MovDisordV3, Main, Exploration, bibRecord, 004590

[123I]β-CIT SPECT distinguishes vascular parkinsonism from Parkinson's disease

Identifieur interne : 004590 ( Main/Exploration ); précédent : 004589; suivant : 004591

[123I]β-CIT SPECT distinguishes vascular parkinsonism from Parkinson's disease

Auteurs : Willibald Gerschlager [Autriche, Royaume-Uni] ; Gerhard Bencsits [Autriche] ; Walter Pirker [Autriche] ; Bastiaan R. Bloem [Royaume-Uni, Pays-Bas] ; Susanne Asenbaum [Autriche] ; Daniella Prayer [Autriche] ; Jan C. M. Zijlmans [Royaume-Uni] ; Martha Hoffmann [Autriche] ; Thomas Brücke [Autriche]

Source :

Movement disorders [ 0885-3185 ] ; 2002.

RBID : Pascal:02-0368086

Descripteurs français

Pascal (Inist)
- Parkinson maladie, Parkinsonisme, Vaisseau sanguin pathologie, Tomoscintigraphie émission monophotonique, Transport biologique, Dopamine, Diagnostic différentiel, Personne âgée.
Wicri :
- topic : Personne âgée.

English descriptors

KwdEn :
- Biological transport, Differential diagnostic, Dopamine, Elderly, Parkinson disease, Parkinsonism, Single photon emission tomography, Vascular disease.

Abstract

We investigated whether [¹²³I]-β-CIT and single-photon emission computed tomography (SPECT) imaging distinguishes patients with clinically suspected vascular parkinsonism (VP) from patients with idiopathic Parkinson's disease (PD). [¹²³I]β-CIT SPECT is a sensitive marker of dopaminergic degeneration, and the degree of striatal binding reduction in PD correlates with disease severity. Thirteen patients who fulfilled rigid clinical criteria for VP (mean ± S.D.: age, 76.5 ± 5.3 years; disease duration, 3.6 ± 2.8 years), 20 PD patients (age, 66.2 ± 9.5 years; disease duration, 4.3 ± 2.7 years), and 30 healthy persons (age, 44.6 ± 19.2 years) underwent [¹²³I ]β-CIT SPECT imaging. Age-corrected striatal β-CIT binding was reduced on average by 40.8% in PD but was near normal in the VP group (mean reduction, 1.2%). This difference was statistically significant (Z = 4.68; P < 0.001). The left-right asymmetry of striatal β-CIT binding was significantly increased in the PD group compared with normal controls and the VP group (F(2) = 17.4, P <0.001). Moreover, putamen-caudate nucleus ratios were significantly reduced in PD compared with both VP patients and healthy controls (F(2) = 65.5, P < 0.001). Whole striatal β-CIT binding was more than one standard deviation above the mean PD values in all hut I of the individual VP patients. Our findings suggest that the presynaptic dopaminergic deficits seen in PD are absent in most patients with VP. [¹²³I]β-CIT SPECT imaging may be useful to help distinguish between PD and VP patients during life.

Affiliations:

