Movement Disorders (revue)

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Cerebral metabolism of glucose in benign hereditary chorea

Identifieur interne : 006691 ( Main/Exploration ); précédent : 006690; suivant : 006692

Cerebral metabolism of glucose in benign hereditary chorea

Auteurs : Oksana Suchowersky [Canada] ; Hayden [Canada] ; W. R. Wayne Martin [Canada] ; A. Jon Stoessl [Canada] ; Anne M. Hildebrand [Canada] ; Brian D. Pate [Canada]

Source :

RBID : ISTEX:CAB7007EF8134AB7C40DC30D7B59116E871F2AB8

English descriptors

Abstract

Benign hereditary chorea (BHC) is an autosomal dominant disorder characterized by chorea of early onset with little or no progression. There is marked clinical variability in this disease with some subjects having onset in infancy and others with onset in early adulthood. In contrast to Huntington's disease (HD), there is no dementia. Computed tomography is normal in all subjects with no evidence of caudate nucleus atrophy. We present the results of positron emission tomography using 18F‐2‐fluorodeoxyglucose on three patients with this disorder from two families. Cerebral glucose metabolism in one patient was decreased in the caudate nucleus, as previously reported in HD. The other two persons from a second family showed a relative decrease in metabolic rates of glucose in the caudate when compared with the thalamus. It appears that caudate hypometabolism is not specific for HD. These findings suggest that the caudate nucleus may play a significant role in the pathophysiology of some persons with BHC.

Url:
DOI: 10.1002/mds.870010105


Affiliations:


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Le document en format XML

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<term>Deoxyglucose (analogs & derivatives)</term>
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<div type="abstract" xml:lang="en">Benign hereditary chorea (BHC) is an autosomal dominant disorder characterized by chorea of early onset with little or no progression. There is marked clinical variability in this disease with some subjects having onset in infancy and others with onset in early adulthood. In contrast to Huntington's disease (HD), there is no dementia. Computed tomography is normal in all subjects with no evidence of caudate nucleus atrophy. We present the results of positron emission tomography using 18F‐2‐fluorodeoxyglucose on three patients with this disorder from two families. Cerebral glucose metabolism in one patient was decreased in the caudate nucleus, as previously reported in HD. The other two persons from a second family showed a relative decrease in metabolic rates of glucose in the caudate when compared with the thalamus. It appears that caudate hypometabolism is not specific for HD. These findings suggest that the caudate nucleus may play a significant role in the pathophysiology of some persons with BHC.</div>
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