Patients with schizophrenia and healthy control subjects underwent both neuropsychological evaluation and magnetic resonance diffusion tensor imaging, during which the cingulum bundle (CB) and the uncinate fasciculus (UF) were defined with fiber tractography and their integrity was quantified. On the basis of prior findings, it was hypothesized that neuropsychological disturbance in schizophrenia may be characterized, in part, by 2 dissociable functional neuroanatomical relationships: (a) executive functioning-CB integrity and (b) episodic memory-UF integrity. In support of the hypothesis, hierarchical regression results indicated that reduced white matter of the CB and the UF differentially and specifically predicted deficits in executive functioning and memory, respectively. Neuropsychological correlates of the CB also extended to lower generalized intelligence, as well as to reduced visual memory that may be related to failures of contextual monitoring of to-be-remembered scenes. Reduced white matter of the CB and the UF may each make distinct contributions to neuropsychological disturbance in schizophrenia.Correspondence concerning this article should be addressed to Paul G. Nestor, Department of Psychology, University of Massachusetts, Boston, MA 02125-3393. paul.nestor@umb.edu.
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Author ManuscriptNeuropsychology. Author manuscript; available in PMC 2009 December 10.
Published in final edited form as:Neuropsychology. & Kahn, 1999;Heinrichs, 2005;Heinrichs & Zakzanis, 1998;McKenna, 1991;O'Carroll, 2000;Saykin et al., 1994;Weinberger, Berman, & Zec, 1986). Although typically occurring against a backdrop of generalized cognitive impairment, disease-related deficits in episodic memory for events encoded in time and place can be dissociated from disruptions in executive functions that serve to guide action and thought (Nestor et al., 2004). These neuropsychological deficits may also each involve different pathophysiology, as twin studies have strongly implicated genetic factors in executive dysfunction, whereas nongenetic influences may preferentially impact memory disturbance (Cannon et al., 2000).As the "primary expression of the schizophrenic brain" (Heinrichs, 2005, p. 229), neuropsychological disturbances of memory and executive functions have increasingly been theorized to reflect sequelae not of focal brain abnormalities but of pathological connectivity among brain regions (Andreasen et al., 1999;McGlashan & Hoffman, 2000;Nestor et al., 1998Nestor et al., , 2004Stephan, Baldeweg, & Friston, 2006;Weinberger, Berman, Suddath, & Torrey, 1992;Winterer, Coppola, Egan, Goldberg, & Weinberger, 2003). Wernicke (1906) first ascribed a central role in the expression of schizophrenia to anatomical abnormalities of association fiber tracts traveling between frontal and temporal lobes. More recently, neuroimaging findings that showed abnormal functional connectivity in schizophrenia have echoed Wernicke's seminal, generative idea of disease-related disruption in the functional integration of ...