Movement Disorders (revue)

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Neurological deficits are associated with increased brain calcinosis, hypoperfusion, and hypometabolism in idiopathic basal ganglia calcification

Identifieur interne : 002D23 ( Main/Curation ); précédent : 002D22; suivant : 002D24

Neurological deficits are associated with increased brain calcinosis, hypoperfusion, and hypometabolism in idiopathic basal ganglia calcification

Auteurs : Misuzu Saiki [Japon] ; Shinji Saiki [Japon] ; Koichiro Sakai [Japon] ; Ichiro Matsunari [Japon] ; Kotaro Higashi [Japon] ; Ken-Ya Murata [Japon] ; Nobutaka Hattori [Japon] ; Genjiro Hirose [Japon]

Source :

RBID : ISTEX:9211FFEC371EA7FFE035DB61C907AC299E609E5E

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English descriptors

Abstract

We report two familial cases of idiopathic basal ganglia calcification. A 60‐year‐old proband with choreoathetosis, dysarthria, and cognitive decline showed more extensive brain calcinosis, hypoperfusion, and hypometabolism than did his asymptomatic 82‐year‐old mother. The mother had no frontal lobe calcinosis but basal ganglia and dentate nucleus depositions were detectable. Perfusion neuroimaging, however, was normal in the asymptomatic mother and abnormal in the clinically impaired proband. The presence of calcinosis cannot be used as an index of neurological impairment but the extent of calcinosis and reduction in perfusion and metabolism may be useful for separating symptomatic from asymptomatic subjects with IBGC. These findings suggest that an interruption of neuronal circuitry may cause neurological deficits. The degree of neurological deficits may correlate with the severity of calcinosis and the reduction of perfusion and metabolism. © 2007 Movement Disorder Society

Url:
DOI: 10.1002/mds.21438

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ISTEX:9211FFEC371EA7FFE035DB61C907AC299E609E5E

Le document en format XML

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<div type="abstract" xml:lang="en">We report two familial cases of idiopathic basal ganglia calcification. A 60‐year‐old proband with choreoathetosis, dysarthria, and cognitive decline showed more extensive brain calcinosis, hypoperfusion, and hypometabolism than did his asymptomatic 82‐year‐old mother. The mother had no frontal lobe calcinosis but basal ganglia and dentate nucleus depositions were detectable. Perfusion neuroimaging, however, was normal in the asymptomatic mother and abnormal in the clinically impaired proband. The presence of calcinosis cannot be used as an index of neurological impairment but the extent of calcinosis and reduction in perfusion and metabolism may be useful for separating symptomatic from asymptomatic subjects with IBGC. These findings suggest that an interruption of neuronal circuitry may cause neurological deficits. The degree of neurological deficits may correlate with the severity of calcinosis and the reduction of perfusion and metabolism. © 2007 Movement Disorder Society</div>
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<s1>Department of Neurology, Juntendo University School of Medicine</s1>
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<country>Japon</country>
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<title level="j" type="main">Movement disorders</title>
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<term>Positron</term>
<term>Positron emission tomography</term>
<term>Single photon emission tomography</term>
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<term>Système nerveux pathologie</term>
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<term>Calcinose</term>
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<term>Noyau gris central</term>
<term>Calcification</term>
<term>Tomoscintigraphie émission monophotonique</term>
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<div type="abstract" xml:lang="en">We report two familial cases of idiopathic basal ganglia calcification. A 60-year-old proband with choreoathetosis, dysarthria, and cognitive decline showed more extensive brain calcinosis, hypoperfusion, and hypometabolism than did his asymptomatic 82-year-old mother. The mother had no frontal lobe calcinosis but basal ganglia and dentate nucleus depositions were detectable. Perfusion neuroimaging, however, was normal in the asymptomatic mother and abnormal in the clinically impaired proband. The presence of calcinosis cannot be used as an index of neurological impairment but the extent of calcinosis and reduction in perfusion and metabolism may be useful for separating symptomatic from asymptomatic subjects with IBGC. These findings suggest that an interruption of neuronal circuitry may cause neurological deficits. The degree of neurological deficits may correlate with the severity of calcinosis and the reduction of perfusion and metabolism.</div>
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<div type="abstract" xml:lang="en">We report two familial cases of idiopathic basal ganglia calcification. A 60‐year‐old proband with choreoathetosis, dysarthria, and cognitive decline showed more extensive brain calcinosis, hypoperfusion, and hypometabolism than did his asymptomatic 82‐year‐old mother. The mother had no frontal lobe calcinosis but basal ganglia and dentate nucleus depositions were detectable. Perfusion neuroimaging, however, was normal in the asymptomatic mother and abnormal in the clinically impaired proband. The presence of calcinosis cannot be used as an index of neurological impairment but the extent of calcinosis and reduction in perfusion and metabolism may be useful for separating symptomatic from asymptomatic subjects with IBGC. These findings suggest that an interruption of neuronal circuitry may cause neurological deficits. The degree of neurological deficits may correlate with the severity of calcinosis and the reduction of perfusion and metabolism. © 2007 Movement Disorder Society</div>
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