Pupil diameter in darkness differentiates progressive supranuclear palsy (PSP) from other extrapyramidal syndromes
Identifieur interne : 002C38 ( Main/Exploration ); précédent : 002C37; suivant : 002C39Pupil diameter in darkness differentiates progressive supranuclear palsy (PSP) from other extrapyramidal syndromes
Auteurs : Claudia Schmidt [Allemagne] ; Birgit Herting [Allemagne] ; Silke Prieur [Allemagne] ; Susann Junghanns [Allemagne] ; Katherine Schweitzer [Allemagne] ; Christoph Globas [Allemagne] ; Ludger Schöls [Allemagne] ; Sabine Antoni [Allemagne] ; Dietmar Ferger [Allemagne] ; Heinz Reichmann [Allemagne] ; Helmut Wilhelm [Allemagne] ; Daniela Berg [Allemagne] ; Tjalf Ziemssen [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2007-10-31.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Aged, Case-Control Studies, Darkness, Dysfunction, Extrapyramidal syndrome, Female, Humans, Male, Middle Aged, Multiple System Atrophy (complications), Multiple system atrophy, Nervous system diseases, Parkinson Disease (complications), Parkinson disease, Parkinson's disease, Pupil, Pupil (physiology), Supranuclear Palsy, Progressive (etiology), Supranuclear Palsy, Progressive (pathology), autonomic dysfunction, multiple system atrophy, progressive supranuclear palsy, pupil diameter in darkness.
- MESH :
- complications : Multiple System Atrophy, Parkinson Disease.
- etiology : Supranuclear Palsy, Progressive.
- pathology : Supranuclear Palsy, Progressive.
- physiology : Pupil.
- Aged, Case-Control Studies, Darkness, Female, Humans, Male, Middle Aged.
Abstract
The most important features that characterize and differentiate progressive supranuclear palsy from other Parkinsonian syndromes are postural instability, supranuclear gaze palsy, pseudobulbar palsy, parkinsonism, and cognitive disturbances. In this article, we demonstrate that progressive supranuclear palsy patients exhibit pathologically decreased pupil diameters after dark adaptation recorded by TV pupillography. A cut off value of 3.99 mm was defined to differentiate progressive supranuclear palsy patients from patients with other extrapyramidal disorders like Parkinson's disease and multiple system atrophy with a specificity of 86.4% and a sensitivity of 70.8%. Other pupil abnormalities could not be described in patients with extrapyramidal syndromes. © 2007 Movement Disorder Society
Url:
DOI: 10.1002/mds.21721
Affiliations:
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uniqKey="Schmidt C" first="Claudia" last="Schmidt">Claudia Schmidt</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Autonomic and Neuroendocrinological laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology</wicri:regionArea><wicri:noRegion>Dresden University of Technology</wicri:noRegion><wicri:noRegion>Dresden University of Technology</wicri:noRegion></affiliation></author><author><name sortKey="Herting, Birgit" sort="Herting, Birgit" uniqKey="Herting B" first="Birgit" last="Herting">Birgit Herting</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Movement Disorders Research Group, University Clinic Carl Gustav Carus, Dresden University of Technology</wicri:regionArea><wicri:noRegion>Dresden University of Technology</wicri:noRegion><wicri:noRegion>Dresden University of Technology</wicri:noRegion></affiliation></author><author><name sortKey="Prieur, Silke" sort="Prieur, Silke" uniqKey="Prieur S" first="Silke" last="Prieur">Silke Prieur</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Autonomic and Neuroendocrinological laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology</wicri:regionArea><wicri:noRegion>Dresden University of Technology</wicri:noRegion><wicri:noRegion>Dresden University of Technology</wicri:noRegion></affiliation></author><author><name sortKey="Junghanns, Susann" sort="Junghanns, Susann" uniqKey="Junghanns S" first="Susann" last="Junghanns">Susann Junghanns</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Movement Disorders Research Group, University Clinic Carl Gustav Carus, Dresden University of Technology</wicri:regionArea><wicri:noRegion>Dresden University of Technology</wicri:noRegion><wicri:noRegion>Dresden University of Technology</wicri:noRegion></affiliation></author><author><name sortKey="Schweitzer, Katherine" sort="Schweitzer, Katherine" uniqKey="Schweitzer