Cardiac [123I]metaiodobenzylguanidine scintigraphy for vascular Parkinsonism
Identifieur interne : 003546 ( Main/Exploration ); précédent : 003545; suivant : 003547Cardiac [123I]metaiodobenzylguanidine scintigraphy for vascular Parkinsonism
Auteurs : Joong-Seok Kim [Corée du Sud] ; Phil-Hyu Lee [Corée du Sud] ; Kwang-Soo Lee [Corée du Sud] ; Jeong-Wook Park [Corée du Sud] ; Yeong-In Kim [Corée du Sud] ; Yong-An Chung [Corée du Sud] ; Sung-Hoon Kim [Corée du Sud] ; Seung-Hyun Kim [Corée du Sud] ; Juhan Kim [Corée du Sud] ; Yun-Young Choi [Corée du Sud] ; Hee-Tae Kim [Corée du Sud]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-11.
English descriptors
- KwdEn :
- 3-Iodobenzylguanidine (diagnostic use), 3-Iodobenzylguanidine (pharmacokinetics), Aged, Aged, 80 and over, Case-Control Studies, Cerebrovascular Disorders (drug therapy), Cerebrovascular Disorders (metabolism), Cerebrovascular Disorders (radionuclide imaging), Female, Heart (physiopathology), Heart (radionuclide imaging), Humans, MIBG scintigraphy, Male, Middle Aged, Parkinson's disease, Parkinsonian Disorders (drug therapy), Parkinsonian Disorders (metabolism), Parkinsonian Disorders (radionuclide imaging), Radionuclide Imaging (methods), Radiopharmaceuticals (diagnostic use), Radiopharmaceuticals (pharmacokinetics), vascular Parkinsonism.
- MESH :
- chemical , diagnostic use : 3-Iodobenzylguanidine, Radiopharmaceuticals.
- chemical , pharmacokinetics : 3-Iodobenzylguanidine, Radiopharmaceuticals.
- drug therapy : Cerebrovascular Disorders, Parkinsonian Disorders.
- metabolism : Cerebrovascular Disorders, Parkinsonian Disorders.
- methods : Radionuclide Imaging.
- physiopathology : Heart.
- radionuclide imaging : Cerebrovascular Disorders, Heart, Parkinsonian Disorders.
- Aged, Aged, 80 and over, Case-Control Studies, Female, Humans, Male, Middle Aged.
Abstract
The purpose of our study was to prospectively evaluate cardiac [123I]metaiodobenzylguanidine (MIBG) uptake in patients with cerebrovascular disease (CVD) who develop clinical symptoms of vascular Parkinsonism (VP). A total of 19 consecutive patients who developed Parkinsonism during the course of their CVD were enrolled in the study; 16 age‐matched subjects, and 30 patients with Parkinson's disease (PD) were also evaluated with cardiac MIBG uptake. MIBG uptake was assessed using the ratio of the heart to the upper mediastinum (H/M) according to planar scintigraphic data. The mean H/M ratio was significantly higher in patients with VP than in those with PD (2.28 ± 0.41 vs. 1.27 ± 0.13; P < 0.001). MIBG uptake did not differ between VP and controls (2.46 ± 0.33; P > 0.05). Our findings suggest that myocardial postganglionic sympathetic dysfunction found in PD is absent in most patients with VP. MIBG single photon emission computed tomography imaging may be useful to help distinguish between PD and VP patients in clinical practice. © 2006 Movement Disorder Society
Url:
DOI: 10.1002/mds.21112
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">The purpose of our study was to prospectively evaluate cardiac [123I]metaiodobenzylguanidine (MIBG) uptake in patients with cerebrovascular disease (CVD) who develop clinical symptoms of vascular Parkinsonism (VP). A total of 19 consecutive patients who developed Parkinsonism during the course of their CVD were enrolled in the study; 16 age‐matched subjects, and 30 patients with Parkinson's disease (PD) were also evaluated with cardiac MIBG uptake. MIBG uptake was assessed using the ratio of the heart to the upper mediastinum (H/M) according to planar scintigraphic data. The mean H/M ratio was significantly higher in patients with VP than in those with PD (2.28 ± 0.41 vs. 1.27 ± 0.13; P < 0.001). MIBG uptake did not differ between VP and controls (2.46 ± 0.33; P > 0.05). Our findings suggest that myocardial postganglionic sympathetic dysfunction found in PD is absent in most patients with VP. MIBG single photon emission computed tomography imaging may be useful to help distinguish between PD and VP patients in clinical practice. © 2006 Movement Disorder Society</div>
</front>
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<name sortKey="Kim, Hee Ae" sort="Kim, Hee Ae" uniqKey="Kim H" first="Hee-Tae" last="Kim">Hee-Tae Kim</name>
<name sortKey="Kim, Juhan" sort="Kim, Juhan" uniqKey="Kim J" first="Juhan" last="Kim">Juhan Kim</name>
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<name sortKey="Kim, Sung Oon" sort="Kim, Sung Oon" uniqKey="Kim S" first="Sung-Hoon" last="Kim">Sung-Hoon Kim</name>
<name sortKey="Kim, Yeong N" sort="Kim, Yeong N" uniqKey="Kim Y" first="Yeong-In" last="Kim">Yeong-In Kim</name>
<name sortKey="Lee, Kwang Oo" sort="Lee, Kwang Oo" uniqKey="Lee K" first="Kwang-Soo" last="Lee">Kwang-Soo Lee</name>
<name sortKey="Lee, Phil Yu" sort="Lee, Phil Yu" uniqKey="Lee P" first="Phil-Hyu" last="Lee">Phil-Hyu Lee</name>
<name sortKey="Park, Jeong Ook" sort="Park, Jeong Ook" uniqKey="Park J" first="Jeong-Wook" last="Park">Jeong-Wook Park</name>
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