Psychosis related to neurological conditions: pro and cons of the dis- / mis-connectivity models of schizophrenia.

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Authors: Foucher, Jack R; Luck, David
Year: 2006
Journal: Dialogues in clinical neuroscience
PMID: 16640110
DOI: 10.31887/DCNS.2006.8.1/jfoucher
PMCID: PMC3181754

#	Section	Preview
20	Neurological diseases could help refine the model	The term deconnection will refer to a reduction in connectivity. Disconnectivity will be used when…
21	Neurological diseases could help refine the model — Local (intracortical) connectivity	There is a lack of neurological models of reduced local connectivity without neural loss. However,…
22	Neurological diseases could help refine the model — Local (intracortical) connectivity	Thus, we can use impoverished environment as a model of reduced local connectivity without neuronal…
23	Neurological diseases could help refine the model — Local (intracortical) connectivity	In short, there is no evidence that a reduction in local connectivity alone could provoke…
24	Long-range connectivity	Multiple models of white matter disorders can be found in neurology. These are the best models of…
25	Long-range connectivity	Most white matter (WM) diseases are associated with a higher occurrence of psychosis than in the…
26	Long-range connectivity — Is psychosis a specific feature of white matter diseases?	Unfortunately, this docs not appear to be the case. Mania and depression are also very frequent in…
27	Long-range connectivity — Are white matter diseases more likely to specifically trigger psychosis, or is this feature common whatever the type of encephalopathy?	In many neurodegenerative diseases, eg, metabolic or vascular diseases, psychosis can precede…
28	Long-range connectivity — Are white matter diseases more likely to specifically trigger psychosis, or is this feature common whatever the type of encephalopathy?	a similar degree of psychosis (a mean of 41 % but up to 60%).81
29	Long-range connectivity — Are white matter diseases more likely to specifically trigger psychosis, or is this feature common whatever the type of encephalopathy?	However, the clinical features are very different from the psychosis of schizophrenia:
30	Long-range connectivity — Are white matter diseases more likely to specifically trigger psychosis, or is this feature common whatever the type of encephalopathy?	This is not the case of WM diseases where psychotic symptoms are more similar to schizophrenia…
31	Long-range connectivity — Are white matter diseases more likely to specifically trigger psychosis, or is this feature common whatever the type of encephalopathy?	Nevertheless, these psychotic symptoms are not specific to all WM diseases. Indeed, persecutory…
32	Long-range connectivity — Can white matter diseases provoke psychosis whatever the age?	This is clearly not the case. Patients seem to need to be at least adolescents to express a…
33	Long-range connectivity — Can white matter diseases provoke psychosis whatever the age?	This age prevalence could be related to the cause. However, against such an explanation, early forms…
34	Long-range connectivity — Why is psychosis age-dependent in white matter diseases?	This age dependence is very much a reminder of the risk
35	Long-range connectivity — Why is psychosis age-dependent in white matter diseases?	window for psychosis in schizophrenia. Whereas negative symptoms do show that the disease lasts…
36	Long-range connectivity — Why is psychosis age-dependent in white matter diseases?	This dopaminergic dependence may explain why WMrelated psychosis can be well treated by…
37	Long-range connectivity — Why is psychosis age-dependent in white matter diseases?	In other words, disconnection per se may not be enough, as it must occur with a sufficient level of…
38	Long-range connectivity — Can curing the white matter disease improve psychosis?	If this were the case, then it would be a strong argument for a causal role of WM lesions in…
39	Long-range connectivity — Can curing the white matter disease improve psychosis?	Positive responses come from case reports in two WM diseases:

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Psychosis related to neurological conditions: pro and cons of the dis- / mis-connectivity models of schizophrenia.

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