K" first="Katherine" last="Schweitzer">Katherine Schweitzer</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center of Neurology, Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:regionArea><wicri:noRegion>Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:noRegion><wicri:noRegion>Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:noRegion></affiliation></author><author><name sortKey="Globas, Christoph" sort="Globas, Christoph" uniqKey="Globas C" first="Christoph" last="Globas">Christoph Globas</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center of Neurology, Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:regionArea><wicri:noRegion>Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:noRegion><wicri:noRegion>Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:noRegion></affiliation></author><author><name sortKey="Schols, Ludger" sort="Schols, Ludger" uniqKey="Schols L" first="Ludger" last="Schöls">Ludger Schöls</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center of Neurology, Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:regionArea><wicri:noRegion>Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:noRegion><wicri:noRegion>Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:noRegion></affiliation></author><author><name sortKey="Antoni, Sabine" sort="Antoni, Sabine" uniqKey="Antoni S" first="Sabine" last="Antoni">Sabine Antoni</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Mathematics, Dresden University of Technology</wicri:regionArea><wicri:noRegion>Dresden University of Technology</wicri:noRegion><wicri:noRegion>Dresden University of Technology</wicri:noRegion></affiliation></author><author><name sortKey="Ferger, Dietmar" sort="Ferger, Dietmar" uniqKey="Ferger D" first="Dietmar" last="Ferger">Dietmar Ferger</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Mathematics, Dresden University of Technology</wicri:regionArea><wicri:noRegion>Dresden University of Technology</wicri:noRegion><wicri:noRegion>Dresden University of Technology</wicri:noRegion></affiliation></author><author><name sortKey="Reichmann, Heinz" sort="Reichmann, Heinz" uniqKey="Reichmann H" first="Heinz" last="Reichmann">Heinz Reichmann</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neurology, Movement Disorders Research Group, University Clinic Carl Gustav Carus, Dresden University of Technology</wicri:regionArea><wicri:noRegion>Dresden University of Technology</wicri:noRegion><wicri:noRegion>Dresden University of Technology</wicri:noRegion></affiliation></author><author><name sortKey="Wilhelm, Helmut" sort="Wilhelm, Helmut" uniqKey="Wilhelm H" first="Helmut" last="Wilhelm">Helmut Wilhelm</name><affiliation wicri:level="3"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Neuroophthalmology, University Eye Hospital, Tübingen</wicri:regionArea><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Tübingen</region><settlement type="city">Tübingen</settlement></placeName></affiliation></author><author><name sortKey="Berg, Daniela" sort="Berg, Daniela" uniqKey="Berg D" first="Daniela" last="Berg">Daniela Berg</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Center of Neurology, Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:regionArea><wicri:noRegion>Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:noRegion><wicri:noRegion>Department of Neurodegeneration and Hertie‐Institute of Clinical Brain Research University of Tübingen</wicri:noRegion></affiliation></author><author><name sortKey="Ziemssen, Tjalf" sort="Ziemssen, Tjalf" uniqKey="Ziemssen T" first="Tjalf" last="Ziemssen">Tjalf Ziemssen</name><affiliation wicri:level="1"><country xml:lang="fr">Allemagne</country><wicri:regionArea>Autonomic and Neuroendocrinological laboratory, University Clinic Carl Gustav Carus, Dresden University of Technology</wicri:regionArea><wicri:noRegion>Dresden University of Technology</wicri:noRegion><wicri:noRegion>Dresden University of Technology</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. 