Hyposmia in progressive supranuclear palsy
Identifieur interne : 002081 ( Main/Merge ); précédent : 002080; suivant : 002082Hyposmia in progressive supranuclear palsy
Auteurs : Laura Silveira-Moriyama [Royaume-Uni] ; Graham Hughes [Royaume-Uni] ; Alistair Church [Royaume-Uni] ; Hilary Ayling [Royaume-Uni] ; David R. Williams [Royaume-Uni, Australie] ; Aviva Petrie [Royaume-Uni] ; Janice Holton [Royaume-Uni] ; Tamas Revesz [Royaume-Uni] ; Ann Kingsbury [Royaume-Uni] ; Huw R. Morris [Royaume-Uni] ; David J. Burn [Royaume-Uni] ; Andrew Lees (neurologue) [Royaume-Uni]Source :
- Movement Disorders [ 0885-3185 ] ; 2010-04-15.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Case-Control Studies, Humans, Male, Mental Status Schedule, Middle Aged, Nerve Degeneration (etiology), Nerve Degeneration (pathology), Olfaction Disorders (etiology), Olfactory Pathways (pathology), Olfactory Pathways (physiopathology), Parkinson's disease, ROC Curve, Retrospective Studies, Smell (physiology), Supranuclear Palsy, Progressive (complications), UPSIT, olfaction, postmortem analysis, smell.
- MESH :
- complications : Supranuclear Palsy, Progressive.
- etiology : Nerve Degeneration, Olfaction Disorders.
- pathology : Nerve Degeneration, Olfactory Pathways.
- physiology : Smell.
- physiopathology : Olfactory Pathways.
- Adult, Aged, Aged, 80 and over, Case-Control Studies, Humans, Male, Mental Status Schedule, Middle Aged, ROC Curve, Retrospective Studies.
Abstract
Previous studies suggested that olfaction is normal in progressive supranuclear palsy (PSP). We applied the University of Pennsylvania Smell Identification Test (UPSIT) to 36 patients with PSP who scored more than 18 on the Mini Mental State Examination (MMSE), 140 patients with nondemented Parkinson's disease (PD) and 126 controls. Mean UPSIT scores in PSP were lower than in controls (P < 0.001) but higher than in PD (P < 0.001) after adjusting for age, gender, and smoking history. For patients with PSP, UPSIT scores correlated with MMSE (r = 0.44, P = 0.006) but not disease duration (P = 0.6), motor subscale of the Unified Parkinson's Disease Rating Scale (P = 0.2), or Frontal Assessment Battery (P = 0.5). The brains of six of the patients with PSP were examined postmortem and all revealed neurofibrillary tangles and tau accumulation in the rhinencephalon, although only three had hyposmia. Further prospective studies including patients with early PSP and PSP‐P with postmortem confirmation might help clarify if smell tests could be useful when the differential diagnosis lies between PD and PSP. © 2010 Movement Disorder Society
Url:
DOI: 10.1002/mds.22688
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<term>Humans</term>
<term>Male</term>
<term>Mental Status Schedule</term>
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<term>Nerve Degeneration (etiology)</term>
<term>Nerve Degeneration (pathology)</term>
<term>Olfaction Disorders (etiology)</term>
<term>Olfactory Pathways (pathology)</term>
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<front><div type="abstract" xml:lang="en">Previous studies suggested that olfaction is normal in progressive supranuclear palsy (PSP). We applied the University of Pennsylvania Smell Identification Test (UPSIT) to 36 patients with PSP who scored more than 18 on the Mini Mental State Examination (MMSE), 140 patients with nondemented Parkinson's disease (PD) and 126 controls. Mean UPSIT scores in PSP were lower than in controls (P < 0.001) but higher than in PD (P < 0.001) after adjusting for age, gender, and smoking history. For patients with PSP, UPSIT scores correlated with MMSE (r = 0.44, P = 0.006) but not disease duration (P = 0.6), motor subscale of the Unified Parkinson's Disease Rating Scale (P = 0.2), or Frontal Assessment Battery (P = 0.5). The brains of six of the patients with PSP were examined postmortem and all revealed neurofibrillary tangles and tau accumulation in the rhinencephalon, although only three had hyposmia. Further prospective studies including patients with early PSP and PSP‐P with postmortem confirmation might help clarify if smell tests could be useful when the differential diagnosis lies between PD and PSP. © 2010 Movement Disorder Society</div>
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<front><div type="abstract" xml:lang="en">Previous studies suggested that olfaction is normal in progressive supranuclear palsy (PSP). We applied the University of Pennsylvania Smell Identification Test (UPSIT) to 36 patients with PSP who scored more than 18 on the Mini Mental State Examination (MMSE), 140 patients with nondemented Parkinson's disease (PD) and 126 controls. Mean UPSIT scores in PSP were lower than in controls (P < 0.001) but higher than in PD (P < 0.001) after adjusting for age, gender, and smoking history. For patients with PSP, UPSIT scores correlated with MMSE (r = 0.44, P = 0.006) but not disease duration (P = 0.6), motor subscale of the Unified Parkinson's Disease Rating Scale (P = 0.2), or Frontal Assessment Battery (P = 0.5). The brains of six of the patients with PSP were examined postmortem and all revealed neurofibrillary tangles and tau accumulation in the rhinencephalon, although only three had hyposmia. Further prospective studies including patients with early PSP and PSP‐P with postmortem confirmation might help clarify if smell tests could be useful when the differential diagnosis lies between PD and PSP. © 2010 Movement Disorder Society</div>
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<front><div type="abstract" xml:lang="en">Previous studies suggested that olfaction is normal in progressive supranuclear palsy (PSP). We applied the University of Pennsylvania Smell Identification Test (UPSIT) to 36 patients with PSP who scored more than 18 on the Mini Mental State Examination (MMSE), 140 patients with nondemented Parkinson's disease (PD) and 126 controls. Mean UPSIT scores in PSP were lower than in controls (P < 0.001) but higher than in PD (P < 0.001) after adjusting for age, gender, and smoking history. For patients with PSP, UPSIT scores correlated with MMSE (r = 0.44, P = 0.006) but not disease duration (P = 0.6), motor subscale of the Unified Parkinson's Disease Rating Scale (P = 0.2), or Frontal Assessment Battery (P = 0.5). The brains of six of the patients with PSP were examined postmortem and all revealed neurofibrillary tangles and tau accumulation in the rhinencephalon, although only three had hyposmia. Further prospective studies including patients with early PSP and PSP-P with postmortem confirmation might help clarify if smell tests could be useful when the differential diagnosis lies between PD and PSP.</div>
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