Patients with poor response to antipsychotics have a more severe pattern of frontal atrophy: a voxel-based morphometry study of treatment resistance in schizophrenia.

Approximately 30% of schizophrenia patients do not respond adequately to the therapy. Previous MRI studies have suggested that drug treatment resistance is associated with brain morphological abnormalities, although region-of-interest analysis of MR studies from nonresponder and responder patients failed to demonstrate a statistically significant difference between these two schizophrenia subgroups. We have used a voxel-based analysis of segmented MR studies to assess structural cerebral differences in 20 nonresponder and 15 responder patients and 16 age-matched normal volunteers. Differences between the three groups emerged bilaterally mainly at the level of the superior and middle frontal gyri, primarily due to reduced grey matter volumes in nonresponders, as compared to both normal volunteers and responder patients. Post hoc direct comparison between the two schizophrenia subgroups demonstrated significantly reduced grey matter volumes in middle frontal gyrus bilaterally, in the dorsolateral aspects of left superior frontal gyrus extending into postcentral gyrus and in the right medial temporal cortex. Our results extend and integrate previous findings suggesting a more severe atrophy in nonresponder schizophrenia patients, compared to responder patients, mainly at the level of the superior and middle frontal gyri. Longitudinal studies in drug-naïve patients are needed to assess the role of these associations.

[Personality disorder and penal imputability: a case of uxoricide in a expert's report]. / Disturbo di personalità e imputabilità: intervento peritale in un caso di uxoricidio.

The personality disorders are generally described as a persistent pattern of inner experience that deviates strongly from the expectations of the culture of an individual in terms of cognition, affectivity, interpersonal functioning and impulse control. They are a complex area of defining and understanding for the clinical and forensic psychiatrist. A recent ruling by the Court of Cassation stated that personality disorder may be a result of reduction or cancellation of the ability to understand and will, if so serious as to affect the same. In the present work is explored, using a psycho-diagnostic protocol, the psychological profile of a person with a narcissistic personality disorder, charged for uxoricidio.

Increased dopaminergic activity in restricting-type anorexia nervosa.

Eye blink rate, a peripheral measure of central dopaminergic activity, has been investigated in 20 female anorexic "restricting-type" patients and 16 healthy female subjects. A significantly increased blink rate was found in the anorexic patients. A significant positive correlation between blink rate and duration of illness was also found.