MovDisordV3, PascalFrancis, Checkpoint, bibRecord, 001503

Pyramidal tract degeneration in multiple system atrophy : The relevance of magnetization transfer imaging

Identifieur interne : 001503 ( PascalFrancis/Checkpoint ); précédent : 001502; suivant : 001504

Pyramidal tract degeneration in multiple system atrophy : The relevance of magnetization transfer imaging

Auteurs : Antonio José Da Rocha [Brésil] ; Antonio Carlos Martins Jr Maia [Brésil] ; Carlos Jorge Da Silva [Brésil] ; Flavio Tulio Braga [Brésil] ; Nelson Paes Diniz Fortes Ferreira [Brésil] ; Orlando Graziani Povoas Barsottini [Brésil] ; Henrique Ballalai Ferraz [Brésil]

Source :

Movement disorders [ 0885-3185 ] ; 2007.

RBID : Pascal:07-0133251

Descripteurs français

Pascal (Inist)
- Système nerveux pathologie, Dégénérescence, Atrophie multisystématisée, Parkinsonisme, Faisceau pyramidal, Aimantation, Imagerie RMN.

English descriptors

KwdEn :
- Degeneration, Magnetization, Multiple system atrophy, Nervous system diseases, Nuclear magnetic resonance imaging, Parkinsonism, Pyramidal tract.

Abstract

The clinical features of multiple system atrophy (MSA) include four domains: autonomic failure/urinary dysfunction, Parkinsonism, cerebellar ataxia, and cortico-spinal tract dysfunction. Although the diagnosis of definite MSA requires pathological confirmation, magnetic resonance imaging (MRI) studies have been shown to contribute to the diagnosis of MSA. Although pyramidal tract dysfunction is frequent in MSA patients, signs of pyramidal tract involvement are controversially demonstrated by MRI. We evaluated the pyramidal involvement in 10 patients (7 women) with clinically probable MSA, detecting the presence of spasticity, hyperreflexia, and Babinski sign, as well as demonstrating degeneration of the pyramidal tract and primary motor cortex by MRI in all of them. Our article also discusses key radiological features of this syndrome. In MSA, pyramidal tract involvement seems to be more frequent than previously thought, and the clinicoradiological correlation between pyramidal tract dysfunction and degeneration may contribute to the understanding of the clinical hallmarks of MSA. MRI may also add information regarding the differential diagnosis of this syndrome.

Affiliations:

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Le document en format XML

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<series><title level="j" type="main">Movement disorders</title>
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<front><div type="abstract" xml:lang="en">The clinical features of multiple system atrophy (MSA) include four domains: autonomic failure/urinary dysfunction, Parkinsonism, cerebellar ataxia, and cortico-spinal tract dysfunction. Although the diagnosis of definite MSA requires pathological confirmation, magnetic resonance imaging (MRI) studies have been shown to contribute to the diagnosis of MSA. Although pyramidal tract dysfunction is frequent in MSA patients, signs of pyramidal tract involvement are controversially demonstrated by MRI. We evaluated the pyramidal involvement in 10 patients (7 women) with clinically probable MSA, detecting the presence of spasticity, hyperreflexia, and Babinski sign, as well as demonstrating degeneration of the pyramidal tract and primary motor cortex by MRI in all of them. Our article also discusses key radiological features of this syndrome. In MSA, pyramidal tract involvement seems to be more frequent than previously thought, and the clinicoradiological correlation between pyramidal tract dysfunction and degeneration may contribute to the understanding of the clinical hallmarks of MSA. MRI may also add information regarding the differential diagnosis of this syndrome.</div>
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<name sortKey="Ballalai Ferraz, Henrique" sort="Ballalai Ferraz, Henrique" uniqKey="Ballalai Ferraz H" first="Henrique" last="Ballalai Ferraz">Henrique Ballalai Ferraz</name>
<name sortKey="Da Silva, Carlos Jorge" sort="Da Silva, Carlos Jorge" uniqKey="Da Silva C" first="Carlos Jorge" last="Da Silva">Carlos Jorge Da Silva</name>
<name sortKey="Graziani Povoas Barsottini, Orlando" sort="Graziani Povoas Barsottini, Orlando" uniqKey="Graziani Povoas Barsottini O" first="Orlando" last="Graziani Povoas Barsottini">Orlando Graziani Povoas Barsottini</name>
<name sortKey="Maia, Antonio Carlos Martins Jr" sort="Maia, Antonio Carlos Martins Jr" uniqKey="Maia A" first="Antonio Carlos Martins Jr" last="Maia">Antonio Carlos Martins Jr Maia</name>
<name sortKey="Paes Diniz Fortes Ferreira, Nelson" sort="Paes Diniz Fortes Ferreira, Nelson" uniqKey="Paes Diniz Fortes Ferreira N" first="Nelson" last="Paes Diniz Fortes Ferreira">Nelson Paes Diniz Fortes Ferreira</name>
<name sortKey="Tulio Braga, Flavio" sort="Tulio Braga, Flavio" uniqKey="Tulio Braga F" first="Flavio" last="Tulio Braga">Flavio Tulio Braga</name>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Pyramidal tract degeneration in multiple system atrophy : The relevance of magnetization transfer imaging

Pyramidal tract degeneration in multiple system atrophy : The relevance of magnetization transfer imaging

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