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Neuropathology of primary restless leg syndrome: Absence of specific τ‐ and α‐synuclein pathology

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Neuropathology of primary restless leg syndrome: Absence of specific τ‐ and α‐synuclein pathology

Auteurs : Sean J. Pittock [États-Unis] ; Timothy Parrett [États-Unis] ; Charles H. Adler [États-Unis] ; Joseph E. Parisi [États-Unis] ; Dennis W. Dickson [États-Unis] ; J. Eric Ahlskog [États-Unis]

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RBID : ISTEX:CFA4295AB932B6C85EDDAC9DE2A9E6C7A3BC0057

English descriptors

Abstract

The neuroanatomical substrate for restless legs syndrome (RLS) is unknown. We identified 4 patients with idiopathic RLS who came to post‐mortem examination, where brain and spinal cord tissue were available for neuropathological assessment. Lewy bodies were not identified and α‐synuclein immunohistochemistry was uniformly negative. Neurofibrillary tangle pathology was variable and nonspecific. These findings suggest that τ‐ or α‐synuclein brain pathology is not a component of primary RLS. Although chronic ischemic changes were found in all 4 cases, these were probably incidental. The absence of diagnostic microscopic brain or spinal cord pathology suggests that the pathologic substrate may be neurochemical or receptor based. © 2004 Movement Disorder Society

Url:
DOI: 10.1002/mds.20042


Affiliations:


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<term>Rare complication</term>
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<div type="abstract" xml:lang="en">The neuroanatomical substrate for restless legs syndrome (RLS) is unknown. We identified 4 patients with idiopathic RLS who came to post‐mortem examination, where brain and spinal cord tissue were available for neuropathological assessment. Lewy bodies were not identified and α‐synuclein immunohistochemistry was uniformly negative. Neurofibrillary tangle pathology was variable and nonspecific. These findings suggest that τ‐ or α‐synuclein brain pathology is not a component of primary RLS. Although chronic ischemic changes were found in all 4 cases, these were probably incidental. The absence of diagnostic microscopic brain or spinal cord pathology suggests that the pathologic substrate may be neurochemical or receptor based. © 2004 Movement Disorder Society</div>
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