive dyskinesia

Possible relationship with duration of neuroleptic treatment

  • Original Paper
  • Published:
European Archives of Psychiatry and Clinical Neuroscience Aims and scope Submit manuscript

Abstract

The purpose of the present study was to investigate CT abnormalities in tardive dyskinesia (TD) and to search for possible relationships with clinical data. A group of 30 psychotic patients (15 schizophrenic and 15 affective disorder) with TD was compared to a matched group of 30 psychiatric patients without TD and a matched group of 30 healthy controls. CT data were analyzed using two multivariate statistical methods [multidimensional scaling (MDS) and step-wise discriminant analysis]. MDS clearly separated both TD and non-TD groups from the healthy control group on the basis of CT parameters. Caudate left area reduction and left temporal sulci enlargement were the most important parameters that discriminated TD from non-TD patients. Only in TD-patients did caudate left area reduction and left temporal sulci enlargement correlate significantly with cumulative duration of psychiatric hospitalizations. The data of the present study support the findings of structural abnormalities in the caudate nucleus and in the temporal lobe of patients with TD. These abnormalities were especially marked in the left hemisphere. It is assumed that some factor related to longer psychiatric hospital treatment (e.g. neuroleptic intake) could account for these abnormalities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Altshuler LL, Cummings JL, Bartzokis G, Hill MA, May PRA (1988) Lateral asymmetries of tardive dyskinesia in schizophrenia. Biol Psychiatry 24:83–86

    Google Scholar 

  • Bartels M, Themelis J (1983) Computerised tomography in tardive dyskinesia. Arch Psychiatr Nervenkr 233:371–379

    Google Scholar 

  • Bartzokis G, Garber HJ, Marder SR, Olendorf WH (1990) MRI in tardive dyskinesia: Shortened left caudate T2. Biol Psychiatry 28:1027–1036

    Google Scholar 

  • Caligiuri MP, Bracha HS, Lohr JB (1989) Asymmetry of neuroleptic-induced rigidity: Development of quantitative methods and clinical correlates. Psychiatry Res 30:275–284

    Google Scholar 

  • Chouinard G, Annable L, Ross-Chouinard A, Nestoros JN (1979) Factors related to tardive dyskinesia. Am J Psychiatry 136:79–82

    Google Scholar 

  • Christensen E, Moller JE, Faurbye A (1970) Neuropathological investigation of 28 brains from patients with dyskinesia. Acta Psychiatr Scand 46:14–23

    Google Scholar 

  • DeLisi LE, Buchsbaum MS, Holcomb HH, Langston KC, King AC, Kessler R, Pickar D, Carpenter WT Jr, Morihisa JM, Margolin R, Weinberger DR Increased temporal lobe glucose use in chronic schizophrenic patients. Biol Psychiatry 25:835–851

  • Gattaz WF, Rost W, Kohlmeyer K, Bauer K, Huebner C, Gasser T (1988) GT scans and neuroleptic response in schizophrenia: A multidimentional approach. Psychiatry Res 26:293–303

    Google Scholar 

  • Gelenberg A (1976) Computerised tomography in patients with tardive dyskinesia. Am J Psychiatry 133:578–579

    Google Scholar 

  • Gross H, Kaltenbaeck E (1970) Zur Neuropathologie der persistierenden choreiformen Hyperkinesen unter neuroleptischer Langzeitherapie. Psihofarmakologija (Zagreb) 2:195–204

    Google Scholar 

  • Haxby JV, Grady CL, Ungerleider LG, Horwitz B (1991) Mapping the functional neuroanatomy of the intact human brain with brain work imaging Neuropsychologia 29(6):539–555

    Google Scholar 

  • Hoffman WF, Casey DE (1991) Computed tomographic evaluation of patients with tardive dyskinesia. Schizoph Res 5:1–12

    Google Scholar 

  • Jellinger K (1977) Neuropathological findings after neuroleptic long-term therapy. In: Roizin L, Shiraki H, Greevic N (eds) Neurotoxicology. Raven Press, New York pp 25–32

    Google Scholar 

  • Jeste DV, Lohr JB, Manley M (1992) Study of neuropathologic changes in the striatum following 4, 8 and 12 months of treatment with fluphenazine in rats. Psychopharmacology 106:154–160

    Google Scholar 

  • Lohr JB, Wisniewski A, Jeste DV (1986) Neurological aspects of tardive dyskinesia. In: Nasrallah HA, Weinberger DR (eds) Handbook of schizophrenia. Vol. 1: The neurology of schizophrenia. Elsevier Science Publishers, Amsterdam, pp 97–119

