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

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REM sleep behaviour disorder: how useful is it for the differential diagnosis of parkinsonism?

Identifieur interne : 000668 ( PubMed/Checkpoint ); précédent : 000667; suivant : 000669

REM sleep behaviour disorder: how useful is it for the differential diagnosis of parkinsonism?

Auteurs : Renato P. Munhoz [Canada] ; Helio A. Teive [Brésil]

Source :

RBID : pubmed:25459246

English descriptors

Abstract

REM sleep behaviour disorder (RBD) is typically linked to synucleinopathies (SP). In this study we analyzed the utility and performance of RBD as a tool for the differential diagnosis of the most common forms of degenerative parkinsonism, including SPs and tauopathies.

DOI: 10.1016/j.clineuro.2014.09.014
PubMed: 25459246


Affiliations:


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pubmed:25459246

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<title xml:lang="en">REM sleep behaviour disorder: how useful is it for the differential diagnosis of parkinsonism?</title>
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<name sortKey="Munhoz, Renato P" sort="Munhoz, Renato P" uniqKey="Munhoz R" first="Renato P" last="Munhoz">Renato P. Munhoz</name>
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<nlm:affiliation>Movement Disorders Centre, Toronto Western Hospital, University of Toronto, Toronto, ON, Canada. Electronic address: renato.munhoz@uhn.ca.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Movement Disorders Centre, Toronto Western Hospital, University of Toronto, Toronto, ON</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
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<settlement type="city">Toronto</settlement>
<region type="state">Ontario</region>
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<name sortKey="Teive, Helio A" sort="Teive, Helio A" uniqKey="Teive H" first="Helio A" last="Teive">Helio A. Teive</name>
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<nlm:affiliation>Movement Disorders Unit, Neurology Service, Hospital de Clinicas, Federal University of Parana, Curitiba, Brazil.</nlm:affiliation>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cross-Sectional Studies</term>
<term>Diagnosis, Differential</term>
<term>Female</term>
<term>Humans</term>
<term>Hypokinesia (etiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle Rigidity (etiology)</term>
<term>Neurodegenerative Diseases (diagnosis)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Postural Balance</term>
<term>REM Sleep Behavior Disorder (diagnosis)</term>
<term>Synucleins (genetics)</term>
<term>Synucleins (metabolism)</term>
<term>Tauopathies (diagnosis)</term>
<term>Tauopathies (genetics)</term>
<term>Tremor (etiology)</term>
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<term>Synucleins</term>
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<term>Neurodegenerative Diseases</term>
<term>Parkinson Disease</term>
<term>REM Sleep Behavior Disorder</term>
<term>Tauopathies</term>
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<term>Hypokinesia</term>
<term>Muscle Rigidity</term>
<term>Tremor</term>
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<term>Tauopathies</term>
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<term>Synucleins</term>
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<term>Aged, 80 and over</term>
<term>Cross-Sectional Studies</term>
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<div type="abstract" xml:lang="en">REM sleep behaviour disorder (RBD) is typically linked to synucleinopathies (SP). In this study we analyzed the utility and performance of RBD as a tool for the differential diagnosis of the most common forms of degenerative parkinsonism, including SPs and tauopathies.</div>
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<Month>12</Month>
<Day>03</Day>
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<Month>08</Month>
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<Year>2014</Year>
<Month>12</Month>
<Day>03</Day>
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<ISSN IssnType="Electronic">1872-6968</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>127</Volume>
<PubDate>
<Year>2014</Year>
<Month>Dec</Month>
</PubDate>
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<Title>Clinical neurology and neurosurgery</Title>
<ISOAbbreviation>Clin Neurol Neurosurg</ISOAbbreviation>
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<ArticleTitle>REM sleep behaviour disorder: how useful is it for the differential diagnosis of parkinsonism?</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">REM sleep behaviour disorder (RBD) is typically linked to synucleinopathies (SP). In this study we analyzed the utility and performance of RBD as a tool for the differential diagnosis of the most common forms of degenerative parkinsonism, including SPs and tauopathies.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Patients with a syndromic diagnosis of degenerative parkinsonism matched for gender, age, and disease stage were assessed using a structured protocol with demographic and clinical data, including the diagnosis of probable RBD (pRBD), ascertained clinically using established criteria.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">One hundred cases of Parkinson's disease (PD), 87 with progressive supranuclear palsy (PSP), 72 with the parkinsonian form of multiple system atrophy (MSA), 50 with dementia with Lewy bodies (DLB), and 18 with corticobasal degeneration (CBD) were included. pRBD was found in 58 (58%) of the PD patients, 59 (81.9%) of those with MSA, 37 (74%) with DLB, 32 (36.7%) with PSP, and one (5.5%) with CBD. Among the SPs, pRBD was significantly more common in MSA when compared with PD patients. Differences were also significant individually for all SPs when compared to PSP. The positive predictive value (PPV) of pRBD for a SP was 82.3%, but sensitivity was 69.4% and specificity 68.6%.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In our sample, pRBD was more frequent in SPs than in PSP and CBD, however, its' frequency in PSP was significant. Although pRBD had a good PPV for a SP, all other measurements used for determine diagnostic performance were disappointing.</AbstractText>
<CopyrightInformation>Copyright © 2014 Elsevier B.V. All rights reserved.</CopyrightInformation>
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<Affiliation>Movement Disorders Unit, Neurology Service, Hospital de Clinicas, Federal University of Parana, Curitiba, Brazil.</Affiliation>
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