Entorhinal Cortex Atrophy Differentiates Parkinson's Disease Patients With and Without Dementia
Identifieur interne : 001131 ( Main/Exploration ); précédent : 001130; suivant : 001132Entorhinal Cortex Atrophy Differentiates Parkinson's Disease Patients With and Without Dementia
Auteurs : Jennifer G. Goldman [États-Unis] ; Glenn T. Stebbins [États-Unis] ; Bryan Bernard [États-Unis] ; Travis R. Stoub [États-Unis] ; Christopher G. Goetz [États-Unis] ; Leyla Detoledo-Morrell [États-Unis]Source :
- Movement disorders [ 0885-3185 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Alzheimer disease, Atrophy, Cognition, Dementia (complications), Dementia (pathology), Disease Progression, Entorhinal Cortex (pathology), Entorhinal cortex, Female, Hippocampus (pathology), Human, Humans, Magnetic Resonance Imaging, Male, Memory Disorders (complications), Memory Disorders (pathology), Middle Aged, Nervous system diseases, Neuropsychological Tests, Nuclear magnetic resonance imaging, Organ Size, Parkinson Disease (complications), Parkinson Disease (pathology), Parkinson disease, Temporal lobe.
- MESH :
- complications : Dementia, Memory Disorders, Parkinson Disease.
- pathology : Dementia, Entorhinal Cortex, Hippocampus, Memory Disorders, Parkinson Disease.
- Aged, Aged, 80 and over, Atrophy, Disease Progression, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Neuropsychological Tests, Organ Size.
Abstract
Volumetric measures of mesial temporal lobe structures on MRI scans recently have been explored as potential biomarkers of dementia in patients with PD, with investigations primarily focused on hippocampal volume. Both in vivo MRI and postmortem tissue studies in Alzheimer's disease, however, demonstrate that the entorhinal cortex (ERC) is involved earlier in disease-related pathology than the hippocampus. The ERC, a region integral in declarative memory function, projects multimodal sensory information to the hippocampus through the perforant path. In PD, ERC atrophy, as measured on MRI, however, has received less attention, compared to hippocampal atrophy. We compared ERC and hippocampal atrophy in 12 subjects with PD dementia including memory impairment, 14 PD subjects with normal cognition, and 14 healthy controls with normal cognition using manual segmentation methods on MRI scans. Though hippocampal volumes were similar in the two PD cognitive groups, ERC volumes were substantially smaller in the demented PD subjects, compared to cognitively normal PD subjects (P < 0.05). In addition, normalized ERC and hippocampal volumes for right and left hemispheres were significantly lower in the demented PD group, compared to healthy controls. Our findings suggest that ERC atrophy differentiates demented and cognitively normal PD subjects, in contrast to hippocampal atrophy. Thus, ERC atrophy on MRI may be a potential biomarker for dementia in PD, particularly in the setting of memory impairment.
Url:
Affiliations:
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Le document en format XML
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<term>Dementia (pathology)</term>
<term>Disease Progression</term>
<term>Entorhinal Cortex (pathology)</term>
<term>Entorhinal cortex</term>
<term>Female</term>
<term>Hippocampus (pathology)</term>
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<front><div type="abstract" xml:lang="en">Volumetric measures of mesial temporal lobe structures on MRI scans recently have been explored as potential biomarkers of dementia in patients with PD, with investigations primarily focused on hippocampal volume. Both in vivo MRI and postmortem tissue studies in Alzheimer's disease, however, demonstrate that the entorhinal cortex (ERC) is involved earlier in disease-related pathology than the hippocampus. The ERC, a region integral in declarative memory function, projects multimodal sensory information to the hippocampus through the perforant path. In PD, ERC atrophy, as measured on MRI, however, has received less attention, compared to hippocampal atrophy. We compared ERC and hippocampal atrophy in 12 subjects with PD dementia including memory impairment, 14 PD subjects with normal cognition, and 14 healthy controls with normal cognition using manual segmentation methods on MRI scans. Though hippocampal volumes were similar in the two PD cognitive groups, ERC volumes were substantially smaller in the demented PD subjects, compared to cognitively normal PD subjects (P < 0.05). In addition, normalized ERC and hippocampal volumes for right and left hemispheres were significantly lower in the demented PD group, compared to healthy controls. Our findings suggest that ERC atrophy differentiates demented and cognitively normal PD subjects, in contrast to hippocampal atrophy. Thus, ERC atrophy on MRI may be a potential biomarker for dementia in PD, particularly in the setting of memory impairment.</div>
</front>
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<name sortKey="Bernard, Bryan" sort="Bernard, Bryan" uniqKey="Bernard B" first="Bryan" last="Bernard">Bryan Bernard</name>
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<name sortKey="Goetz, Christopher G" sort="Goetz, Christopher G" uniqKey="Goetz C" first="Christopher G." last="Goetz">Christopher G. Goetz</name>
<name sortKey="Stebbins, Glenn T" sort="Stebbins, Glenn T" uniqKey="Stebbins G" first="Glenn T." last="Stebbins">Glenn T. Stebbins</name>
<name sortKey="Stoub, Travis R" sort="Stoub, Travis R" uniqKey="Stoub T" first="Travis R." last="Stoub">Travis R. Stoub</name>
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