Nocturnal body core temperature falls in Parkinson's disease but not in multiple‐system atrophy
Identifieur interne : 004738 ( Main/Exploration ); précédent : 004737; suivant : 004739Nocturnal body core temperature falls in Parkinson's disease but not in multiple‐system atrophy
Auteurs : G. Pierangeli [Italie] ; F. Provini [Italie] ; P. Maltoni [Italie] ; G. Barletta [Italie] ; M. Contin [Italie] ; E. Lugaresi [Italie] ; P. Montagna [Italie] ; P. Cortelli [Italie]Source :
- Movement Disorders [ 0885-3185 ] ; 2001-03.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Adulte.
English descriptors
- KwdEn :
- Adult, Autonomic Nervous System Diseases (diagnosis), Autonomic Nervous System Diseases (etiology), Body Temperature (physiology), Body Temperature Regulation (physiology), Body temperature, Cardiovascular System (physiopathology), Circadian Rhythm (physiology), Circadian rhythm, Differential diagnostic, Diseases of the autonomic nervous system, Electroencephalography, Electromyography, Electrooculography, Heart Rate (physiology), Humans, Idiopathic, Male, Middle Aged, Multiple System Atrophy (complications), Multiple System Atrophy (diagnosis), Multiple system atrophy, Muscle, Skeletal (physiopathology), Parkinson Disease (diagnosis), Parkinson Disease (physiopathology), Parkinson disease, Parkinson's disease, Reflex, Abnormal (physiology), Sleep Disorders (diagnosis), Sleep Disorders (epidemiology), Sleep Stages (physiology), Time Factors, Wakefulness (physiology), autonomic failure, body temperature, circadian rhythm, multiple system atrophy.
- MESH :
- complications : Multiple System Atrophy.
- diagnosis : Autonomic Nervous System Diseases, Multiple System Atrophy, Parkinson Disease, Sleep Disorders.
- epidemiology : Sleep Disorders.
- etiology : Autonomic Nervous System Diseases.
- physiology : Body Temperature, Body Temperature Regulation, Circadian Rhythm, Heart Rate, Reflex, Abnormal, Sleep Stages, Wakefulness.
- physiopathology : Cardiovascular System, Muscle, Skeletal, Parkinson Disease.
- Adult, Electroencephalography, Electromyography, Electrooculography, Humans, Male, Middle Aged, Time Factors.
Abstract
OBJECTIVE:: To evaluate whether the circadian rhythm of body core temperature (CRT°) can differentiate Multiple‐System Atrophy (MSA) from Idiopathic Parkinson's disease (IPD). METHODS:: We evaluated 14 patients with probable MSA, seven with IPD, and eight controls. After a preliminary evaluation of cardiovascular autonomic function, rectal temperature and sleep‐wake cycle were monitored continuously for 48 hours in a temperature‐controlled room, at constant bed rest with controlled food intake and fixed light‐dark schedule. RESULTS:: MSA patients showed cardiovascular autonomic sympathetic and parasympathetic failure. IPD had normal cardiovascular autonomic function. A 24‐hour rhythm of body core temperature (BcT°) was present in all subjects. IPD had CRT° comparable to controls. In MSA the mesor was higher and mean BcT° of each hour was significantly higher from 11 p.m. to 7 a.m. The analysis of mean BcT° during the different sleep phases showed significantly higher values during both NREM (1–2, 3–4) and REM sleep stages in MSA. CONCLUSIONS:: The physiological nocturnal fall of BcT° is blunted in MSA patients mainly because BcT° did not decrease during sleep. This CRT° pattern is not justified by differences in sleep structure and may reflect an impairment of central sympathetic nervous system function. © 2001 Movement Disorder Society.
Url:
DOI: 10.1002/mds.1039
Affiliations:
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Le document en format XML
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<term>Autonomic Nervous System Diseases (etiology)</term>
<term>Body Temperature (physiology)</term>
<term>Body Temperature Regulation (physiology)</term>
<term>Body temperature</term>
<term>Cardiovascular System (physiopathology)</term>
<term>Circadian Rhythm (physiology)</term>
<term>Circadian rhythm</term>
<term>Differential diagnostic</term>
<term>Diseases of the autonomic nervous system</term>
<term>Electroencephalography</term>
<term>Electromyography</term>
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<term>Heart Rate (physiology)</term>
<term>Humans</term>
<term>Idiopathic</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multiple System Atrophy (complications)</term>
<term>Multiple System Atrophy (diagnosis)</term>
<term>Multiple system atrophy</term>
<term>Muscle, Skeletal (physiopathology)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Parkinson disease</term>
<term>Parkinson's disease</term>
<term>Reflex, Abnormal (physiology)</term>
<term>Sleep Disorders (diagnosis)</term>
<term>Sleep Disorders (epidemiology)</term>
<term>Sleep Stages (physiology)</term>
<term>Time Factors</term>
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<term>autonomic failure</term>
<term>body temperature</term>
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<term>Parkinson Disease</term>
<term>Sleep Disorders</term>
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<term>Body Temperature Regulation</term>
<term>Circadian Rhythm</term>
<term>Heart Rate</term>
<term>Reflex, Abnormal</term>
<term>Sleep Stages</term>
<term>Wakefulness</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cardiovascular System</term>
<term>Muscle, Skeletal</term>
<term>Parkinson Disease</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Electroencephalography</term>
<term>Electromyography</term>
<term>Electrooculography</term>
<term>Humans</term>
<term>Male</term>
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<term>Atrophie multisystématisée</term>
<term>Diagnostic différentiel</term>
<term>Idiopathique</term>
<term>Parkinson maladie</term>
<term>Rythme circadien</term>
<term>Système nerveux autonome pathologie</term>
<term>Température corporelle</term>
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<front><div type="abstract" xml:lang="en">OBJECTIVE:: To evaluate whether the circadian rhythm of body core temperature (CRT°) can differentiate Multiple‐System Atrophy (MSA) from Idiopathic Parkinson's disease (IPD). METHODS:: We evaluated 14 patients with probable MSA, seven with IPD, and eight controls. After a preliminary evaluation of cardiovascular autonomic function, rectal temperature and sleep‐wake cycle were monitored continuously for 48 hours in a temperature‐controlled room, at constant bed rest with controlled food intake and fixed light‐dark schedule. RESULTS:: MSA patients showed cardiovascular autonomic sympathetic and parasympathetic failure. IPD had normal cardiovascular autonomic function. A 24‐hour rhythm of body core temperature (BcT°) was present in all subjects. IPD had CRT° comparable to controls. In MSA the mesor was higher and mean BcT° of each hour was significantly higher from 11 p.m. to 7 a.m. The analysis of mean BcT° during the different sleep phases showed significantly higher values during both NREM (1–2, 3–4) and REM sleep stages in MSA. CONCLUSIONS:: The physiological nocturnal fall of BcT° is blunted in MSA patients mainly because BcT° did not decrease during sleep. This CRT° pattern is not justified by differences in sleep structure and may reflect an impairment of central sympathetic nervous system function. © 2001 Movement Disorder Society.</div>
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