Movement Disorders (revue)

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Staging disease severity in movement disorder tauopathies: Brain atrophy separates progressive supranuclear palsy from corticobasal degeneration

Identifieur interne : 001D76 ( Istex/Corpus ); précédent : 001D75; suivant : 001D77

Staging disease severity in movement disorder tauopathies: Brain atrophy separates progressive supranuclear palsy from corticobasal degeneration

Auteurs : Emma C. Schofield ; Diana Caine ; Jillian J. Kril ; Nicholas J. Cordato ; Glenda M. Halliday

Source :

RBID : ISTEX:9F073D1FCDB3A7E66F3982825948EC8631FD9849

English descriptors

Abstract

The movement disorders progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD) both deposit tau in degenerating neurons and are considered to be tauopathies. The recently developed scheme for staging tissue degeneration in another tauopathy, frontotemporal dementia [Broe et al., Neurology 2003;60:1005–1011] was applied to pathologically confirmed PSP (n = 24) and CBD (n = 9) cases and correlated with clinical indices. In contrast to frontotemporal dementia, the majority of PSP cases had limited or no visible atrophy, while the pattern of atrophy in CBD cases conformed to the existing staging scheme (all but one case exhibiting substantial visible tissue atrophy). Despite similar clinical severity and disease duration between groups, there was a marked difference between the PSP and CBD cases in pathological disease stage (χ2 = 8.86; P = 0.03). The degree of global atrophy in PSP appears to be distinct from other tauopathies, while CBD fits the same pattern as other pathological forms of frontotemporal dementia. © 2004 Movement Disorder Society

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DOI: 10.1002/mds.20286

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ISTEX:9F073D1FCDB3A7E66F3982825948EC8631FD9849

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<keyword xml:id="kwd1">tauopathy</keyword>
<keyword xml:id="kwd2">corticobasal degeneration</keyword>
<keyword xml:id="kwd3">progressive supranuclear palsy</keyword>
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<p>The movement disorders progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD) both deposit tau in degenerating neurons and are considered to be tauopathies. The recently developed scheme for staging tissue degeneration in another tauopathy, frontotemporal dementia [Broe et al., Neurology 2003;60:1005–1011] was applied to pathologically confirmed PSP (n = 24) and CBD (n = 9) cases and correlated with clinical indices. In contrast to frontotemporal dementia, the majority of PSP cases had limited or no visible atrophy, while the pattern of atrophy in CBD cases conformed to the existing staging scheme (all but one case exhibiting substantial visible tissue atrophy). Despite similar clinical severity and disease duration between groups, there was a marked difference between the PSP and CBD cases in pathological disease stage (χ
<sup>2</sup>
= 8.86;
<i>P</i>
= 0.03). The degree of global atrophy in PSP appears to be distinct from other tauopathies, while CBD fits the same pattern as other pathological forms of frontotemporal dementia. © 2004 Movement Disorder Society</p>
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<title>Staging disease severity in movement disorder tauopathies: Brain atrophy separates progressive supranuclear palsy from corticobasal degeneration</title>
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<namePart type="given">Emma C.</namePart>
<namePart type="family">Schofield</namePart>
<namePart type="termsOfAddress">BSc (Hons)</namePart>
<affiliation>Prince of Wales Medical Research Institute and the University of New South Wales, Randwick, Australia</affiliation>
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<namePart type="given">Diana</namePart>
<namePart type="family">Caine</namePart>
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<affiliation>Department of Psychology, The University of Sydney, Camperdown, Australia</affiliation>
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<namePart type="given">Jillian J.</namePart>
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<affiliation>Centre for Education and Research on Ageing, The University of Sydney, Concord Hospital, Concord, Australia</affiliation>
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<affiliation>Department of Geriatric Medicine, Westmead Hospital and The University of Sydney, Westmead, Australia</affiliation>
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<affiliation>Prince of Wales Medical Research Institute and the University of New South Wales, Randwick, Australia</affiliation>
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<abstract lang="fr">The movement disorders progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD) both deposit tau in degenerating neurons and are considered to be tauopathies. The recently developed scheme for staging tissue degeneration in another tauopathy, frontotemporal dementia [Broe et al., Neurology 2003;60:1005–1011] was applied to pathologically confirmed PSP (n = 24) and CBD (n = 9) cases and correlated with clinical indices. In contrast to frontotemporal dementia, the majority of PSP cases had limited or no visible atrophy, while the pattern of atrophy in CBD cases conformed to the existing staging scheme (all but one case exhibiting substantial visible tissue atrophy). Despite similar clinical severity and disease duration between groups, there was a marked difference between the PSP and CBD cases in pathological disease stage (χ2 = 8.86; P = 0.03). The degree of global atrophy in PSP appears to be distinct from other tauopathies, while CBD fits the same pattern as other pathological forms of frontotemporal dementia. © 2004 Movement Disorder Society</abstract>
<note type="funding">National Health and Medical Research Council of Australia - No. 113804; No. 157212; </note>
<subject lang="en">
<genre>Keywords</genre>
<topic>tauopathy</topic>
<topic>corticobasal degeneration</topic>
<topic>progressive supranuclear palsy</topic>
<topic>atrophy</topic>
<topic>staging</topic>
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<title>Movement Disorders</title>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2005</date>
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