Hypodipsia discriminates progressive supranuclear palsy from other parkinsonian syndromes
Identifieur interne : 001629 ( Main/Exploration ); précédent : 001628; suivant : 001630Hypodipsia discriminates progressive supranuclear palsy from other parkinsonian syndromes
Auteurs : Maria Stamelou [Allemagne] ; Helena Christ [Allemagne] ; Alexander Reuss [Allemagne] ; Wolfgang Oertel [Allemagne] ; Günter Höglinger [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2011-04.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Cohort Studies, Diagnosis, Differential, Drinking (physiology), Female, Humans, Male, Middle Aged, Multiple system atrophy, Nervous system diseases, Parkinson disease, Parkinson's disease, Parkinsonian Disorders (complications), Parkinsonian Disorders (diagnosis), Questionnaires, Statistics as Topic, Supranuclear Palsy, Progressive (complications), Supranuclear Palsy, Progressive (diagnosis), Supranuclear ophthalmoplegia, Water Deprivation (physiology), hypodipsia, multiple system atrophy, progressive supranuclear palsy, thirst.
- MESH :
- complications : Parkinsonian Disorders, Supranuclear Palsy, Progressive.
- diagnosis : Parkinsonian Disorders, Supranuclear Palsy, Progressive.
- physiology : Drinking, Water Deprivation.
- Aged, Cohort Studies, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Questionnaires, Statistics as Topic.
Abstract
Background:: The objective of this study was to evaluate whether the sensation of thirst differs between patients with progressive supranuclear palsy (PSP), multiple system atrophy with predominant parkinsonism (MSA‐P), and Parkinson's disease (PD). Methods:: We administered a standardized thirst questionnaire to age‐, sex‐, and stage‐matched patients with probable PSP, PD, and MSA‐P and healthy controls (HC), n = 15/group. In an independent cohort (n = 10/group), we provoked thirst by infusing hypertonic NaCl in age‐, sex‐, and stage‐matched patients with PSP, PD, and MSA‐P and recorded plasma osmolality and thirst (visual analog scale). Results:: On questioning, 73% of PSP patients reported a reduced sensation of thirst (hypodipsia) compared with previous years (HC, 0%; PD, 7%; MSA‐P, 7%; P < .0001). On NaCl infusion, PSP patients reported significantly lower thirst than did PD and MSA‐P patients for all times from 20 to 95 minutes (P < .05). The thirst score at 25 minutes discriminated individual PSP patients well from PD and MSA‐P patients. Conclusions:: Hypodipsia appears helpful in differentiating PSP from PD and MSA‐P. © 2011 Movement Disorder Society
Url:
DOI: 10.1002/mds.23587
Affiliations:
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2011-04">2011-04</date><biblScope unit="vol">26</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="901">901</biblScope><biblScope unit="page" to="905">905</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">A05F54E1042135ABE5D82DFA5EC456B07D844CB3</idno><idno type="DOI">10.1002/mds.23587</idno><idno type="ArticleID">MDS23587</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Cohort Studies</term><term>Diagnosis, Differential</term><term>Drinking (physiology)</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Multiple system atrophy</term><term>Nervous system diseases</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Parkinsonian Disorders (complications)</term><term>Parkinsonian Disorders (diagnosis)</term><term>Questionnaires</term><term>Statistics as Topic</term><term>Supranuclear Palsy, Progressive (complications)</term><term>Supranuclear Palsy, Progressive (diagnosis)</term><term>Supranuclear ophthalmoplegia</term><term>Water Deprivation (physiology)</term><term>hypodipsia</term><term>multiple system atrophy</term><term>progressive supranuclear palsy</term><term>thirst</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinsonian Disorders</term><term>Supranuclear Palsy, Progressive</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Parkinsonian Disorders</term><term>Supranuclear Palsy, Progressive</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Drinking</term><term>Water Deprivation</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Cohort Studies</term><term>Diagnosis, Differential</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Questionnaires</term><term>Statistics as Topic</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Atrophie multisystématisée</term><term>Maladie de Parkinson</term><term>Ophtalmoplégie supranucléaire</term><term>Pathologie du système nerveux</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background:: The objective of this study was to evaluate whether the sensation of thirst differs between patients with progressive supranuclear palsy (PSP), multiple system atrophy with predominant parkinsonism (MSA‐P), and Parkinson's disease (PD). Methods:: We administered a standardized thirst questionnaire to age‐, sex‐, and stage‐matched patients with probable PSP, PD, and MSA‐P and healthy controls (HC), n = 15/group. In an independent cohort (n = 10/group), we provoked thirst by infusing hypertonic NaCl in age‐, sex‐, and stage‐matched patients with PSP, PD, and MSA‐P and recorded plasma osmolality and thirst (visual analog scale). Results:: On questioning, 73% of PSP patients reported a reduced sensation of thirst (hypodipsia) compared with previous years (HC, 0%; PD, 7%; MSA‐P, 7%; P < .0001). On NaCl infusion, PSP patients reported significantly lower thirst than did PD and MSA‐P patients for all times from 20 to 95 minutes (P < .05). The thirst score at 25 minutes discriminated individual PSP patients well from PD and MSA‐P patients. Conclusions:: Hypodipsia appears helpful in differentiating PSP from PD and MSA‐P. © 2011 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>District de Giessen</li><li>Hesse (Land)</li></region><settlement><li>Marbourg</li></settlement></list><tree><country name="Allemagne"><region name="Hesse (Land)"><name sortKey="Stamelou, Maria" sort="Stamelou, Maria" uniqKey="Stamelou M" first="Maria" last="Stamelou">Maria Stamelou</name></region><name sortKey="Christ, Helena" sort="Christ, Helena" uniqKey="Christ H" first="Helena" last="Christ">Helena Christ</name><name sortKey="Hoglinger, Gunter" sort="Hoglinger, Gunter" uniqKey="Hoglinger G" first="Günter" last="Höglinger">Günter Höglinger</name><name sortKey="Oertel, Wolfgang" sort="Oertel, Wolfgang" uniqKey="Oertel W" first="Wolfgang" last="Oertel">Wolfgang Oertel</name><name sortKey="Reuss, Alexander" sort="Reuss, Alexander" uniqKey="Reuss A" first="Alexander" last="Reuss">Alexander Reuss</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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