Movement Disorders (revue)

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Cerebellar Involvement in Progressive Supranuclear Palsy: A Clinicopathological Study

Identifieur interne : 000E34 ( PascalFrancis/Corpus ); précédent : 000E33; suivant : 000E35

Cerebellar Involvement in Progressive Supranuclear Palsy: A Clinicopathological Study

Auteurs : Masato Kanazawa ; Takayoshi Shimohata ; Yasuko Toyoshima ; Mari Tada ; Akiyoshi Kakita ; Takashi Morita ; Tetsutaro Ozawa ; Hitoshi Takahashi ; Masatoyo Nishizawa

Source :

RBID : Pascal:09-0349916

Descripteurs français

English descriptors

Abstract

The clinical heterogeneity of progressive supranuclear palsy (PSP), which is classified as classic Richardson's syndrome (RS) and PSP-Parkinsonism (PSP-P), has been previously discussed. We retrospectively analyzed 22 consecutive Japanese patients with pathologically proven PSP to investigate the clinicopathological heterogeneity. We investigated the clinical features both early in and at any time during the disease course. The pathological severities of neuronal loss with gliosis and tau pathology were also evaluated. On the basis of the clinical features, 10 patients were categorized as having RS, and 8 were categorized as having PSP-P. Four patients presenting with cerebellar ataxia or cerebral cortical signs were categorized as having unclassifiable PSP. Among them, 3 developed cerebellar ataxia as the initial and principal symptom. Notably, tau-positive inclusion bodies in Purkinje cells were significantly more frequently observed in the patients with cerebellar ataxia than in those without cerebellar ataxia. All the patients with cerebellar ataxia exhibited more neuronal loss with gliosis and higher densities of coiled bodies in the cerebellar dentate nucleus than those without cerebellar ataxia. This study confirms the wide spectrum of clinicopathological manifestations associated with PSP regardless of different ethnic origin, and demonstrates that PSP patients manifest cerebellar ataxia.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 24
A06       @2 9
A08 01  1  ENG  @1 Cerebellar Involvement in Progressive Supranuclear Palsy: A Clinicopathological Study
A11 01  1    @1 KANAZAWA (Masato)
A11 02  1    @1 SHIMOHATA (Takayoshi)
A11 03  1    @1 TOYOSHIMA (Yasuko)
A11 04  1    @1 TADA (Mari)
A11 05  1    @1 KAKITA (Akiyoshi)
A11 06  1    @1 MORITA (Takashi)
A11 07  1    @1 OZAWA (Tetsutaro)
A11 08  1    @1 TAKAHASHI (Hitoshi)
A11 09  1    @1 NISHIZAWA (Masatoyo)
A14 01      @1 Department of Neurology, Brain Research Institute, Niigata University @2 Niigata @3 JPN @Z 1 aut. @Z 2 aut. @Z 4 aut. @Z 7 aut. @Z 9 aut.
A14 02      @1 Department of Pathology, Brain Research Institute, Niigata University @2 Niigata @3 JPN @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 8 aut.
A14 03      @1 Department of Pathological Neuroscience, Resource Branch for Brain Disease Research CBBR, Brain Research Institute, Niigata University @2 Niigata @3 JPN @Z 5 aut.
A14 04      @1 Department of Pathology, Shinrakuen Hospital @2 Niigata @3 JPN @Z 6 aut.
A20       @1 1312-1318
A21       @1 2009
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000170902500080
A44       @0 0000 @1 © 2009 INIST-CNRS. All rights reserved.
A45       @0 26 ref.
A47 01  1    @0 09-0349916
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 The clinical heterogeneity of progressive supranuclear palsy (PSP), which is classified as classic Richardson's syndrome (RS) and PSP-Parkinsonism (PSP-P), has been previously discussed. We retrospectively analyzed 22 consecutive Japanese patients with pathologically proven PSP to investigate the clinicopathological heterogeneity. We investigated the clinical features both early in and at any time during the disease course. The pathological severities of neuronal loss with gliosis and tau pathology were also evaluated. On the basis of the clinical features, 10 patients were categorized as having RS, and 8 were categorized as having PSP-P. Four patients presenting with cerebellar ataxia or cerebral cortical signs were