Movement Disorders (revue)

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Nocturnal body core temperature falls in Parkinson's disease but not in multiple‐system atrophy

Identifieur interne : 004738 ( Main/Exploration ); précédent : 004737; suivant : 004739

Nocturnal 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 :

RBID : ISTEX:4E4CDD9AA7B8467FEC563AB76686D70898F37FC9

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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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<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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