PMID- 37340095 OWN - NLM STAT- MEDLINE DCOM- 20230726 LR - 20230726 IS - 1447-073X (Electronic) IS - 1447-073X (Linking) VI - 98 IP - 4 DP - 2023 Sep TI - Clinical anatomy of the precuneus and pathogenesis of the schizophrenia. PG - 473-481 LID - 10.1007/s12565-023-00730-w [doi] AB - Recent evidence has shown that the precuneus plays a role in the pathogenesis of schizophrenia. The precuneus is a structure of the parietal lobe's medial and posterior cortex, representing a central hub involved in multimodal integration processes. Although neglected for several years, the precuneus is highly complex and crucial for multimodal integration. It has extensive connections with different cerebral areas and is an interface between external stimuli and internal representations. In human evolution, the precuneus has increased in size and complexity, allowing the development of higher cognitive functions, such as visual-spatial ability, mental imagery, episodic memory, and other tasks involved in emotional processing and mentalization. This paper reviews the functions of the precuneus and discusses them concerning the psychopathological aspects of schizophrenia. The different neuronal circuits, such as the default mode network (DMN), in which the precuneus is involved and its alterations in the structure (grey matter) and the disconnection of pathways (white matter) are described. CI - (c) 2023. The Author(s), under exclusive licence to Japanese Association of Anatomists. FAU - Messina, Antonino AU - Messina A AUID- ORCID: 0000-0002-3594-8542 AD - Department of Clinical and Experimental Medicine, Psychiatry Unit, University of Catania, Catania, Italy. thomessina@gmail.com. FAU - Cucci, Giuseppe AU - Cucci G AD - Mental Health Department, Enna, Italy. FAU - Crescimanno, Caterina AU - Crescimanno C AD - Faculty of Medicine and Surgery, "Kore" University, Enna, Italy. FAU - Signorelli, Maria Salvina AU - Signorelli MS AD - Department of Clinical and Experimental Medicine, Psychiatry Unit, University of Catania, Catania, Italy. LA - eng PT - Journal Article PT - Review DEP - 20230620 PL - Japan TA - Anat Sci Int JT - Anatomical science international JID - 101154140 SB - IM MH - Humans MH - *Magnetic Resonance Imaging MH - Brain Mapping MH - *Schizophrenia/pathology MH - Parietal Lobe/pathology/physiology MH - Cerebral Cortex MH - Neural Pathways/physiology OTO - NOTNLM OT - Default mode network OT - Multimodal integration OT - Parietal lobe OT - Precuneus OT - Schizophrenia EDAT- 2023/06/21 01:07 MHDA- 2023/07/26 06:43 CRDT- 2023/06/20 23:25 PHST- 2023/01/13 00:00 [received] PHST- 2023/05/12 00:00 [accepted] PHST- 2023/07/26 06:43 [medline] PHST- 2023/06/21 01:07 [pubmed] PHST- 2023/06/20 23:25 [entrez] AID - 10.1007/s12565-023-00730-w [pii] AID - 10.1007/s12565-023-00730-w [doi] PST - ppublish SO - Anat Sci Int. 2023 Sep;98(4):473-481. doi: 10.1007/s12565-023-00730-w. Epub 2023 Jun 20.