A growing appreciation has emerged for the role of the basal ganglia in cognitive as well as in motor functioning. Anatomically, both motor and “cognitive” circuits exist that connect the frontal lobe to subcortical structures. Three such circuits originate in prefrontal regions believed important for higher cognitive functions, and topographically innervate the head of the caudate nucleus and nucleus accumbens forming starting and ending points for prefrontal “cognitive” cortical-basal ganglia circuits. Pathology in any of the core components of these circuits, such as in the caudate nucleus, may result in similar neurobehavioral syndromes. Neuroleptic medication, however, affects the size of the caudate nucleus, though reduced caudate volume reported in first-episode schizophrenia supports intrinsic pathology. For this reason, Schizotypal Personality Disorder (SPD) subjects offer an ideal group for the measurement of the caudate as they are genetically related to schizophrenia but do not require neuroleptic treatment because of their less severe symptoms. We have thus chosen to measure the caudate nucleus, and the contiguous lateral ventricles, in 14 right handed male SPDs, who have had no prior neuroleptic exposure, and 15 normal controls (NCLs), who were age, parental SES, handedness and sex matched to the SPD subjects. MRI scans were obtained on a 1.5 Tesla magnet. For the measurement of specific regions of interest higher spatial resolution SPGR images (1.5 × .9375 × .9375 mm voxels) were used. For whole brain measurements, used to correct for head size, a spin echo double echo MR sequence with 3 mm axial contiguous slices was obtained; then reformatted and co-registered to 1.5 mm SPGR coronal obtained images; the resulting image was then segmented using Wells’ expectation-maximization segmentation protocol. Repeated measures ANCOVA (with ICC and age as covariates) yielded a significant main effect for diagnosis (F = 6.37, df = 1,27, p < 0.02). Follow-up t-tests showed that right, left and total absolute caudate volume was smaller in SPD than in NCLs (4.77 v. 4.14 ml, p < 0.05; 4.68 v. 4.07 ml, p = 0.13; 9.45 v. 8.21 ml, p < 0.01). In a subsample of this group (7 SPD and 9 NCL subjects), we have measured that portion of the lateral ventricles contiguous to the caudate nuclei. Preliminary analysis revealed that the right and left contiguous ventricles in SPD subjects were not as large as in normal controls (4.2 vs. 6.1 ml, p < 0.2; 4.2 vs. 6.7 ml, p = 0.04), suggesting that smaller caudate size in SPD does not appear to be associated with enlarged lateral ventricles. These data are consistent with reduced caudate volume in first-episode schizophrenia studies and further suggest that there may be intrinsic pathology in the caudate nucleus in the schizophrenia spectrum population of SPD.