123I‐Ioflupane SPECT in the diagnosis of suspected psychogenic Parkinsonism
Identifieur interne : 002E32 ( Istex/Corpus ); précédent : 002E31; suivant : 002E33123I‐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 NakamaeSource :
- Movement Disorders [ 0885-3185 ] ; 2006-11.
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
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<front><div type="abstract" xml: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</div>
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<abstract xml:lang="en"><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 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</p>
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I‐Ioflupane SPECT in the diagnosis of suspected psychogenic Parkinsonism</title>
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I‐Ioflupane SPECT and PsyP</title>
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<keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">psychogenic Parkinsonism</keyword>
<keyword xml:id="kwd2"><sup>123</sup>
I‐Ioflupane SPECT</keyword>
<keyword xml:id="kwd3">DAT imaging</keyword>
<keyword xml:id="kwd4"><i>parkin</i>
gene mutation</keyword>
</keywordGroup>
<abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title>
<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 <i>parkin</i>
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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<!--Version 0.6 générée le 4-12-2015--><mods version="3.6"><titleInfo lang="en"><title>123I‐Ioflupane SPECT in the diagnosis of suspected psychogenic Parkinsonism</title>
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<titleInfo type="abbreviated" lang="en"><title>123I‐Ioflupane SPECT and PsyP</title>
</titleInfo>
<titleInfo type="alternative" contentType="CDATA" lang="en"><title>I‐Ioflupane SPECT in the diagnosis of suspected psychogenic Parkinsonism</title>
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<name type="personal"><namePart type="given">Carles</namePart>
<namePart type="family">Gaig</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Movement Disorders Unit, Neurology Service, Institut Clínic de Neurociències, Hospital Clínic, University of Barcelona, Barcelona, Spain</affiliation>
<role><roleTerm type="text">author</roleTerm>
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</name>
<name type="personal"><namePart type="given">Maria José</namePart>
<namePart type="family">Martí</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Movement Disorders Unit, Neurology Service, Institut Clínic de Neurociències, Hospital Clínic, University of Barcelona, Barcelona, Spain</affiliation>
<description>Correspondence: Hospital Clínic, Service of Neurology. Villarroel 170, Barcelona 08036, Spain</description>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Eduardo</namePart>
<namePart type="family">Tolosa</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Movement Disorders Unit, Neurology Service, Institut Clínic de Neurociències, Hospital Clínic, University of Barcelona, Barcelona, Spain</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Francesc</namePart>
<namePart type="family">Valldeoriola</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Movement Disorders Unit, Neurology Service, Institut Clínic de Neurociències, Hospital Clínic, University of Barcelona, Barcelona, Spain</affiliation>
<role><roleTerm type="text">author</roleTerm>
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</name>
<name type="personal"><namePart type="given">Pilar</namePart>
<namePart type="family">Paredes</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Nuclear Medicine Service, Hospital Clínic, University of Barcelona, Barcelona, Spain</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Francisco Juan</namePart>
<namePart type="family">Lomeña</namePart>
<namePart type="termsOfAddress">MD, PhD</namePart>
<affiliation>Nuclear Medicine Service, Hospital Clínic, University of Barcelona, Barcelona, Spain</affiliation>
<role><roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal"><namePart type="given">Fernando</namePart>
<namePart type="family">Nakamae</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Movement Disorders Unit, Neurology Service, Institut Clínic de Neurociències, Hospital Clínic, University of Barcelona, Barcelona, Spain</affiliation>
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<dateIssued encoding="w3cdtf">2006-11</dateIssued>
<dateCaptured encoding="w3cdtf">2005-11-18</dateCaptured>
<dateValid encoding="w3cdtf">2006-04-15</dateValid>
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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>
<subject lang="en"><genre>Keywords</genre>
<topic>psychogenic Parkinsonism</topic>
<topic>123I‐Ioflupane SPECT</topic>
<topic>DAT imaging</topic>
<topic>parkin gene mutation</topic>
</subject>
<relatedItem type="host"><titleInfo><title>Movement Disorders</title>
<subTitle>Official Journal of the Movement Disorder Society</subTitle>
</titleInfo>
<titleInfo type="abbreviated"><title>Mov. Disord.</title>
</titleInfo>
<subject><genre>article category</genre>
<topic>Brief Report</topic>
</subject>
<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>2006</date>
<detail type="volume"><caption>vol.</caption>
<number>21</number>
</detail>
<detail type="issue"><caption>no.</caption>
<number>11</number>
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<extent unit="pages"><start>1994</start>
<end>1998</end>
<total>4</total>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2006 Movement Disorder Society</accessCondition>
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