Impairment of Brain Vessels May Contribute to Mortality in Patients With Parkinson's Disease
Identifieur interne : 001090 ( Main/Exploration ); précédent : 001089; suivant : 001091Impairment of Brain Vessels May Contribute to Mortality in Patients With Parkinson's Disease
Auteurs : Ivan Rektor [République tchèque] ; David Goldemund [République tchèque] ; Petr Bednarik [République tchèque] ; Katerina Sheardova [République tchèque] ; Zuzana Michalkova [République tchèque] ; Sabina Telecka [République tchèque] ; Michal Dufek [République tchèque] ; Irena Rektorova [République tchèque]Source :
- Movement disorders [ 0885-3185 ] ; 2012.
Descripteurs français
- Pascal (Inist)
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English descriptors
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Abstract
Background: The effect of brain-vessel pathology on mortality in 57 consecutive PD patients was studied. Methods: Baseline clinical, neuropsychological, ultrasonographic (US), and MR data obtained from patients who died (n = 18) during a 4-year follow-up period were compared with the data of patients who survived. Results: US/MRI data displayed a more-severe vascular impairment in deceased patients. Differences were significant between both groups with respect to age, clinical and cognitive status, intima-media thickness, and resistance index (indicators of large and small vessel impairment). The sum score of white-matter hyper-intensities was significantly higher among decedents. A cluster analysis displayed two clusters that differed in the two parameters (i.e. in age and in sum score). Conclusions: This study provides evidence that comorbid atherosclerosis and otherwise subclinical impairment of brain vessels may contribute to mortality in PD. The vascular pathology may act in association with other comorbidities on the terrain of progressive neurodegenerative pathology.
Affiliations:
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wicri:level="3"><inist:fA14 i1="02"><s1>Movement Disorders and Stroke Centers, First Department of Neurology, Masaryk University, St. Anne's Teaching Hospital</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation></author><author><name sortKey="Telecka, Sabina" sort="Telecka, Sabina" uniqKey="Telecka S" first="Sabina" last="Telecka">Sabina Telecka</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Central European Institute of Technology</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Movement Disorders and Stroke Centers, First Department of Neurology, Masaryk University, St. Anne's Teaching Hospital</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation></author><author><name sortKey="Dufek, Michal" sort="Dufek, Michal" uniqKey="Dufek M" first="Michal" last="Dufek">Michal Dufek</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Movement Disorders and Stroke Centers, First Department of Neurology, Masaryk University, St. Anne's Teaching Hospital</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation></author><author><name sortKey="Rektorova, Irena" sort="Rektorova, Irena" uniqKey="Rektorova I" first="Irena" last="Rektorova">Irena Rektorova</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Central European Institute of Technology</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Movement Disorders and Stroke Centers, First Department of Neurology, Masaryk University, St. Anne's Teaching Hospital</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">12-0339945</idno><date when="2012">2012</date><idno type="stanalyst">PASCAL 12-0339945 INIST</idno><idno type="RBID">Pascal:12-0339945</idno><idno type="wicri:Area/PascalFrancis/Corpus">000117</idno><idno type="wicri:Area/PascalFrancis/Curation">002B97</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000163</idno><idno type="wicri:doubleKey">0885-3185:2012:Rektor I:impairment:of:brain</idno><idno type="wicri:Area/Main/Merge">001142</idno><idno type="wicri:Area/Main/Curation">001090</idno><idno type="wicri:Area/Main/Exploration">001090</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Impairment of Brain Vessels May Contribute to Mortality in Patients With Parkinson's Disease</title><author><name sortKey="Rektor, Ivan" sort="Rektor, Ivan" uniqKey="Rektor I" first="Ivan" last="Rektor">Ivan Rektor</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Central European Institute of Technology</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Movement Disorders and Stroke Centers, First Department of Neurology, Masaryk University, St. Anne's Teaching Hospital</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation></author><author><name sortKey="Goldemund, David" sort="Goldemund, David" uniqKey="Goldemund D" first="David" last="Goldemund">David Goldemund</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Movement Disorders and Stroke Centers, First Department of Neurology, Masaryk University, St. Anne's Teaching Hospital</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>International Clinical Research Center</s1><s2>Brno</s2><s3>CZE</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation></author><author><name sortKey="Bednarik, Petr" sort="Bednarik, Petr" uniqKey="Bednarik P" first="Petr" last="Bednarik">Petr Bednarik</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Central European Institute of Technology</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Imaging Methods, Masaryk University, St. Anne's Teaching Hospital</s1><s2>Brno</s2><s3>CZE</s3><sZ>3 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation></author><author><name sortKey="Sheardova, Katerina" sort="Sheardova, Katerina" uniqKey="Sheardova K" first="Katerina" last="Sheardova">Katerina Sheardova</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Movement Disorders and Stroke Centers, First Department of Neurology, Masaryk