Movement Disorders (revue)

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Diffusion‐weighted imaging and magnetization transfer imaging of tardive and edentulous orodyskinesia

Identifieur interne : 002877 ( Istex/Corpus ); précédent : 002876; suivant : 002878

Diffusion‐weighted imaging and magnetization transfer imaging of tardive and edentulous orodyskinesia

Auteurs : Abdesslem Khiat ; Yevgeniy Kuznetsov ; Pierre J. Blanchet ; Yvan Boulanger

Source :

RBID : ISTEX:1684B43DF907122ACB9FBD79C48A5BD79BB8AFEC

English descriptors

Abstract

Oral dyskinesias occur in elderly individuals in relation to drug use (tardive dyskinesia, TD) or edentulousness (edentulous orodyskinesia, EOD) but their characterization remains incomplete. Our aim was to investigate whether magnetic resonance techniques such as diffusion‐weighted imaging (DWI) and magnetization transfer imaging (MTI) of the brain could be used to differentiate dyskinetic patients from control subjects. Eight drug‐treated patients with TD, 12 EOD patients, 8 drug‐treated patients without TD, and 10 control subjects were recruited and examined by DWI and MTI. Measurements in the caudate nucleus, putamen, and globus pallidus yielded globally different apparent diffusion coefficient (ADC) values between drug treated patients with TD and control subjects but the magnetization transfer ratios showed no significant variations. The discrimination between dyskinetic patients and control subjects offered by ADC values was however slightly poorer than the discrimination offered by the previously published choline/creatine ratios measured by MR spectroscopy in the basal ganglia. The results are consistent with the pathophysiological hypothesis of damage to cholinergic interneurons. © 2008 Movement Disorder Society

Url:
DOI: 10.1002/mds.22081

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ISTEX:1684B43DF907122ACB9FBD79C48A5BD79BB8AFEC

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<p>Oral dyskinesias occur in elderly individuals in relation to drug use (tardive dyskinesia, TD) or edentulousness (edentulous orodyskinesia, EOD) but their characterization remains incomplete. Our aim was to investigate whether magnetic resonance techniques such as diffusion‐weighted imaging (DWI) and magnetization transfer imaging (MTI) of the brain could be used to differentiate dyskinetic patients from control subjects. Eight drug‐treated patients with TD, 12 EOD patients, 8 drug‐treated patients without TD, and 10 control subjects were recruited and examined by DWI and MTI. Measurements in the caudate nucleus, putamen, and globus pallidus yielded globally different apparent diffusion coefficient (ADC) values between drug treated patients with TD and control subjects but the magnetization transfer ratios showed no significant variations. The discrimination between dyskinetic patients and control subjects offered by ADC values was however slightly poorer than the discrimination offered by the previously published choline/creatine ratios measured by MR spectroscopy in the basal ganglia. The results are consistent with the pathophysiological hypothesis of damage to cholinergic interneurons. © 2008 Movement Disorder Society</p>
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<name type="personal">
<namePart type="given">Yevgeniy</namePart>
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<namePart type="given">Pierre J.</namePart>
<namePart type="family">Blanchet</namePart>
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<affiliation>Service de neurologie, Centre hospitalier de l'Université de Montréal (CHUM), Canada</affiliation>
<affiliation>Département de stomatologie, Faculté de médecine dentaire, Université de Montréal, Canada</affiliation>
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<affiliation>Département de radiologie, Centre hospitalier de l'Université de Montréal (CHUM), Canada</affiliation>
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<abstract lang="en">Oral dyskinesias occur in elderly individuals in relation to drug use (tardive dyskinesia, TD) or edentulousness (edentulous orodyskinesia, EOD) but their characterization remains incomplete. Our aim was to investigate whether magnetic resonance techniques such as diffusion‐weighted imaging (DWI) and magnetization transfer imaging (MTI) of the brain could be used to differentiate dyskinetic patients from control subjects. Eight drug‐treated patients with TD, 12 EOD patients, 8 drug‐treated patients without TD, and 10 control subjects were recruited and examined by DWI and MTI. Measurements in the caudate nucleus, putamen, and globus pallidus yielded globally different apparent diffusion coefficient (ADC) values between drug treated patients with TD and control subjects but the magnetization transfer ratios showed no significant variations. The discrimination between dyskinetic patients and control subjects offered by ADC values was however slightly poorer than the discrimination offered by the previously published choline/creatine ratios measured by MR spectroscopy in the basal ganglia. The results are consistent with the pathophysiological hypothesis of damage to cholinergic interneurons. © 2008 Movement Disorder Society</abstract>
<note type="funding">Quebec Health Research Fund</note>
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<topic>tardive dyskinesia</topic>
<topic>edentulous orodyskinesia</topic>
<topic>diffusion‐weighted imaging</topic>
<topic>magnetization transfer imaging</topic>
<topic>basal ganglia</topic>
<topic>antidepressants</topic>
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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>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2008 Movement Disorder Society</accessCondition>
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