MovDisordV3, Main, Curation, bibRecord, 001D47

Differentiating vascular parkinsonism from idiopathic Parkinson's disease: A systematic review

Identifieur interne : 001D47 ( Main/Curation ); précédent : 001D46; suivant : 001D48

Differentiating vascular parkinsonism from idiopathic Parkinson's disease: A systematic review

Auteurs : Seema Kalra [Royaume-Uni] ; Donald G. Grosset [Royaume-Uni] ; Hani T. S. Benamer [Royaume-Uni]

Source :

Movement Disorders [ 0885-3185 ] ; 2010-01-30.

RBID : ISTEX:4C540A2850F3CE717D41FA333C3F0D89A776583E

Descripteurs français

Pascal (Inist)
- Idiopathique, Imagerie RMN, Maladie de Parkinson, Parkinsonisme, Pathologie du système nerveux, Photon, Tomodensitométrie, Tomoscintigraphie émission monophotonique.

English descriptors

KwdEn :
- Age Factors, Antiparkinson Agents (therapeutic use), Brain (physiopathology), Brain (radionuclide imaging), CT, Cerebrovascular Disorders (complications), Cerebrovascular Disorders (physiopathology), Computerized axial tomography, Diagnosis, Differential, Dopamine Plasma Membrane Transport Proteins (metabolism), Gait, Humans, Idiopathic, Levodopa (therapeutic use), MRI, Nervous system diseases, Nuclear magnetic resonance imaging, Parkinson Disease (diagnosis), Parkinson Disease (drug therapy), Parkinson Disease (physiopathology), Parkinson Disease, Secondary (diagnosis), Parkinson Disease, Secondary (drug therapy), Parkinson Disease, Secondary (physiopathology), Parkinson disease, Parkinsonism, Photon, SPECT, Severity of Illness Index, Single photon emission tomography, Tomography, Emission-Computed, Single-Photon, Tremor (physiopathology), clinical features, idiopathic Parkinson's disease, vascular parkinsonism.
MESH :
- chemical , metabolism : Dopamine Plasma Membrane Transport Proteins.
- chemical , therapeutic use : Antiparkinson Agents, Levodopa.
- complications : Cerebrovascular Disorders.
- diagnosis : Parkinson Disease, Parkinson Disease, Secondary.
- drug therapy : Parkinson Disease, Parkinson Disease, Secondary.
- physiopathology : Brain, Cerebrovascular Disorders, Parkinson Disease, Parkinson Disease, Secondary, Tremor.
- radionuclide imaging : Brain.
- Age Factors, Diagnosis, Differential, Gait, Humans, Severity of Illness Index, Tomography, Emission-Computed, Single-Photon.

Abstract

Vascular parkinsonism (VP) remains a loose constellation of various clinical features. We systematically reviewed studies comparing clinical, neuroimaging and other investigations that might distinguish VP from idiopathic Parkinson's disease (PD). Medline, Embase, Cinahl (R), and PsycINFO were searched by querying appropriate key words. Reports were included if the study population contained comparative findings between patients with VP and PD. Twenty‐five articles fulfilled the selection criteria. Patients with VP were older, with a shorter duration of illness, presented with symmetrical gait difficulties, were less responsive to levodopa, and were more prone to postural instability, falls, and dementia. Pyramidal signs, pseudobulbar palsy, and incontinence were more common in VP. Tremor was not a main feature of VP. Structural neuroimaging was more likely to be abnormal in VP (90–100% of cases) than in PD (12–43% of cases), but there was no specific abnormal structural imaging pattern for VP. Two studies of presynaptic striatal dopamine transporters (using single photon emission computed tomography) showed a significant reduction in striatal uptake ratios in PD but not in VP, whereas another study found that only the mean asymmetry index was significantly lower in VP. Various other investigations, including alternative imaging techniques, electrophysiological, and neuropsychological studies, are reported, but the diverse diagnostic criteria used makes it difficult to reach any firm conclusions. The development of accepted international diagnostic criteria for VP is urgently needed to facilitate further studies. © 2010 Movement Disorder Society

Url:

https://api.istex.fr/document/4C540A2850F3CE717D41FA333C3F0D89A776583E/fulltext/pdf

