Pupil diameter in darkness differentiates progressive supranuclear palsy (PSP) from other extrapyramidal syndromes
Identifieur interne : 003179 ( Istex/Curation ); précédent : 003178; suivant : 003180Pupil diameter in darkness differentiates progressive supranuclear palsy (PSP) from other extrapyramidal syndromes
Auteurs : Claudia Schmidt [Allemagne] ; Birgit Herting [Allemagne] ; Silke Prieur [Allemagne] ; Susann Junghanns [Allemagne] ; Katherine Schweitzer [Allemagne] ; Christoph Globas [Allemagne] ; Ludger Schöls [Allemagne] ; Sabine Antoni [Allemagne] ; Dietmar Ferger [Allemagne] ; Heinz Reichmann [Allemagne] ; Helmut Wilhelm [Allemagne] ; Daniela Berg [Allemagne] ; Tjalf Ziemssen [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2007-10-31.
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Abstract
The most important features that characterize and differentiate progressive supranuclear palsy from other Parkinsonian syndromes are postural instability, supranuclear gaze palsy, pseudobulbar palsy, parkinsonism, and cognitive disturbances. In this article, we demonstrate that progressive supranuclear palsy patients exhibit pathologically decreased pupil diameters after dark adaptation recorded by TV pupillography. A cut off value of 3.99 mm was defined to differentiate progressive supranuclear palsy patients from patients with other extrapyramidal disorders like Parkinson's disease and multiple system atrophy with a specificity of 86.4% and a sensitivity of 70.8%. Other pupil abnormalities could not be described in patients with extrapyramidal syndromes. © 2007 Movement Disorder Society
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DOI: 10.1002/mds.21721
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Neuroophthalmology, University Eye Hospital, Tübingen</wicri:regionArea></affiliation></author><author><name sortKey="Berg, Daniela" sort="Berg, Daniela" uniqKey="Berg D" first="Daniela" last="Berg">Daniela Berg</name><affiliation wicri:level="1"><mods:affiliation>Center of Neurology, Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center of Neurology, Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:regionArea></affiliation></author><author><name sortKey="Ziemssen, Tjalf" sort="Ziemssen, Tjalf" uniqKey="Ziemssen T" first="Tjalf" last="Ziemssen">Tjalf Ziemssen</name><affiliation wicri:level="1"><mods:affiliation>Autonomic and Neuroendocrinological laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology, Germany</mods:affiliation><country 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Schmidt</name><affiliation wicri:level="1"><mods:affiliation>Autonomic and Neuroendocrinological laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Autonomic and Neuroendocrinological laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology</wicri:regionArea></affiliation></author><author><name sortKey="Herting, Birgit" sort="Herting, Birgit" uniqKey="Herting B" first="Birgit" last="Herting">Birgit Herting</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, Movement Disorders Research Group, University Clinic Carl Gustav Carus, Dresden University of Technology, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Movement Disorders Research Group, University Clinic Carl Gustav Carus, Dresden University of Technology</wicri:regionArea></affiliation></author><author><name sortKey="Prieur, Silke" sort="Prieur, Silke" uniqKey="Prieur S" first="Silke" last="Prieur">Silke Prieur</name><affiliation wicri:level="1"><mods:affiliation>Autonomic and Neuroendocrinological laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Autonomic and Neuroendocrinological laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology</wicri:regionArea></affiliation></author><author><name sortKey="Junghanns, Susann" sort="Junghanns, Susann" uniqKey="Junghanns S" first="Susann" last="Junghanns">Susann Junghanns</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, Movement Disorders Research Group, University Clinic Carl Gustav Carus, Dresden University of Technology, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Movement Disorders Research Group, University Clinic Carl Gustav Carus, Dresden University of Technology</wicri:regionArea></affiliation></author><author><name sortKey="Schweitzer, Katherine" sort="Schweitzer, Katherine" uniqKey="Schweitzer K" first="Katherine" last="Schweitzer">Katherine Schweitzer</name><affiliation wicri:level="1"><mods:affiliation>Center of Neurology, Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center of Neurology, Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:regionArea></affiliation></author><author><name