La maladie de Parkinson au Canada (serveur d'exploration)

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Regional volumetric change in Parkinson's disease with cognitive decline.

Identifieur interne : 002205 ( Ncbi/Merge ); précédent : 002204; suivant : 002206

Regional volumetric change in Parkinson's disease with cognitive decline.

Auteurs : Myrlene Gee [Canada] ; Juergen Dukart [Suisse] ; Bogdan Draganski [Suisse] ; W R Wayne Martin [Canada] ; Derek Emery [Canada] ; Richard Camicioli [Canada]

Source :

RBID : pubmed:28131236

Abstract

Parkinson's disease (PD), characterized by motor dysfunction and cognitive decline, may demonstrate specific patterns of brain atrophy. Although cross-sectional magnetic resonance imaging (MRI) studies show correlation between regional brain volume loss and cognitive impairment, there is only scarce evidence from longitudinal studies validating the link between cognition and brain anatomy in PD.

DOI: 10.1016/j.jns.2016.12.030
PubMed: 28131236

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Le document en format XML

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<div type="abstract" xml:lang="en">Parkinson's disease (PD), characterized by motor dysfunction and cognitive decline, may demonstrate specific patterns of brain atrophy. Although cross-sectional magnetic resonance imaging (MRI) studies show correlation between regional brain volume loss and cognitive impairment, there is only scarce evidence from longitudinal studies validating the link between cognition and brain anatomy in PD.</div>
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<Day>15</Day>
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<Title>Journal of the neurological sciences</Title>
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<ArticleTitle>Regional volumetric change in Parkinson's disease with cognitive decline.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Parkinson's disease (PD), characterized by motor dysfunction and cognitive decline, may demonstrate specific patterns of brain atrophy. Although cross-sectional magnetic resonance imaging (MRI) studies show correlation between regional brain volume loss and cognitive impairment, there is only scarce evidence from longitudinal studies validating the link between cognition and brain anatomy in PD.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To test the relationship between magnitude and spatial extent of atrophy in PD patients with progressive, significant cognitive decline and dementia (PDD).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We followed thirty-three initially non-demented patients with prevalent PD for three years while monitoring cognitive function and brain atrophy. Longitudinally acquired T1-weighted magnetic resonance images were analyzed in the voxel-based morphometry framework of SPM.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Groups did not differ significantly with respect to age or gender. More males developed PDD (7 males, 3 females) compared to those remaining intact (12 males, 11 females). Clusters of lower grey matter volume were found in PDD compared to PD in left uncus at baseline and an expanded region that included the left hippocampus and parahippocampal gyrus at 36months. The cognitive status by scan interaction showed differential changes between groups in the right insula. At a more liberal statistical threshold we observed changes in the right insula and bilateral hippocampi as well as the right cuneus additional to the lower brain stem.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Region specific atrophy, consistent with the pattern of cortical Lewy body deposition seen in autopsy studies, can be detected with MRI in PD patients with significant cognitive decline. MRI may be useful for tracking cognitive decline in PD.</AbstractText>
<CopyrightInformation>Copyright © 2016 Elsevier B.V. All rights reserved.</CopyrightInformation>
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<Keyword MajorTopicYN="N">Cognitive decline</Keyword>
<Keyword MajorTopicYN="N">Dementia</Keyword>
<Keyword MajorTopicYN="N">Magnetic resonance imaging</Keyword>
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