MovDisordV3, Main, Exploration, bibRecord, 003C58

Measurements of transcallosally mediated cortical inhibition for differentiating parkinsonian syndromes

Identifieur interne : 003C58 ( Main/Exploration ); précédent : 003C57; suivant : 003C59

Measurements of transcallosally mediated cortical inhibition for differentiating parkinsonian syndromes

Auteurs : Alexander Wolters [Allemagne] ; Joseph Classen [Allemagne] ; Erwin Kunesch [Allemagne] ; Annette Grossmann [Allemagne] ; Reiner Benecke [Allemagne]

Source :

Movement Disorders [ 0885-3185 ] ; 2004-05.

RBID : ISTEX:A2E68BC3186C9231DD7BA735F035EDDF7371362D

Descripteurs français

Pascal (Inist)
- Système nerveux pathologie.

English descriptors

Abstract

Clinicopathologic evidence suggests differential involvement of cortex and corpus callosum (CC) in various disorders presenting with a parkinsonian syndrome. We tested the hypothesis of whether neurophysiologic and morphometric assessments of CC as surrogate parameters of cortical involvement could be helpful in differential diagnosis of parkinsonian disorders. The integrity of CC was assessed neurophysiologically by measuring the ipsilateral silent period (iSP) evoked by transcranial magnetic stimulation (TMS) in a total of 25 patients with idiopathic parkinsonian syndromes (IPS), corticobasal ganglionic degeneration (CBD), progressive supranuclear palsy (PSP), or multiple system atrophy (MSA). Additionally, morphometric analyses of magnetic resonance imaging (MRI) measurements of CC was carried out in all patients. iSP was abnormal in all 5 CBD and all 5 PSP patients, whereas it was intact in all 10 IPS patients and all 5 MSA patients. Among various MRI parameters of CC, testing between different groups revealed a significant difference only for measurements of the middle part of the truncus. CBD and PSP patients exhibited a significant atrophy as compared with control subjects. These data suggest impairment of callosal integrity in patients with CBD and PSP. iSP measurements may be a useful clinical neurophysiologic test in differential diagnosis of patients with parkinsonian syndromes. © 2004 Movement Disorder Society

Url:

https://api.istex.fr/document/A2E68BC3186C9231DD7BA735F035EDDF7371362D/fulltext/pdf

DOI: 10.1002/mds.20064

Affiliations:

Allemagne

Le document en format XML

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<term>Basal Ganglia Diseases (pathology)</term>
<term>Basal Ganglia Diseases (physiopathology)</term>
<term>Corpus Callosum (pathology)</term>
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<term>Electromyography</term>
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<term>Levodopa (therapeutic use)</term>
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<term>Middle Aged</term>
<term>Motor Cortex (pathology)</term>
<term>Motor Cortex (physiopathology)</term>
<term>Multiple System Atrophy (drug therapy)</term>
<term>Multiple System Atrophy (pathology)</term>
<term>Multiple System Atrophy (physiopathology)</term>
<term>Muscle, Skeletal (pathology)</term>
<term>Muscle, Skeletal (physiopathology)</term>
<term>Nerve Degeneration (drug therapy)</term>
<term>Nerve Degeneration (pathology)</term>
<term>Nerve Degeneration (physiopathology)</term>
<term>Nerve Net (pathology)</term>
<term>Nerve Net (physiopathology)</term>
<term>Nervous system diseases</term>
<term>Neural Inhibition (physiology)</term>
<term>Parkinsonian Disorders (drug therapy)</term>
<term>Parkinsonian Disorders (pathology)</term>
<term>Parkinsonian Disorders (physiopathology)</term>
<term>Supranuclear Palsy, Progressive (drug therapy)</term>
<term>Supranuclear Palsy, Progressive (pathology)</term>
<term>Supranuclear Palsy, Progressive (physiopathology)</term>
<term>corpus callosum</term>
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<term>Corpus Callosum</term>
<term>Motor Cortex</term>
<term>Multiple System Atrophy</term>
<term>Muscle, Skeletal</term>
<term>Nerve Degeneration</term>
<term>Nerve Net</term>
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<term>Multiple System Atrophy</term>
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<term>Nerve Degeneration</term>
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<front><div type="abstract" xml:lang="en">Clinicopathologic evidence suggests differential involvement of cortex and corpus callosum (CC) in various disorders presenting with a parkinsonian syndrome. We tested the hypothesis of whether neurophysiologic and morphometric assessments of CC as surrogate parameters of cortical involvement could be helpful in differential diagnosis of parkinsonian disorders. The integrity of CC was assessed neurophysiologically by measuring the ipsilateral silent period (iSP) evoked by transcranial magnetic stimulation (TMS) in a total of 25 patients with idiopathic parkinsonian syndromes (IPS), corticobasal ganglionic degeneration (CBD), progressive supranuclear palsy (PSP), or multiple system atrophy (MSA). Additionally, morphometric analyses of magnetic resonance imaging (MRI) measurements of CC was carried out in all patients. iSP was abnormal in all 5 CBD and all 5 PSP patients, whereas it was intact in all 10 IPS patients and all 5 MSA patients. Among various MRI parameters of CC, testing between different groups revealed a significant difference only for measurements of the middle part of the truncus. CBD and PSP patients exhibited a significant atrophy as compared with control subjects. These data suggest impairment of callosal integrity in patients with CBD and PSP. iSP measurements may be a useful clinical neurophysiologic test in differential diagnosis of patients with parkinsonian syndromes. © 2004 Movement Disorder Society</div>
</front>
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Movement Disorders (revue)

Measurements of transcallosally mediated cortical inhibition for differentiating parkinsonian syndromes

Measurements of transcallosally mediated cortical inhibition for differentiating parkinsonian syndromes

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

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Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
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