DOI: 10.1002/mds.22937

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</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">Movement Disorders</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="2010-01-30">2010-01-30</date>
<biblScope unit="vol">25</biblScope>
<biblScope unit="issue">2</biblScope>
<biblScope unit="page" from="149">149</biblScope>
<biblScope unit="page" to="156">156</biblScope>
</imprint>
<idno type="ISSN">0885-3185</idno>
</series>
<idno type="istex">4C540A2850F3CE717D41FA333C3F0D89A776583E</idno>
<idno type="DOI">10.1002/mds.22937</idno>
<idno type="ArticleID">MDS22937</idno>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0885-3185</idno>
</seriesStmt>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Age Factors</term>
<term>Antiparkinson Agents (therapeutic use)</term>
<term>Brain (physiopathology)</term>
<term>Brain (radionuclide imaging)</term>
<term>CT</term>
<term>Cerebrovascular Disorders (complications)</term>
<term>Cerebrovascular Disorders (physiopathology)</term>
<term>Diagnosis, Differential</term>
<term>Dopamine Plasma Membrane Transport Proteins (metabolism)</term>
<term>Gait</term>
<term>Humans</term>
<term>Levodopa (therapeutic use)</term>
<term>MRI</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson Disease, Secondary (diagnosis)</term>
<term>Parkinson Disease, Secondary (drug therapy)</term>
<term>Parkinson Disease, Secondary (physiopathology)</term>
<term>SPECT</term>
<term>Severity of Illness Index</term>
<term>Tomography, Emission-Computed, Single-Photon</term>
<term>Tremor (physiopathology)</term>
<term>clinical features</term>
<term>idiopathic Parkinson's disease</term>
<term>vascular parkinsonism</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Dopamine Plasma Membrane Transport Proteins</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term>
<term>Levodopa</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cerebrovascular Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Parkinson Disease</term>
<term>Parkinson Disease, Secondary</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term>
<term>Parkinson Disease, Secondary</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Brain</term>
<term>Cerebrovascular Disorders</term>
<term>Parkinson Disease</term>
<term>Parkinson Disease, Secondary</term>
<term>Tremor</term>
</keywords>
<keywords scheme="MESH" qualifier="radionuclide imaging" xml:lang="en"><term>Brain</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Age Factors</term>
<term>Diagnosis, Differential</term>
<term>Gait</term>
<term>Humans</term>
<term>Severity of Illness Index</term>
<term>Tomography, Emission-Computed, Single-Photon</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Vascular parkinsonism (VP) remains a loose constellation of various clinical features. We systematically reviewed studies comparing clinical, neuroimaging and other investigations that might distinguish VP from idiopathic Parkinson's disease (PD). Medline, Embase, Cinahl (R), and PsycINFO were searched by querying appropriate key words. Reports were included if the study population contained comparative findings between patients with VP and PD. Twenty‐five articles fulfilled the selection criteria. Patients with VP were older, with a shorter duration of illness, presented with symmetrical gait difficulties, were less responsive to levodopa, and were more prone to postural instability, falls, and dementia. Pyramidal signs, pseudobulbar palsy, and incontinence were more common in VP. Tremor was not a main feature of VP. Structural neuroimaging was more likely to be abnormal in VP (90–100% of cases) than in PD (12–43% of cases), but there was no specific abnormal structural imaging pattern for VP. Two studies of presynaptic striatal dopamine transporters (using single photon emission computed tomography) showed a significant reduction in striatal uptake ratios in PD but not in VP, whereas another study found that only the mean asymmetry index was significantly lower in VP. Various other investigations, including alternative imaging techniques, electrophysiological, and neuropsychological studies, are reported, but the diverse diagnostic criteria used makes it difficult to reach any firm conclusions. The development of accepted international diagnostic criteria for VP is urgently needed to facilitate further studies. © 2010 Movement Disorder Society</div>
</front>
</TEI>
</ISTEX>
</double>
</record>

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	Movement Disorders (revue)
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Movement Disorders (revue)

Differentiating vascular parkinsonism from idiopathic Parkinson's disease: A systematic review

Differentiating vascular parkinsonism from idiopathic Parkinson's disease: A systematic review

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