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Asymmetrical olfactory acuity and neuroleptic treatment in schizophrenia

Identifieur interne : 000054 ( PascalFrancis/Curation ); précédent : 000053; suivant : 000055

Asymmetrical olfactory acuity and neuroleptic treatment in schizophrenia

Auteurs : S. E. Purdon [Canada] ; P. Flor-Henry [Canada]

Source :

RBID : Pascal:00-0466810

Descripteurs français

English descriptors

Abstract

Uni-rhinal olfactory acuity in schizophrenia was investigated in two experiments. The first assessed the presence of a predicted atypical asymmetry of nostril laterality and the second assessed the effect of antipsychotic treatment on the asymmetry. Although olfactory identification impairment has been well documented in schizophrenia, olfactory acuity has been neglected. This may be an oversight as cerebral structures of the mesial temporal lobe important to olfactory perception have often been implicated in the pathophysiology of schizophrenia and it is thus reasonable to postulate a primary impairment of olfactory acuity in schizophrenia. In addition, unmedicated patients with schizophrenia have exhibited asymmetrical laterality favouring the right over the left hemisphere in studies of visual, haptic, and auditory perception, and the few published prospective treatment studies have suggested a reversal of this asymmetry with first generation neuroleptic treatments. In experiment 1 a generalization of the perceptual asymmetry to olfactory acuity was examined by measurement of n-butanol olfactory thresholds with the Connecticut Chemosensory Perception Exam (CCPE) in an unmedicated sample of 17 patients with schizophrenia and 17 age, gender, and handedness matched normal controls. The patient sample showed an asymmetrical impairment of the left nostril that was not apparent in the normal control sample. In experiment 2, the CCPE was administered to a new sample of 10 patients with schizophrenia before and after neuroleptic treatment. The asymmetry observed in experiment I was replicated, and the relative advantage of the right nostril shifted to a relative advantage of the left nostril over the course of 8 weeks of treatment. Results are discussed in relation to cerebral aspects of schizophrenia and potential implications to cognitive change from treatment.
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C01 01    ENG  @0 Uni-rhinal olfactory acuity in schizophrenia was investigated in two experiments. The first assessed the presence of a predicted atypical asymmetry of nostril laterality and the second assessed the effect of antipsychotic treatment on the asymmetry. Although olfactory identification impairment has been well documented in schizophrenia, olfactory acuity has been neglected. This may be an oversight as cerebral structures of the mesial temporal lobe important to olfactory perception have often been implicated in the pathophysiology of schizophrenia and it is thus reasonable to postulate a primary impairment of olfactory acuity in schizophrenia. In addition, unmedicated patients with schizophrenia have exhibited asymmetrical laterality favouring the right over the left hemisphere in studies of visual, haptic, and auditory perception, and the few published prospective treatment studies have suggested a reversal of this asymmetry with first generation neuroleptic treatments. In experiment 1 a generalization of the perceptual asymmetry to olfactory acuity was examined by measurement of n-butanol olfactory thresholds with the Connecticut Chemosensory Perception Exam (CCPE) in an unmedicated sample of 17 patients with schizophrenia and 17 age, gender, and handedness matched normal controls. The patient sample showed an asymmetrical impairment of the left nostril that was not apparent in the normal control sample. In experiment 2, the CCPE was administered to a new sample of 10 patients with schizophrenia before and after neuroleptic treatment. The asymmetry observed in experiment I was replicated, and the relative advantage of the right nostril shifted to a relative advantage of the left nostril over the course of 8 weeks of treatment. Results are discussed in relation to cerebral aspects of schizophrenia and potential implications to cognitive change from treatment.
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C03 11  X  FRE  @0 Chimiothérapie @5 11
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C07 01  X  ENG  @0 Psychosis @5 37
C07 01  X  SPA  @0 Psicosis @5 37
N21       @1 311

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<s0>Sistema nervioso central</s0>
<s5>18</s5>
</fC03>
<fC03 i1="16" i2="X" l="FRE">
<s0>Exploration clinique</s0>
<s5>19</s5>
</fC03>
<fC03 i1="16" i2="X" l="ENG">
<s0>Clinical investigation</s0>
<s5>19</s5>
</fC03>
<fC03 i1="16" i2="X" l="SPA">
<s0>Exploración clínica</s0>
<s5>19</s5>
</fC03>
<fC03 i1="17" i2="X" l="FRE">
<s0>Etude longitudinale</s0>
<s5>20</s5>
</fC03>
<fC03 i1="17" i2="X" l="ENG">
<s0>Follow up study</s0>
<s5>20</s5>
</fC03>
<fC03 i1="17" i2="X" l="SPA">
<s0>Estudio longitudinal</s0>
<s5>20</s5>
</fC03>
<fC03 i1="18" i2="X" l="FRE">
<s0>Homme</s0>
<s5>21</s5>
</fC03>
<fC03 i1="18" i2="X" l="ENG">
<s0>Human</s0>
<s5>21</s5>
</fC03>
<fC03 i1="18" i2="X" l="SPA">
<s0>Hombre</s0>
<s5>21</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Psychose</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Psychosis</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Psicosis</s0>
<s5>37</s5>
</fC07>
<fN21>
<s1>311</s1>
</fN21>
</pA>
</standard>
</inist>
</record>

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