Hyposmia in progressive supranuclear palsy.
Identifieur interne : 002A95 ( Ncbi/Merge ); précédent : 002A94; suivant : 002A96Hyposmia in progressive supranuclear palsy.
Auteurs : Laura Silveira-Moriyama [Royaume-Uni] ; Graham Hughes ; Alistair Church ; Hilary Ayling ; David R. Williams ; Aviva Petrie ; Janice Holton ; Tamas Revesz ; Ann Kingsbury ; Huw R. Morris ; David J. Burn ; Andrew J. LeesSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2010.
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), ROC Curve, Retrospective Studies, Smell (physiology), Supranuclear Palsy, Progressive (complications).
- 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.
DOI: 10.1002/mds.22688
PubMed: 20209627
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pubmed:20209627Le document en format XML
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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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<Abstract><AbstractText>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.</AbstractText>
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