Is Transcranial Sonography Useful to Distinguish Scans Without Evidence of Dopaminergic Deficit Patients From Parkinson's Disease?
Identifieur interne : 000D63 ( Main/Merge ); précédent : 000D62; suivant : 000D64Is Transcranial Sonography Useful to Distinguish Scans Without Evidence of Dopaminergic Deficit Patients From Parkinson's Disease?
Auteurs : Heike Stockner [Autriche] ; Petra Schwingenschuh [Royaume-Uni, Autriche] ; Atbin Djamshidian [Royaume-Uni] ; Laura Silveira-Moriyama [Royaume-Uni] ; Petra Katschnig [Royaume-Uni, Autriche] ; Klaus Seppi [Autriche] ; John Dickson [Royaume-Uni] ; Mark J. Edwards [Royaume-Uni] ; Andrew Lees (neurologue) [Royaume-Uni] ; Werner Poewe [Autriche] ; Kailash P. Bhatia [Royaume-Uni]Source :
- Movement Disorders [ 0885-3185 ] ; 2012.
English descriptors
- KwdEn :
- Aged, Cognition Disorders (complications), Diagnosis, Differential, Dopamine (metabolism), Female, Humans, Magnetic Resonance Imaging, Male, Mesencephalon (radionuclide imaging), Mesencephalon (ultrasonography), Middle Aged, Nerve Fibers, Myelinated, Neuropsychological Tests, Parkinson Disease (physiopathology), Parkinson Disease (radionuclide imaging), Parkinson Disease (ultrasonography), Positron-Emission Tomography, Temporal Bone (ultrasonography), Ultrasonography, Doppler, Transcranial (methods).
- MESH :
- chemical , metabolism : Dopamine.
- complications : Cognition Disorders.
- methods : Ultrasonography, Doppler, Transcranial.
- physiopathology : Parkinson Disease.
- radionuclide imaging : Mesencephalon, Parkinson Disease.
- ultrasonography : Mesencephalon, Parkinson Disease, Temporal Bone.
- Aged, Diagnosis, Differential, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Nerve Fibers, Myelinated, Neuropsychological Tests, Positron-Emission Tomography.
Abstract
Approximately 10% of patients clinically diagnosed with early Parkinson's disease (PD) subsequently have normal dopaminergic functional imaging. Transcranial sonography (TCS) has been shown to detect midbrain hyperechogenicity in approximately 90% of Parkinson's disease (PD) patients and 10% of the healthy population. The aim of this study was to investigate the prevalence of midbrain hyperechogenicity in patients with suspected parkinsonism and scans without evidence of dopaminergic deficit (SWEDD), in comparison to PD patients.
TCS was performed in 14 patients with SWEDD and 19 PD patients.
There was a significantly increased area of echogenicity in the PD group (0.24 ± 0.06 cm2), compared to the group of patients with SWEDD (0.13 ± 0.06 cm2;
We conclude that TCS is useful to distinguish PD patients from patients with suspected parkinsonism and SWEDD. © 2012 Movement Disorder Society
Url:
DOI: 10.1002/mds.25102
PubMed: 22744819
PubMed Central: 3660780
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xml:lang="fr">Autriche</country><wicri:regionArea>Innsbruck</wicri:regionArea></affiliation></author><author><name sortKey="Schwingenschuh, Petra" sort="Schwingenschuh, Petra" uniqKey="Schwingenschuh P" first="Petra" last="Schwingenschuh">Petra Schwingenschuh</name><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London (UCL)</institution><addr-line>London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="au3"><institution>Department of Neurology, Division of Special Neurology, Medical University of Graz</institution><addr-line>Graz, Austria</addr-line></nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Graz</wicri:regionArea></affiliation></author><author><name sortKey="Djamshidian, Atbin" sort="Djamshidian, Atbin" uniqKey="Djamshidian A" first="Atbin" last="Djamshidian">Atbin Djamshidian</name><affiliation wicri:level="1"><nlm:aff id="au4"><institution>Reta Lila Weston Institute of Neurological Studies, UCL, Institute of Neurology</institution><addr-line>London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation></author><author><name sortKey="Silveira Moriyama, Laura" sort="Silveira Moriyama, Laura" uniqKey="Silveira Moriyama L" first="Laura" last="Silveira-Moriyama">Laura Silveira-Moriyama</name><affiliation wicri:level="1"><nlm:aff id="au4"><institution>Reta Lila Weston Institute of Neurological Studies, UCL, Institute of Neurology</institution><addr-line>London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation></author><author><name sortKey="Katschnig, Petra" sort="Katschnig, Petra" uniqKey="Katschnig P" first="Petra" last="Katschnig">Petra Katschnig</name><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London (UCL)</institution><addr-line>London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="au3"><institution>Department of Neurology, Division of Special Neurology, Medical University of Graz</institution><addr-line>Graz, Austria</addr-line></nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Graz</wicri:regionArea></affiliation></author><author><name sortKey="Seppi, Klaus" sort="Seppi, Klaus" uniqKey="Seppi K" first="Klaus" last="Seppi">Klaus Seppi</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Department of Neurology, Medical University Innsbruck</institution><addr-line>Innsbruck, Austria</addr-line></nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Innsbruck</wicri:regionArea></affiliation></author><author><name sortKey="Dickson, John" sort="Dickson, John" uniqKey="Dickson J" first="John" last="Dickson">John Dickson</name><affiliation wicri:level="1"><nlm:aff id="au5"><institution>Institute of Nuclear Medicine, UCL</institution><addr-line>London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation></author><author><name sortKey="Edwards, Mark J" sort="Edwards, Mark J" uniqKey="Edwards M" first="Mark J" last="Edwards">Mark J. Edwards</name><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London (UCL)</institution><addr-line>London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation></author><author><name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J" last="Lees">Andrew Lees (neurologue)</name><affiliation wicri:level="1"><nlm:aff id="au4"><institution>Reta Lila Weston Institute of Neurological Studies, UCL, Institute of Neurology</institution><addr-line>London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName>National Hospital for Neurology and Neurosurgery</orgName></affiliation></author><author><name sortKey="Poewe, Werner" sort="Poewe, Werner" uniqKey="Poewe W" first="Werner" last="Poewe">Werner Poewe</name><affiliation wicri:level="1"><nlm:aff id="au1"><institution>Department of Neurology, Medical University Innsbruck</institution><addr-line>Innsbruck, Austria</addr-line></nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Innsbruck</wicri:regionArea><placeName><settlement type="city">Innsbruck</settlement><region nuts="2" type="region">Tyrol (Land)</region></placeName><orgName type="university">Université de médecine d'Innsbruck</orgName></affiliation></author><author><name sortKey="Bhatia, Kailash P" sort="Bhatia, Kailash P" uniqKey="Bhatia K" first="Kailash P" last="Bhatia">Kailash P. Bhatia</name><affiliation wicri:level="1"><nlm:aff id="au2"><institution>Sobell Department of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London (UCL)</institution><addr-line>London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>London</wicri:regionArea></affiliation></author></analytic><series><title level="j">Movement Disorders</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Cognition Disorders (complications)</term><term>Diagnosis, Differential</term><term>Dopamine (metabolism)</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Mesencephalon (radionuclide imaging)</term><term>Mesencephalon (ultrasonography)</term><term>Middle Aged</term><term>Nerve Fibers, Myelinated</term><term>Neuropsychological Tests</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (radionuclide imaging)</term><term>Parkinson Disease (ultrasonography)</term><term>Positron-Emission Tomography</term><term>Temporal Bone (ultrasonography)</term><term>Ultrasonography, Doppler, Transcranial (methods)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Dopamine</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cognition Disorders</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Ultrasonography, Doppler, Transcranial</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="radionuclide imaging" xml:lang="en"><term>Mesencephalon</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="ultrasonography" xml:lang="en"><term>Mesencephalon</term><term>Parkinson Disease</term><term>Temporal Bone</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Diagnosis, Differential</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Nerve Fibers, Myelinated</term><term>Neuropsychological Tests</term><term>Positron-Emission Tomography</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Approximately 10% of patients clinically diagnosed with early Parkinson's disease (PD) subsequently have normal dopaminergic functional imaging. Transcranial sonography (TCS) has been shown to detect midbrain hyperechogenicity in approximately 90% of Parkinson's disease (PD) patients and 10% of the healthy population. The aim of this study was to investigate the prevalence of midbrain hyperechogenicity in patients with suspected parkinsonism and scans without evidence of dopaminergic deficit (SWEDD), in comparison to PD patients.</p></sec><sec><title>Methods</title><p>TCS was performed in 14 patients with SWEDD and 19 PD patients.</p></sec><sec><title>Results</title><p>There was a significantly increased area of echogenicity in the PD group (0.24 ± 0.06 cm<sup>2</sup>), compared to the group of patients with SWEDD (0.13 ± 0.06 cm<sup>2</sup>; <italic>P</italic> < 0.001). One (9.1%) of these patients, compared to 14 (82.5%) of the PD patients, was found to have hyperechogenicity (<italic>P</italic> < 0.001).</p></sec><sec><title>Conclusions</title><p>We conclude that TCS is useful to distinguish PD patients from patients with suspected parkinsonism and SWEDD. © 2012 Movement Disorder Society</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Whone, Al" uniqKey="Whone A">AL Whone</name></author><author><name sortKey="Watts, Rl" uniqKey="Watts R">RL Watts</name></author><author><name sortKey="Stoessl, Aj" uniqKey="Stoessl A">AJ Stoessl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marek, K" uniqKey="Marek K">K Marek</name></author><author><name sortKey="Seibyl, J" uniqKey="Seibyl J">J Seibyl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Marshall, Vl" uniqKey="Marshall V">VL Marshall</name></author><author><name 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uniqKey="Donnemiller E">E Donnemiller</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gaenslen, A" uniqKey="Gaenslen A">A Gaenslen</name></author><author><name sortKey="Unmuth, B" uniqKey="Unmuth B">B Unmuth</name></author><author><name sortKey="Godau, J" uniqKey="Godau J">J Godau</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Doepp, F" uniqKey="Doepp F">F Doepp</name></author><author><name sortKey="Plotkin, M" uniqKey="Plotkin M">M Plotkin</name></author><author><name sortKey="Siegel, L" uniqKey="Siegel L">L Siegel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Berg, D" uniqKey="Berg D">D Berg</name></author><author><name sortKey="Merz, B" uniqKey="Merz B">B Merz</name></author><author><name sortKey="Reiners, K" uniqKey="Reiners K">K Reiners</name></author><author><name sortKey="Naumann, M" uniqKey="Naumann M">M Naumann</name></author><author><name sortKey="Becker, G" uniqKey="Becker G">G Becker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stockner, H" uniqKey="Stockner H">H Stockner</name></author><author><name sortKey="Seppi, K" uniqKey="Seppi K">K Seppi</name></author><author><name sortKey="Kiechl, S" uniqKey="Kiechl S">S Kiechl</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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