University, St. Anne's Teaching Hospital</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>International Clinical Research Center</s1><s2>Brno</s2><s3>CZE</s3><sZ>2 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation></author><author><name sortKey="Michalkova, Zuzana" sort="Michalkova, Zuzana" uniqKey="Michalkova Z" first="Zuzana" last="Michalkova">Zuzana Michalkova</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Movement Disorders and Stroke Centers, First Department of Neurology, Masaryk University, St. Anne's Teaching Hospital</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation></author><author><name sortKey="Telecka, Sabina" sort="Telecka, Sabina" uniqKey="Telecka S" first="Sabina" last="Telecka">Sabina Telecka</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Central European Institute of Technology</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Movement Disorders and Stroke Centers, First Department of Neurology, Masaryk University, St. Anne's Teaching Hospital</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation></author><author><name sortKey="Dufek, Michal" sort="Dufek, Michal" uniqKey="Dufek M" first="Michal" last="Dufek">Michal Dufek</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Movement Disorders and Stroke Centers, First Department of Neurology, Masaryk University, St. Anne's Teaching Hospital</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation></author><author><name sortKey="Rektorova, Irena" sort="Rektorova, Irena" uniqKey="Rektorova I" first="Irena" last="Rektorova">Irena Rektorova</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Central European Institute of Technology</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>6 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Movement Disorders and Stroke Centers, First Department of Neurology, Masaryk University, St. Anne's Teaching Hospital</s1><s2>Brno</s2><s3>CZE</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Brno</settlement><region>Moravie</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cerebrovascular disease</term><term>Encephalon</term><term>Human</term><term>Mortality</term><term>Nervous system diseases</term><term>Nuclear magnetic resonance imaging</term><term>Parkinson disease</term><term>Ultrasound</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term><term>Pathologie cérébrovasculaire</term><term>Pathologie du système nerveux</term><term>Encéphale</term><term>Mortalité</term><term>Homme</term><term>Imagerie RMN</term><term>Ultrason</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Mortalité</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The effect of brain-vessel pathology on mortality in 57 consecutive PD patients was studied. Methods: Baseline clinical, neuropsychological, ultrasonographic (US), and MR data obtained from patients who died (n = 18) during a 4-year follow-up period were compared with the data of patients who survived. Results: US/MRI data displayed a more-severe vascular impairment in deceased patients. Differences were significant between both groups with respect to age, clinical and cognitive status, intima-media thickness, and resistance index (indicators of large and small vessel impairment). The sum score of white-matter hyper-intensities was significantly higher among decedents. A cluster analysis displayed two clusters that differed in the two parameters (i.e. in age and in sum score). Conclusions: This study provides evidence that comorbid atherosclerosis and otherwise subclinical impairment of brain vessels may contribute to mortality in PD. The vascular pathology may act in association with other comorbidities on the terrain of progressive neurodegenerative pathology.</div></front></TEI><affiliations><list><country><li>République tchèque</li></country><region><li>Moravie</li></region><settlement><li>Brno</li></settlement></list><tree><country name="République tchèque"><region name="Moravie"><name sortKey="Rektor, Ivan" sort="Rektor, Ivan" uniqKey="Rektor I" first="Ivan" last="Rektor">Ivan Rektor</name></region><name sortKey="Bednarik, Petr" sort="Bednarik, Petr" uniqKey="Bednarik P" first="Petr" last="Bednarik">Petr Bednarik</name><name sortKey="Bednarik, Petr" sort="Bednarik, Petr" uniqKey="Bednarik P" first="Petr" last="Bednarik">Petr Bednarik</name><name sortKey="Dufek, Michal" sort="Dufek, Michal" uniqKey="Dufek M" first="Michal" last="Dufek">Michal Dufek</name><name sortKey="Goldemund, David" sort="Goldemund, David" uniqKey="Goldemund D" first="David" last="Goldemund">David Goldemund</name><name sortKey="Goldemund, David" sort="Goldemund, David" uniqKey="Goldemund D" first="David" last="Goldemund">David Goldemund</name><name sortKey="Michalkova, Zuzana" sort="Michalkova, Zuzana" uniqKey="Michalkova Z" first="Zuzana" last="Michalkova">Zuzana Michalkova</name><name sortKey="Rektor, Ivan" sort="Rektor, Ivan" uniqKey="Rektor I" first="Ivan" last="Rektor">Ivan Rektor</name><name sortKey="Rektorova, Irena" sort="Rektorova, Irena" uniqKey="Rektorova I" first="Irena" last="Rektorova">Irena Rektorova</name><name sortKey="Rektorova, Irena" sort="Rektorova, Irena" uniqKey="Rektorova I" first="Irena" last="Rektorova">Irena Rektorova</name><name sortKey="Sheardova, Katerina" sort="Sheardova, Katerina" uniqKey="Sheardova K" first="Katerina" last="Sheardova">Katerina Sheardova</name><name sortKey="Sheardova, Katerina" sort="Sheardova, Katerina" uniqKey="Sheardova K" first="Katerina" last="Sheardova">Katerina Sheardova</name><name sortKey="Telecka, Sabina" sort="Telecka, Sabina" uniqKey="Telecka S" first="Sabina" last="Telecka">Sabina Telecka</name><name sortKey="Telecka, Sabina" sort="Telecka, Sabina" uniqKey="Telecka S" first="Sabina" last="Telecka">Sabina Telecka</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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