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="2007-10-31">2007-10-31</date><biblScope unit="vol">22</biblScope><biblScope unit="issue">14</biblScope><biblScope unit="page" from="2123">2123</biblScope><biblScope unit="page" to="2126">2126</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">5304C1E52C09F6DAD478A14339FA7E6016561388</idno><idno type="DOI">10.1002/mds.21721</idno><idno type="ArticleID">MDS21721</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Case-Control Studies</term><term>Darkness</term><term>Dysfunction</term><term>Extrapyramidal syndrome</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Multiple System Atrophy (complications)</term><term>Multiple system atrophy</term><term>Nervous system diseases</term><term>Parkinson Disease (complications)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Pupil</term><term>Pupil (physiology)</term><term>Supranuclear Palsy, Progressive (etiology)</term><term>Supranuclear Palsy, Progressive (pathology)</term><term>autonomic dysfunction</term><term>multiple system atrophy</term><term>progressive supranuclear palsy</term><term>pupil diameter in darkness</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Multiple System Atrophy</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Supranuclear Palsy, Progressive</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Supranuclear Palsy, Progressive</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Pupil</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Case-Control Studies</term><term>Darkness</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Atrophie multisystématisée</term><term>Maladie de Parkinson</term><term>Obscurité</term><term>Pathologie du système nerveux</term><term>Pupille</term><term>Syndrome extrapyramidal</term><term>Trouble fonctionnel</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The most important features that characterize and differentiate progressive supranuclear palsy from other Parkinsonian syndromes are postural instability, supranuclear gaze palsy, pseudobulbar palsy, parkinsonism, and cognitive disturbances. In this article, we demonstrate that progressive supranuclear palsy patients exhibit pathologically decreased pupil diameters after dark adaptation recorded by TV pupillography. A cut off value of 3.99 mm was defined to differentiate progressive supranuclear palsy patients from patients with other extrapyramidal disorders like Parkinson's disease and multiple system atrophy with a specificity of 86.4% and a sensitivity of 70.8%. Other pupil abnormalities could not be described in patients with extrapyramidal syndromes. © 2007 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>District de Tübingen</li></region><settlement><li>Tübingen</li></settlement></list><tree><country name="Allemagne"><noRegion><name sortKey="Schmidt, Claudia" sort="Schmidt, Claudia" uniqKey="Schmidt C" first="Claudia" last="Schmidt">Claudia Schmidt</name></noRegion><name sortKey="Antoni, Sabine" sort="Antoni, Sabine" uniqKey="Antoni S" first="Sabine" last="Antoni">Sabine Antoni</name><name sortKey="Berg, Daniela" sort="Berg, Daniela" uniqKey="Berg D" first="Daniela" last="Berg">Daniela Berg</name><name sortKey="Ferger, Dietmar" sort="Ferger, Dietmar" uniqKey="Ferger D" first="Dietmar" last="Ferger">Dietmar Ferger</name><name sortKey="Globas, Christoph" sort="Globas, Christoph" uniqKey="Globas C" first="Christoph" last="Globas">Christoph Globas</name><name sortKey="Herting, Birgit" sort="Herting, Birgit" uniqKey="Herting B" first="Birgit" last="Herting">Birgit Herting</name><name sortKey="Junghanns, Susann" sort="Junghanns, Susann" uniqKey="Junghanns S" first="Susann" last="Junghanns">Susann Junghanns</name><name sortKey="Prieur, Silke" sort="Prieur, Silke" uniqKey="Prieur S" first="Silke" last="Prieur">Silke Prieur</name><name sortKey="Reichmann, Heinz" sort="Reichmann, Heinz" uniqKey="Reichmann H" first="Heinz" last="Reichmann">Heinz Reichmann</name><name sortKey="Schols, Ludger" sort="Schols, Ludger" uniqKey="Schols L" first="Ludger" last="Schöls">Ludger Schöls</name><name sortKey="Schweitzer, Katherine" sort="Schweitzer, Katherine" uniqKey="Schweitzer K" first="Katherine" last="Schweitzer">Katherine Schweitzer</name><name sortKey="Wilhelm, Helmut" sort="Wilhelm, Helmut" uniqKey="Wilhelm H" first="Helmut" last="Wilhelm">Helmut Wilhelm</name><name sortKey="Ziemssen, Tjalf" sort="Ziemssen, Tjalf" uniqKey="Ziemssen T" first="Tjalf" last="Ziemssen">Tjalf Ziemssen</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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