Movement Disorders (revue)

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123I‐Ioflupane SPECT in the diagnosis of suspected psychogenic Parkinsonism

Identifieur interne : 002E32 ( Istex/Corpus ); précédent : 002E31; suivant : 002E33

123I‐Ioflupane SPECT in the diagnosis of suspected psychogenic Parkinsonism

Auteurs : Carles Gaig ; Maria José Martí ; Eduardo Tolosa ; Francesc Valldeoriola ; Pilar Paredes ; Francisco Juan Lome A ; Fernando Nakamae

Source :

RBID : ISTEX:8963D2E53E502495B9D3CBAFC4500CD431C96CA0

English descriptors

Abstract

Psychogenic Parkinsonism (PsyP) can be clinically difficult to differentiate from Parkinson's disease (PD). Striatal dopamine transporter (DAT) imaging could be helpful in differentiating them. We performed 123I‐Ioflupane single‐photon emission computed tomography (SPECT) in 9 patients with suspected PsyP. In 1 patient, 123I‐Ioflupane SPECT disclosed bilateral decrease of striatal tracer uptake that indicated nigrostriatal degeneration. In this patient, a parkin gene mutation was detected. In the other 8 patients, 123I‐Ioflupane SPECT was normal and supported the initial suspicion of PsyP. Normal DAT imaging supports the diagnosis of PsyP, whereas reduced striatal tracer uptake suggests an underlying neurodegenerative Parkinsonism and should encourage the search for additional causes for the syndrome. © 2006 Movement Disorder Society

Url:
DOI: 10.1002/mds.21062

Links to Exploration step

ISTEX:8963D2E53E502495B9D3CBAFC4500CD431C96CA0

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I‐Ioflupane SPECT and PsyP</title>
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<sup>123</sup>
I‐Ioflupane SPECT</keyword>
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<i>parkin</i>
gene mutation</keyword>
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<p>Psychogenic Parkinsonism (PsyP) can be clinically difficult to differentiate from Parkinson's disease (PD). Striatal dopamine transporter (DAT) imaging could be helpful in differentiating them. We performed
<sup>123</sup>
I‐Ioflupane single‐photon emission computed tomography (SPECT) in 9 patients with suspected PsyP. In 1 patient,
<sup>123</sup>
I‐Ioflupane SPECT disclosed bilateral decrease of striatal tracer uptake that indicated nigrostriatal degeneration. In this patient, a
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gene mutation was detected. In the other 8 patients,
<sup>123</sup>
I‐Ioflupane SPECT was normal and supported the initial suspicion of PsyP. Normal DAT imaging supports the diagnosis of PsyP, whereas reduced striatal tracer uptake suggests an underlying neurodegenerative Parkinsonism and should encourage the search for additional causes for the syndrome. © 2006 Movement Disorder Society</p>
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<abstract lang="en">Psychogenic Parkinsonism (PsyP) can be clinically difficult to differentiate from Parkinson's disease (PD). Striatal dopamine transporter (DAT) imaging could be helpful in differentiating them. We performed 123I‐Ioflupane single‐photon emission computed tomography (SPECT) in 9 patients with suspected PsyP. In 1 patient, 123I‐Ioflupane SPECT disclosed bilateral decrease of striatal tracer uptake that indicated nigrostriatal degeneration. In this patient, a parkin gene mutation was detected. In the other 8 patients, 123I‐Ioflupane SPECT was normal and supported the initial suspicion of PsyP. Normal DAT imaging supports the diagnosis of PsyP, whereas reduced striatal tracer uptake suggests an underlying neurodegenerative Parkinsonism and should encourage the search for additional causes for the syndrome. © 2006 Movement Disorder Society</abstract>
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