Primary Lateral Sclerosis as Progressive Supranuclear Palsy: Diagnosis by Diffusion Tensor Imaging
Identifieur interne : 001018 ( Main/Exploration ); précédent : 001017; suivant : 001019Primary Lateral Sclerosis as Progressive Supranuclear Palsy: Diagnosis by Diffusion Tensor Imaging
Auteurs : Elizabeth A. Coon [États-Unis] ; Jennifer L. Whitwell [États-Unis] ; Clifford R. Jr Jack [États-Unis] ; Keith A. Josephs [États-Unis]Source :
- Movement disorders [ 0885-3185 ] ; 2012.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Anisotropy, Case-Control Studies, Corpus Callosum (pathology), Diagnosis, Diffusion Tensor Imaging, Diffusion tensor imaging, Female, Humans, Male, Middle Aged, Motor Neuron Disease (diagnosis), Motor neuron disease, Nervous system diseases, Prospective Studies, Pyramidal Tracts (pathology), Supranuclear Palsy, Progressive (physiopathology), Supranuclear ophthalmoplegia, Tegmentum Mesencephali (pathology).
- MESH :
- diagnosis : Motor Neuron Disease.
- pathology : Corpus Callosum, Pyramidal Tracts, Tegmentum Mesencephali.
- physiopathology : Supranuclear Palsy, Progressive.
- Aged, Aged, 80 and over, Anisotropy, Case-Control Studies, Diffusion Tensor Imaging, Female, Humans, Male, Middle Aged, Prospective Studies.
Abstract
Background: Evaluating the integrity of white matter tracts with diffusion tensor imaging may differentiate primary lateral sclerosis from progressive supranuclear palsy. Methods: Thirty-three prospectively recruited subjects had standardized evaluations and diffusion tensor imaging: 3 with primary lateral sclerosis who presented with features suggestive of progressive supranuclear palsy, 10 with probable or definite progressive supranuclear palsy, and 20 matched controls. We compared fractional anisotropy of the corticospinal tract, superior cerebellar peduncles, and body of the corpus callosum between groups. Results: Both the primary lateral sclerosis and progressive supranuclear palsy subjects showed reduced fractional anisotropy in superior cerebellar peduncle and body of the corpus callosum compared with controls, but only primary lateral sclerosis subjects showed reductions in the corticospinal tracts. A ratio of corticospinal tract/superior cerebellar peduncle best distinguished the disorders (P <.02). Conclusions: The corticospinal tract/superior cerebellar peduncle ratio is a marker to differentiate primary lateral sclerosis from progressive supranuclear palsy.
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Le document en format XML
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<term>Corpus Callosum (pathology)</term>
<term>Diagnosis</term>
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<term>Diffusion tensor imaging</term>
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<term>Motor neuron disease</term>
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<term>Supranuclear ophthalmoplegia</term>
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<term>Pyramidal Tracts</term>
<term>Tegmentum Mesencephali</term>
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<term>Aged, 80 and over</term>
<term>Anisotropy</term>
<term>Case-Control Studies</term>
<term>Diffusion Tensor Imaging</term>
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<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prospective Studies</term>
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<front><div type="abstract" xml:lang="en">Background: Evaluating the integrity of white matter tracts with diffusion tensor imaging may differentiate primary lateral sclerosis from progressive supranuclear palsy. Methods: Thirty-three prospectively recruited subjects had standardized evaluations and diffusion tensor imaging: 3 with primary lateral sclerosis who presented with features suggestive of progressive supranuclear palsy, 10 with probable or definite progressive supranuclear palsy, and 20 matched controls. We compared fractional anisotropy of the corticospinal tract, superior cerebellar peduncles, and body of the corpus callosum between groups. Results: Both the primary lateral sclerosis and progressive supranuclear palsy subjects showed reduced fractional anisotropy in superior cerebellar peduncle and body of the corpus callosum compared with controls, but only primary lateral sclerosis subjects showed reductions in the corticospinal tracts. A ratio of corticospinal tract/superior cerebellar peduncle best distinguished the disorders (P <.02). Conclusions: The corticospinal tract/superior cerebellar peduncle ratio is a marker to differentiate primary lateral sclerosis from progressive supranuclear palsy.</div>
</front>
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<name sortKey="Whitwell, Jennifer L" sort="Whitwell, Jennifer L" uniqKey="Whitwell J" first="Jennifer L." last="Whitwell">Jennifer L. Whitwell</name>
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