    Google Scholar 

  • Luchins DJ, Lewine RRJ, Meltzer HY (1984) Lateral ventricular size, psychopathology, and medication response in the psychoses. Biol Psychiatry 19:29

    Google Scholar 

  • Mahadik SP, Laev H, Korenovsky A, Karpiak SE (1988) Haloperidol alters rat CNS cholinergic system: Enzymatic and morphological analyses. Biol Psychiatry 24:199–217

    Google Scholar 

  • Meshul CK, Casey DE (1991) Ultra structural changes in rat CNS with typical and atypical neuroleptics. In: Racagni G (ed) Biological Psychiatry, Vol 1. Elsevier Science Publishers BV, Amsterdam, pp 605–608

    Google Scholar 

  • Mion CC, Andreasen NC, Arndt S, Swayze VW, Cohen GA (1991) MRI abnormalities in tardive dyskinesia. Psychiatry Res 40:157–166

    Google Scholar 

  • Muscettola G, Pampallona S, Barbato G, Casiello M, Bollini P (1993) Persistent tardive dyskinesia: Demographic and pharmacological risk factors. Acta Psychiatr Scand 87:29–36

    Google Scholar 

  • Myslobodsky M, Weiner M (1976) Pharmacologic implications of hemispheric asymmetry Life Science 19:1467–1478

    Google Scholar 

  • Oleson J (1971) Contralateral focal increase of cerebral blood flow in man during arm work. Brain 94:635–646

    Google Scholar 

  • Owens DGC, Johnstone EC, Frith CD (1982) Spontaneous involuntary disorders of movement. Arch Gen Psychiatry 39:452–461

    Google Scholar 

  • Raz S, Raz N, (1990) Structural brain abnormalities in the major psychoses: A quantitative review of the evidence from computerised imaging. Psychol Bull 108(1):93–108

    Google Scholar 

  • Rush M, Diamond F, Alpert M (1982) Depression as a risk factor in tardive dyskinesia. Biol Psychiatry 17:387–392

    Google Scholar 

  • Sachdev P (1992) Laterality of torsion in tardive dystonia. Am J Psychiatry 149(5):713

    Google Scholar 

  • Sandyk R, Kay S (1991) Neuroradiological covariates of drug-induced parkinsonism and tardive dyskinesia in schizophrenia. Int J Neurosci 58:7–53

    Google Scholar 

  • Schooler NR, Kane JM (1982) Research diagnoses for tardive dyskinesia. Arch Gen Psychiatry 39:486–487

    Google Scholar 

  • Stuckskstedte H, Bartels M, Naumann D, Schied HW, Schroth G (1984) Computertomographische Untersuchungen bei Patienten mit Neuroleptika-induzierten Störungen der Extrapyramidalmotorik. Der Nervenarzt 55:483–487

    Google Scholar 

  • Waddington JL (1987) Tardive dyskinesia in schizophrenia and other disorders: Associations with ageing, cognitive dysfunction and structural brain pathology in relation to neuroleptic exposure. Hum Psychopharmacol 2:11–22

    Google Scholar 

  • Waziri R (1980) Lateralization of neuroleptic-induced dyskinesia indicates pharmacologic asymmetry in the brain. Psychopharmacology 68:51–53

    Google Scholar 

  • Weinberger DR, Bigelow LB, Kleinman JE, Klein ST, Rosenblatt JE, Wyatt RJ (1980) Cerebral ventricular enlargement in chronic schizophrenia. Arch Gen Psychatry 37, 11

    Google Scholar 

  • Wilson RL, Waziri R, Nasrallah HA, McCalley-Whitters M (1984) The lateralizaton of tardive dyskinesia. Biol Psychiatry 19:629–635

    Google Scholar 

  • Wolf DM, Ryan JJ, Mosnaim AD (1982) Organicity and tardive dyskinesia. Psychosomatics 23:475–480

    Google Scholar 

  • Yassa R, Jeste DV (1992) Gender differences in tardive dyskinesia: A critical review of the literature. Schizophr Bull 4:701–715

    Google Scholar 

  • Yassa R, Jones BD (1985) Complications of tardive dyskinesa: A review. Psychosomatics 26:305–313

    Google Scholar 

  • Yassa R, Nair V, Schwartz G (1984) Tardive dyskinesia and the primary psychiatric diagnosis. Psychosomatics 25:135–138

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Dalgalarrondo, P., Gattaz, W.F. Basal ganglia abnormalities in tardive dyskinesia. Eur Arch Psychiatry Clin Nuerosci 244, 272–277 (1994). https://doi.org/10.1007/BF02190380

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02190380

Key words

Navigation