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

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A Scan Without Evidence Is Not Evidence of Absence: Scans Without Evidence of Dopaminergic Deficit in a Symptomatic Leucine-Rich repeat Kinase 2 Mutation Carrier

Identifieur interne : 000846 ( Pmc/Curation ); précédent : 000845; suivant : 000847

A Scan Without Evidence Is Not Evidence of Absence: Scans Without Evidence of Dopaminergic Deficit in a Symptomatic Leucine-Rich repeat Kinase 2 Mutation Carrier

Auteurs : Daryl J. Wile [Canada] ; Katie Dinelle [Canada] ; Nasim Vafai [Canada] ; Jessamyn Mckenzie [Canada] ; Joseph K. Tsui [Canada] ; Paul Schaffer [Canada] ; Yu-Shin Ding [États-Unis] ; Matthew Farrer [Canada] ; Vesna Sossi [Canada] ; A. Jon Stoessl [Canada]

Source :

RBID : PMC:4894497

Abstract

Introduction

The basis for SWEDD is unclear, with most cases representing PD mimics but some later developing PD with a dopaminergic deficit.

Methods

We studied a patient initially diagnosed with SWEDD (based on 18F-dopa PET) who developed unequivocal PD associated with a leucine-rich repeat kinase 2 p.G2019S mutation. Repeat multitracer PET was performed at 17 years’ disease duration, including (+)[11C]dihydrotetrabenazine, [11C](N,N-dimethyl-2-(2-amino-4-cyanophenylthio) benzylamine (which binds the serotonin transporter), and 18F-dopa.

Results

The patient showed bilateral striatal dopaminergic denervation (right putamen 28% of age-matched normal, left putamen 33%). 18F-dopa uptake was decreased, particularly on the left (mean 31% of normal vs. 45% on the more affected right side). Serotonin transporter binding was relatively preserved in the putamen (right mean 90% of normal, left 81%) and several cortical regions.

Conclusions

SWEDD can occur in genetically determined PD and may, in some cases, be the result of compensatory nondopaminergic mechanisms operating in early disease.


Url:
DOI: 10.1002/mds.26450
PubMed: 26685774
PubMed Central: 4894497

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PMC:4894497

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<title>Introduction</title>
<p id="P1">The basis for SWEDD is unclear, with most cases representing PD mimics but some later developing PD with a dopaminergic deficit.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We studied a patient initially diagnosed with SWEDD (based on
<sup>18</sup>
F-dopa PET) who developed unequivocal PD associated with a leucine-rich repeat kinase 2 p.G2019S mutation. Repeat multitracer PET was performed at 17 years’ disease duration, including (+)[11C]dihydrotetrabenazine, [11C](N,N-dimethyl-2-(2-amino-4-cyanophenylthio) benzylamine (which binds the serotonin transporter), and
<sup>18</sup>
F-dopa.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">The patient showed bilateral striatal dopaminergic denervation (right putamen 28% of age-matched normal, left putamen 33%).
<sup>18</sup>
F-dopa uptake was decreased, particularly on the left (mean 31% of normal vs. 45% on the more affected right side). Serotonin transporter binding was relatively preserved in the putamen (right mean 90% of normal, left 81%) and several cortical regions.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">SWEDD can occur in genetically determined PD and may, in some cases, be the result of compensatory nondopaminergic mechanisms operating in early disease.</p>
</sec>
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<contrib contrib-type="author">
<name>
<surname>Wile</surname>
<given-names>Daryl J.</given-names>
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<degrees>MD, MSc</degrees>
<xref ref-type="aff" rid="A1">1</xref>
<xref rid="FN1" ref-type="author-notes">*</xref>
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<name>
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<given-names>Katie</given-names>
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<degrees>MSc</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<name>
<surname>Vafai</surname>
<given-names>Nasim</given-names>
</name>
<degrees>MASc</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>McKenzie</surname>
<given-names>Jessamyn</given-names>
</name>
<degrees>LPN</degrees>
<xref ref-type="aff" rid="A1">1</xref>
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<name>
<surname>Tsui</surname>
<given-names>Joseph K.</given-names>
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<name>
<surname>Schaffer</surname>
<given-names>Paul</given-names>
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<degrees>PhD</degrees>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ding</surname>
<given-names>Yu-Shin</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Farrer</surname>
<given-names>Matthew</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sossi</surname>
<given-names>Vesna</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Stoessl</surname>
<given-names>A. Jon</given-names>
</name>
<degrees>MD</degrees>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
University of British Columbia, Vancouver, BC, Canada</aff>
<aff id="A2">
<label>2</label>
TRIUMF, Vancouver, BC, Canada</aff>
<aff id="A3">
<label>3</label>
New York University School of Medicine, New York, New York, USA</aff>
<author-notes>
<corresp id="FN1">
<label>*</label>
Correspondence to: Dr. Daryl J. Wile, Pacific Parkinson’s Research Center, M36-2221 Wesbrook Mall, Vancouver, BC, Canada V6T 2B5;
<email>daryl.wile@ubc.ca</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>27</day>
<month>5</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>21</day>
<month>12</month>
<year>2015</year>
</pub-date>
<pub-date pub-type="ppub">
<month>3</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>06</day>
<month>6</month>
<year>2016</year>
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<volume>31</volume>
<issue>3</issue>
<fpage>405</fpage>
<lpage>409</lpage>
<pmc-comment>elocation-id from pubmed: 10.1002/mds.26450</pmc-comment>
<abstract>
<sec id="S1">
<title>Introduction</title>
<p id="P1">The basis for SWEDD is unclear, with most cases representing PD mimics but some later developing PD with a dopaminergic deficit.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We studied a patient initially diagnosed with SWEDD (based on
<sup>18</sup>
F-dopa PET) who developed unequivocal PD associated with a leucine-rich repeat kinase 2 p.G2019S mutation. Repeat multitracer PET was performed at 17 years’ disease duration, including (+)[11C]dihydrotetrabenazine, [11C](N,N-dimethyl-2-(2-amino-4-cyanophenylthio) benzylamine (which binds the serotonin transporter), and
<sup>18</sup>
F-dopa.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">The patient showed bilateral striatal dopaminergic denervation (right putamen 28% of age-matched normal, left putamen 33%).
<sup>18</sup>
F-dopa uptake was decreased, particularly on the left (mean 31% of normal vs. 45% on the more affected right side). Serotonin transporter binding was relatively preserved in the putamen (right mean 90% of normal, left 81%) and several cortical regions.</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">SWEDD can occur in genetically determined PD and may, in some cases, be the result of compensatory nondopaminergic mechanisms operating in early disease.</p>
</sec>
</abstract>
<kwd-group>
<kwd>SWEDD</kwd>
<kwd>LRRK2</kwd>
<kwd>Parkinson’s disease</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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