Schizophrenia at Childhood and Adolescence
Malá E.
Institut postgraduálního vzdělávání ve zdravotnictví, Praha, ředitel MUDr. A. Malina, Ph.D. Dětská psychiatrická klinika 2. LF UK a FN Motol, Praha, přednosta doc. MUDr. M. Hrdlička, CSc. |
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Summary:
The research indicated that two characteristics were valid for the research in schizophrenia, especially
in schizophrenia at the child age and adolescence, specifically perinatal damage and increased
irritability of the nervous system. The irritability is caused by imperfect coordination of the
excitation and inhibition system. In these patients there is a slightly higher occurrence of neurodegenerative
stigmata (s.c. craniofacial dysmorphia). There is also a more frequent occurrence of velocardiofacial
syndrome Di George/VCFS). Neuropathological and cytoarchitectonic changes in limbic
structures, in hippocampus, septum, corpus callosum, in temporal and frontal lobes, changes in
brain/chamber ratio and general brain asymmetry confirm the model of intrauterine programmed
“error” and represent a marker of vulnerability in the individual at risk. Genetic factors determine
the physical basis of the personality (resistance), but psychic disorder is the results of precipitation
of the effects of genetic, biological-organic, developmental and environmental factors. Neurodevelopmental
theory on the origin of schizophrenia assumes that inclination to the disease is present
and can be therefore determined from the earliest stages of the individual’s life and becomes manifest
in biological and biochemical as well as cognitive and psychological deviations from normal
course of development.
Key words:
perinatal complications, physical anomalies and developmental abnormalities in schizophrenia
with early origin, velocardiofacial syndrome DiGeorge/VCFS).
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