MovDisordV3, Main, Exploration, bibRecord, 001186

Brain Perfusion Anomalies in Rapid Eye Movement Sleep Behavior Disorder with Mild Cognitive Impairment

Identifieur interne : 001186 ( Main/Exploration ); précédent : 001185; suivant : 001187

Brain Perfusion Anomalies in Rapid Eye Movement Sleep Behavior Disorder with Mild Cognitive Impairment

Auteurs : Mélanie Vendette [Canada] ; Jacques Montplaisir [Canada] ; Nadia Gosselin [Canada] ; Jean-Paul Soucy [Canada] ; Ronald B. Postuma [Canada] ; Thien Thanh Dang-Vu [Canada, Belgique] ; Jean-François Gagnon [Canada]

Source :

Movement disorders [ 0885-3185 ] ; 2012.

RBID : Pascal:12-0369425

Descripteurs français

Pascal (Inist)
- Pathologie de l'encéphale, Déficit cognitif léger, Trouble cognitif, Trouble du sommeil, Maladie de Parkinson, Pathologie du système nerveux, Sommeil paradoxal, Comportement, Tomoscintigraphie émission monophotonique, Photon, Débit sanguin régional, Encéphale, Démence à corps de Lewy.

English descriptors

KwdEn :
- Behavior, Cerebral disorder, Cognitive disorder, Encephalon, Lewy body dementia, Nervous system diseases, Parkinson disease, Photon, Rapid eye movement sleep, Regional blood flow, Single photon emission tomography, Sleep disorder, mild cognitive impairment.

Abstract

Rapid eye movement (REM) sleep behavior disorder is an important risk factor for Parkinson's disease and dementia with Lewy bodies. Approximately 50% of patients with REM sleep behavior disorder have mild cognitive impairment. Our objective was to investigate brain perfusion changes associated with mild cognitive impairment in REM sleep behavior disorder. Twenty patients with REM sleep behavior disorder, including 10 patients with mild cognitive impairment and 10 patients without mild cognitive impairment, and 20 healthy controls underwent a complete neuropsychological assessment and single-photon emission computerized tomography using ^99mcTc-Ethylene Cysteinate Dimer. Compared with controls, both REM sleep behavior disorder groups had hypoperfusion in the frontal regions. In addition, patients with REM sleep behavior disorder and mild cognitive impairment showed cortical hypoperfusion in the occipital, temporal, and parietal regions compared with controls and patients with REM sleep behavior disorder without mild cognitive impairment. Both REM sleep behavior disorder groups had hyperperfusion in the right hippocampus and parahippocampal gyri. However, patients with REM sleep behavior disorder and mild cognitive impairment showed more pronounced anomalies in the right hippocampus and had increased perfusion in the putamen and the left paracentral gyrus. This study showed specific patterns of posterior cortical hypoperfusion and hyperperfusion in some brain areas in patients with REM sleep behavior disorder and mild cognitive impairment, similar to those found in Parkinson's disease dementia and dementia with Lewy bodies. This suggests the presence of an identifiable neuroimaging marker of synucleinopathy in REM sleep behavior disorder with mild cognitive impairment.

Affiliations:

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Le document en format XML

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<series><title level="j" type="main">Movement disorders</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Behavior</term>
<term>Cerebral disorder</term>
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<term>Encephalon</term>
<term>Lewy body dementia</term>
<term>Nervous system diseases</term>
<term>Parkinson disease</term>
<term>Photon</term>
<term>Rapid eye movement sleep</term>
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<term>Sleep disorder</term>
<term>mild cognitive impairment</term>
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<term>Trouble cognitif</term>
<term>Trouble du sommeil</term>
<term>Maladie de Parkinson</term>
<term>Pathologie du   système nerveux</term>
<term>Sommeil paradoxal</term>
<term>Comportement</term>
<term>Tomoscintigraphie émission monophotonique</term>
<term>Photon</term>
<term>Débit sanguin régional</term>
<term>Encéphale</term>
<term>Démence à corps de Lewy</term>
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<front><div type="abstract" xml:lang="en">Rapid eye movement (REM) sleep behavior disorder is an important risk factor for Parkinson's disease and dementia with Lewy bodies. Approximately 50% of patients with REM sleep behavior disorder have mild cognitive impairment. Our objective was to investigate brain perfusion changes associated with mild cognitive impairment in REM sleep behavior disorder. Twenty patients with REM sleep behavior disorder, including 10 patients with mild cognitive impairment and 10 patients without mild cognitive impairment, and 20 healthy controls underwent a complete neuropsychological assessment and single-photon emission computerized tomography using <sup>99mc</sup>
Tc-Ethylene Cysteinate Dimer. Compared with controls, both REM sleep behavior disorder groups had hypoperfusion in the frontal regions. In addition, patients with REM sleep behavior disorder and mild cognitive impairment showed cortical hypoperfusion in the occipital, temporal, and parietal regions compared with controls and patients with REM sleep behavior disorder without mild cognitive impairment. Both REM sleep behavior disorder groups had hyperperfusion in the right hippocampus and parahippocampal gyri. However, patients with REM sleep behavior disorder and mild cognitive impairment showed more pronounced anomalies in the right hippocampus and had increased perfusion in the putamen and the left paracentral gyrus. This study showed specific patterns of posterior cortical hypoperfusion and hyperperfusion in some brain areas in patients with REM sleep behavior disorder and mild cognitive impairment, similar to those found in Parkinson's disease dementia and dementia with Lewy bodies. This suggests the presence of an identifiable neuroimaging marker of synucleinopathy in REM sleep behavior disorder with mild cognitive impairment.</div>
</front>
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<affiliations><list><country><li>Belgique</li>
<li>Canada</li>
</country>
<region><li>Québec</li>
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<name sortKey="Montplaisir, Jacques" sort="Montplaisir, Jacques" uniqKey="Montplaisir J" first="Jacques" last="Montplaisir">Jacques Montplaisir</name>
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<country name="Belgique"><noRegion><name sortKey="Thanh Dang Vu, Thien" sort="Thanh Dang Vu, Thien" uniqKey="Thanh Dang Vu T" first="Thien" last="Thanh Dang-Vu">Thien Thanh Dang-Vu</name>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Brain Perfusion Anomalies in Rapid Eye Movement Sleep Behavior Disorder with Mild Cognitive Impairment

Brain Perfusion Anomalies in Rapid Eye Movement Sleep Behavior Disorder with Mild Cognitive Impairment

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