sortKey="Globas, Christoph" sort="Globas, Christoph" uniqKey="Globas C" first="Christoph" last="Globas">Christoph Globas</name><affiliation wicri:level="1"><mods:affiliation>Center of Neurology, Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center of Neurology, Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:regionArea></affiliation></author><author><name sortKey="Schols, Ludger" sort="Schols, Ludger" uniqKey="Schols L" first="Ludger" last="Schöls">Ludger Schöls</name><affiliation wicri:level="1"><mods:affiliation>Center of Neurology, Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center of Neurology, Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:regionArea></affiliation></author><author><name sortKey="Antoni, Sabine" sort="Antoni, Sabine" uniqKey="Antoni S" first="Sabine" last="Antoni">Sabine Antoni</name><affiliation wicri:level="1"><mods:affiliation>Department of Mathematics, Dresden University of Technology, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Mathematics, Dresden University of Technology</wicri:regionArea></affiliation></author><author><name sortKey="Ferger, Dietmar" sort="Ferger, Dietmar" uniqKey="Ferger D" first="Dietmar" last="Ferger">Dietmar Ferger</name><affiliation wicri:level="1"><mods:affiliation>Department of Mathematics, Dresden University of Technology, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Mathematics, Dresden University of Technology</wicri:regionArea></affiliation></author><author><name sortKey="Reichmann, Heinz" sort="Reichmann, Heinz" uniqKey="Reichmann H" first="Heinz" last="Reichmann">Heinz Reichmann</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, Movement Disorders Research Group, University Clinic Carl Gustav Carus, Dresden University of Technology, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Movement Disorders Research Group, University Clinic Carl Gustav Carus, Dresden University of Technology</wicri:regionArea></affiliation></author><author><name sortKey="Wilhelm, Helmut" sort="Wilhelm, Helmut" uniqKey="Wilhelm H" first="Helmut" last="Wilhelm">Helmut Wilhelm</name><affiliation wicri:level="1"><mods:affiliation>Department of Neuroophthalmology, University Eye Hospital, Tübingen, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neuroophthalmology, University Eye Hospital, Tübingen</wicri:regionArea></affiliation></author><author><name sortKey="Berg, Daniela" sort="Berg, Daniela" uniqKey="Berg D" first="Daniela" last="Berg">Daniela Berg</name><affiliation wicri:level="1"><mods:affiliation>Center of Neurology, Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center of Neurology, Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:regionArea></affiliation></author><author><name sortKey="Ziemssen, Tjalf" sort="Ziemssen, Tjalf" uniqKey="Ziemssen T" first="Tjalf" last="Ziemssen">Tjalf Ziemssen</name><affiliation wicri:level="1"><mods:affiliation>Autonomic and Neuroendocrinological laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Autonomic and Neuroendocrinological laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2007-10-31">2007-10-31</date><biblScope unit="vol">22</biblScope><biblScope unit="issue">14</biblScope><biblScope unit="page" from="2123">2123</biblScope><biblScope unit="page" to="2126">2126</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">5304C1E52C09F6DAD478A14339FA7E6016561388</idno><idno type="DOI">10.1002/mds.21721</idno><idno type="ArticleID">MDS21721</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson's disease</term><term>autonomic dysfunction</term><term>multiple system atrophy</term><term>progressive supranuclear palsy</term><term>pupil diameter in darkness</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The most important features that characterize and differentiate progressive supranuclear palsy from other Parkinsonian syndromes are postural instability, supranuclear gaze palsy, pseudobulbar palsy, parkinsonism, and cognitive disturbances. In this article, we demonstrate that progressive supranuclear palsy patients exhibit pathologically decreased pupil diameters after dark adaptation recorded by TV pupillography. A cut off value of 3.99 mm was defined to differentiate progressive supranuclear palsy patients from patients with other extrapyramidal disorders like Parkinson's disease and multiple system atrophy with a specificity of 86.4% and a sensitivity of 70.8%. Other pupil abnormalities could not be described in patients with extrapyramidal syndromes. © 2007 Movement Disorder Society</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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