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Le document en format XML

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I]β-CIT SPECT distinguishes vascular parkinsonism from Parkinson's disease</title>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">[<sup>123</sup>
I]β-CIT SPECT distinguishes vascular parkinsonism from Parkinson's disease</title>
<author><name sortKey="Gerschlager, Willibald" sort="Gerschlager, Willibald" uniqKey="Gerschlager W" first="Willibald" last="Gerschlager">Willibald Gerschlager</name>
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<author><name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R." last="Bloem">Bastiaan R. Bloem</name>
<affiliation wicri:level="3"><inist:fA14 i1="02"><s1>Sobell Department of Neurophysiology, Institute of Neurology, Queen Square</s1>
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<affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Department of Neurology, University Medical Centre St. Radboud</s1>
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<s3>NLD</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
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<author><name sortKey="Asenbaum, Susanne" sort="Asenbaum, Susanne" uniqKey="Asenbaum S" first="Susanne" last="Asenbaum">Susanne Asenbaum</name>
<affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Clinical Neurology, University of Vienna</s1>
<s2>Vienna</s2>
<s3>AUT</s3>
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<placeName><settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
</placeName>
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<affiliation wicri:level="3"><inist:fA14 i1="05"><s1>Department of Nuclear Medicine, University of Vienna</s1>
<s2>Vienna</s2>
<s3>AUT</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>Autriche</country>
<placeName><settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
</placeName>
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</author>
<author><name sortKey="Prayer, Daniella" sort="Prayer, Daniella" uniqKey="Prayer D" first="Daniella" last="Prayer">Daniella Prayer</name>
<affiliation wicri:level="3"><inist:fA14 i1="06"><s1>Department of Neuroradiology, University of Vienna</s1>
<s2>Vienna</s2>
<s3>AUT</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>Autriche</country>
<placeName><settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Zijlmans, Jan C M" sort="Zijlmans, Jan C M" uniqKey="Zijlmans J" first="Jan C. M." last="Zijlmans">Jan C. M. Zijlmans</name>
<affiliation wicri:level="3"><inist:fA14 i1="07"><s1>Department of Clinical Neurology, Institute of Neurology, Queen Square</s1>
<s2>London</s2>
<s3>GBR</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>Royaume-Uni</country>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Hoffmann, Martha" sort="Hoffmann, Martha" uniqKey="Hoffmann M" first="Martha" last="Hoffmann">Martha Hoffmann</name>
<affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Neurology, Wilhelminenspital</s1>
<s2>Vienna</s2>
<s3>AUT</s3>
<sZ>2 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Autriche</country>
<placeName><settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Brucke, Thomas" sort="Brucke, Thomas" uniqKey="Brucke T" first="Thomas" last="Brücke">Thomas Brücke</name>
<affiliation wicri:level="3"><inist:fA14 i1="03"><s1>Department of Neurology, Wilhelminenspital</s1>
<s2>Vienna</s2>
<s3>AUT</s3>
<sZ>2 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>Autriche</country>
<placeName><settlement type="city">Vienne (Autriche)</settlement>
<region nuts="2" type="province">Vienne (Autriche)</region>
</placeName>
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<series><title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
<idno type="ISSN">0885-3185</idno>
<imprint><date when="2002">2002</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Biological transport</term>
<term>Differential diagnostic</term>
<term>Dopamine</term>
<term>Elderly</term>
<term>Parkinson disease</term>
<term>Parkinsonism</term>
<term>Single photon emission tomography</term>
<term>Vascular disease</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Parkinson maladie</term>
<term>Parkinsonisme</term>
<term>Vaisseau sanguin pathologie</term>
<term>Tomoscintigraphie émission monophotonique</term>
<term>Transport biologique</term>
<term>Dopamine</term>
<term>Diagnostic différentiel</term>
<term>Personne âgée</term>
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<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Personne âgée</term>
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<front><div type="abstract" xml:lang="en">We investigated whether [<sup>123</sup>
I]-β-CIT and single-photon emission computed tomography (SPECT) imaging distinguishes patients with clinically suspected vascular parkinsonism (VP) from patients with idiopathic Parkinson's disease (PD). [<sup>123</sup>
I]β-CIT SPECT is a sensitive marker of dopaminergic degeneration, and the degree of striatal binding reduction in PD correlates with disease severity. Thirteen patients who fulfilled rigid clinical criteria for VP (mean ± S.D.: age, 76.5 ± 5.3 years; disease duration, 3.6 ± 2.8 years), 20 PD patients (age, 66.2 ± 9.5 years; disease duration, 4.3 ± 2.7 years), and 30 healthy persons (age, 44.6 ± 19.2 years) underwent [<sup>123</sup>
I ]β-CIT SPECT imaging. Age-corrected striatal β-CIT binding was reduced on average by 40.8% in PD but was near normal in the VP group (mean reduction, 1.2%). This difference was statistically significant (Z = 4.68; P < 0.001). The left-right asymmetry of striatal β-CIT binding was significantly increased in the PD group compared with normal controls and the VP group (F(2) = 17.4, P <0.001). Moreover, putamen-caudate nucleus ratios were significantly reduced in PD compared with both VP patients and healthy controls (F(2) = 65.5, P < 0.001). Whole striatal β-CIT binding was more than one standard deviation above the mean PD values in all hut I of the individual VP patients. Our findings suggest that the presynaptic dopaminergic deficits seen in PD are absent in most patients with VP. [<sup>123</sup>
I]β-CIT SPECT imaging may be useful to help distinguish between PD and VP patients during life.</div>
</front>
</TEI>
<affiliations><list><country><li>Autriche</li>
<li>Pays-Bas</li>
<li>Royaume-Uni</li>
</country>
<region><li>Angleterre</li>
<li>Grand Londres</li>
<li>Gueldre</li>
<li>Vienne (Autriche)</li>
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<settlement><li>Londres</li>
<li>Nimègue</li>
<li>Vienne (Autriche)</li>
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<name sortKey="Asenbaum, Susanne" sort="Asenbaum, Susanne" uniqKey="Asenbaum S" first="Susanne" last="Asenbaum">Susanne Asenbaum</name>
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<name sortKey="Pirker, Walter" sort="Pirker, Walter" uniqKey="Pirker W" first="Walter" last="Pirker">Walter Pirker</name>
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<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Gerschlager, Willibald" sort="Gerschlager, Willibald" uniqKey="Gerschlager W" first="Willibald" last="Gerschlager">Willibald Gerschlager</name>
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<name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R." last="Bloem">Bastiaan R. Bloem</name>
<name sortKey="Zijlmans, Jan C M" sort="Zijlmans, Jan C M" uniqKey="Zijlmans J" first="Jan C. M." last="Zijlmans">Jan C. M. Zijlmans</name>
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<country name="Pays-Bas"><region name="Gueldre"><name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R." last="Bloem">Bastiaan R. Bloem</name>
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   |texte=   [123I]β-CIT SPECT distinguishes vascular parkinsonism from Parkinson's disease
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	Movement Disorders (revue)
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Movement Disorders (revue)

[123I]β-CIT SPECT distinguishes vascular parkinsonism from Parkinson's disease

[123I]β-CIT SPECT distinguishes vascular parkinsonism from Parkinson's disease

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