MovDisordV3, PascalFrancis, Checkpoint, bibRecord, 002862

An imaging study of parkinsonism among African-Caribbean and Indian London communities

Identifieur interne : 002862 ( PascalFrancis/Checkpoint ); précédent : 002861; suivant : 002863

An imaging study of parkinsonism among African-Caribbean and Indian London communities

Auteurs : Michele T. M. Hu [Royaume-Uni] ; K. Ray Chaudhuri [Royaume-Uni] ; Jozef Jarosz [Royaume-Uni] ; Lidia Yaguez [Royaume-Uni] ; David J. Brooks [Royaume-Uni]

Source :

Movement disorders [ 0885-3185 ] ; 2002.

RBID : Pascal:03-0038717

Descripteurs français

Pascal (Inist)
- Parkinson maladie, Tomographie, Emission, Positon, Imagerie RMN, Test neuropsychologique, Psychométrie, Africain, Exploration, Homme, Indien, Bassin Caraïbe.
Wicri :
- topic : Homme.

English descriptors

KwdEn :
- African, Caribbean Basin, Emission, Exploration, Human, Indian, Neuropsychological test, Nuclear magnetic resonance imaging, Parkinson disease, Positron, Psychometrics, Tomography.

Abstract

We previously reported on 131 parkinsonian patients of African-Caribbean and Indian origin attending movement disorders clinics in six London Hospitals, of whom approximately 20% manifested atypical parkinsonism with a late-onset, akinetic-rigid predominant syndrome, postural instability and minimal resting tremor refractory to levodopa therapy and dopamine agonists (see Hu et al., Neurology 2000;54[Suppl.3]; A188 and Hu et al., Mov Disord 2000;15[Suppl.3]:S212). To better elucidate the phenotype of these atypical patients ¹⁸ FDG/¹⁸F-dopa positron emission tomography (PET) were performed in a subgroup to look for cortical and striatal metabolic changes suggestive of multiple system atrophy (MSA), progressive supranuclear palsy (PSP), corticobasal degeneration (CBD), or dementia with Lewy bodies. Magnetic resonance imaging (MRI) rating of cerebral vascular lesion load, putaminal atrophy, and neuropsychological testing were also performed. Discriminant function analysis of ¹⁸F-dopa/¹⁸FDG striatal metabolism in 43 patients failed to separate atypical ethnic minority from typical Caucasian Parkinson's disease (PD) patients. Additionally, atypical Indian and African-Caribbean patients did not show cortical reductions in glucose metabolism suggestive of PSP, CBD, or DLB. Cerebral vascular lesion load rated in these patients did not differ between atypical and typical PD groups, and none of the atypical patients had MRI changes suggestive of MSA or PSP. Our results suggest the atypical parkinsonian phenotype seen in African-Caribbean and Indian patients represents a levodopa-refractory form of PD separate from MSA or PSP in most patients.

Affiliations:

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Le document en format XML

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<front><div type="abstract" xml:lang="en">We previously reported on 131 parkinsonian patients of African-Caribbean and Indian origin attending movement disorders clinics in six London Hospitals, of whom approximately 20% manifested atypical parkinsonism with a late-onset, akinetic-rigid predominant syndrome, postural instability and minimal resting tremor refractory to levodopa therapy and dopamine agonists (see Hu et al., Neurology 2000;54[Suppl.3]; A188 and Hu et al., Mov Disord 2000;15[Suppl.3]:S212). To better elucidate the phenotype of these atypical patients <sup>18</sup>
 FDG/<sup>18</sup>
F-dopa positron emission tomography (PET) were performed in a subgroup to look for cortical and striatal metabolic changes suggestive of multiple system atrophy (MSA), progressive supranuclear palsy (PSP), corticobasal degeneration (CBD), or dementia with Lewy bodies. Magnetic resonance imaging (MRI) rating of cerebral vascular lesion load, putaminal atrophy, and neuropsychological testing were also performed. Discriminant function analysis of <sup>18</sup>
F-dopa/<sup>18</sup>
FDG striatal metabolism in 43 patients failed to separate atypical ethnic minority from typical Caucasian Parkinson's disease (PD) patients. Additionally, atypical Indian and African-Caribbean patients did not show cortical reductions in glucose metabolism suggestive of PSP, CBD, or DLB. Cerebral vascular lesion load rated in these patients did not differ between atypical and typical PD groups, and none of the atypical patients had MRI changes suggestive of MSA or PSP. Our results suggest the atypical parkinsonian phenotype seen in African-Caribbean and Indian patients represents a levodopa-refractory form of PD separate from MSA or PSP in most patients.</div>
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 FDG/<sup>18</sup>
F-dopa positron emission tomography (PET) were performed in a subgroup to look for cortical and striatal metabolic changes suggestive of multiple system atrophy (MSA), progressive supranuclear palsy (PSP), corticobasal degeneration (CBD), or dementia with Lewy bodies. Magnetic resonance imaging (MRI) rating of cerebral vascular lesion load, putaminal atrophy, and neuropsychological testing were also performed. Discriminant function analysis of <sup>18</sup>
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<s5>24</s5>
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<s5>24</s5>
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<s5>24</s5>
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<s5>53</s5>
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<fC07 i1="08" i2="X" l="SPA"><s0>Imaginería médica</s0>
<s5>53</s5>
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<fN21><s1>020</s1>
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<fN82><s1>PSI</s1>
</fN82>
</pA>
</standard>
</inist>
<affiliations><list><country><li>Royaume-Uni</li>
</country>
<region><li>Angleterre</li>
<li>Grand Londres</li>
</region>
<settlement><li>Londres</li>
</settlement>
</list>
<tree><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Hu, Michele T M" sort="Hu, Michele T M" uniqKey="Hu M" first="Michele T. M." last="Hu">Michele T. M. Hu</name>
</region>
<name sortKey="Brooks, David J" sort="Brooks, David J" uniqKey="Brooks D" first="David J." last="Brooks">David J. Brooks</name>
<name sortKey="Chaudhuri, K Ray" sort="Chaudhuri, K Ray" uniqKey="Chaudhuri K" first="K. Ray" last="Chaudhuri">K. Ray Chaudhuri</name>
<name sortKey="Chaudhuri, K Ray" sort="Chaudhuri, K Ray" uniqKey="Chaudhuri K" first="K. Ray" last="Chaudhuri">K. Ray Chaudhuri</name>
<name sortKey="Hu, Michele T M" sort="Hu, Michele T M" uniqKey="Hu M" first="Michele T. M." last="Hu">Michele T. M. Hu</name>
<name sortKey="Jarosz, Jozef" sort="Jarosz, Jozef" uniqKey="Jarosz J" first="Jozef" last="Jarosz">Jozef Jarosz</name>
<name sortKey="Yaguez, Lidia" sort="Yaguez, Lidia" uniqKey="Yaguez L" first="Lidia" last="Yaguez">Lidia Yaguez</name>
</country>
</tree>
</affiliations>
</record>

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	Movement Disorders (revue)
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Movement Disorders (revue)

An imaging study of parkinsonism among African-Caribbean and Indian London communities

An imaging study of parkinsonism among African-Caribbean and Indian London communities

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