categorized as having unclassifiable PSP. Among them, 3 developed cerebellar ataxia as the initial and principal symptom. Notably, tau-positive inclusion bodies in Purkinje cells were significantly more frequently observed in the patients with cerebellar ataxia than in those without cerebellar ataxia. All the patients with cerebellar ataxia exhibited more neuronal loss with gliosis and higher densities of coiled bodies in the cerebellar dentate nucleus than those without cerebellar ataxia. This study confirms the wide spectrum of clinicopathological manifestations associated with PSP regardless of different ethnic origin, and demonstrates that PSP patients manifest cerebellar ataxia.
C02 01  X    @0 002B17
C02 02  X    @0 002B17G
C03 01  X  FRE  @0 Maladie de Parkinson @2 NM @5 01
C03 01  X  ENG  @0 Parkinson disease @2 NM @5 01
C03 01  X  SPA  @0 Parkinson enfermedad @2 NM @5 01
C03 02  X  FRE  @0 Pathologie du système nerveux @5 02
C03 02  X  ENG  @0 Nervous system diseases @5 02
C03 02  X  SPA  @0 Sistema nervioso patología @5 02
C03 03  X  FRE  @0 Cervelet @5 09
C03 03  X  ENG  @0 Cerebellum @5 09
C03 03  X  SPA  @0 Cerebelo @5 09
C03 04  X  FRE  @0 Ataxie spinocérébelleuse @2 NM @5 10
C03 04  X  ENG  @0 Spinocerebellar ataxia @2 NM @5 10
C03 04  X  SPA  @0 Ataxia spinocerebelosa @2 NM @5 10
C07 01  X  FRE  @0 Encéphale @5 37
C07 01  X  ENG  @0 Encephalon @5 37
C07 01  X  SPA  @0 Encéfalo @5 37
C07 02  X  FRE  @0 Système nerveux central @5 38
C07 02  X  ENG  @0 Central nervous system @5 38
C07 02  X  SPA  @0 Sistema nervioso central @5 38
C07 03  X  FRE  @0 Maladie dégénérative @5 39
C07 03  X  ENG  @0 Degenerative disease @5 39
C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
C07 04  X  FRE  @0 Maladie héréditaire @5 40
C07 04  X  ENG  @0 Genetic disease @5 40
C07 04  X  SPA  @0 Enfermedad hereditaria @5 40
C07 05  X  FRE  @0 Pathologie du système nerveux central @5 41
C07 05  X  ENG  @0 Central nervous system disease @5 41
C07 05  X  SPA  @0 Sistema nervosio central patología @5 41
C07 06  X  FRE  @0 Pathologie de l'encéphale @5 43
C07 06  X  ENG  @0 Cerebral disorder @5 43
C07 06  X  SPA  @0 Encéfalo patología @5 43
C07 07  X  FRE  @0 Syndrome extrapyramidal @5 44
C07 07  X  ENG  @0 Extrapyramidal syndrome @5 44
C07 07  X  SPA  @0 Extrapiramidal síndrome @5 44
N21       @1 257
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 09-0349916 INIST
ET : Cerebellar Involvement in Progressive Supranuclear Palsy: A Clinicopathological Study
AU : KANAZAWA (Masato); SHIMOHATA (Takayoshi); TOYOSHIMA (Yasuko); TADA (Mari); KAKITA (Akiyoshi); MORITA (Takashi); OZAWA (Tetsutaro); TAKAHASHI (Hitoshi); NISHIZAWA (Masatoyo)
AF : Department of Neurology, Brain Research Institute, Niigata University/Niigata/Japon (1 aut., 2 aut., 4 aut., 7 aut., 9 aut.); Department of Pathology, Brain Research Institute, Niigata University/Niigata/Japon (3 aut., 4 aut., 5 aut., 8 aut.); Department of Pathological Neuroscience, Resource Branch for Brain Disease Research CBBR, Brain Research Institute, Niigata University/Niigata/Japon (5 aut.); Department of Pathology, Shinrakuen Hospital/Niigata/Japon (6 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2009; Vol. 24; No. 9; Pp. 1312-1318; Bibl. 26 ref.
LA : Anglais
EA : The clinical heterogeneity of progressive supranuclear palsy (PSP), which is classified as classic Richardson's syndrome (RS) and PSP-Parkinsonism (PSP-P), has been previously discussed. We retrospectively analyzed 22 consecutive Japanese patients with pathologically proven PSP to investigate the clinicopathological heterogeneity. We investigated the clinical features both early in and at any time during the disease course. The pathological severities of neuronal loss with gliosis and tau pathology were also evaluated. On the basis of the clinical features, 10 patients were categorized as having RS, and 8 were categorized as having PSP-P. Four patients presenting with cerebellar ataxia or cerebral cortical signs were categorized as having unclassifiable PSP. Among them, 3 developed cerebellar ataxia as the initial and principal symptom. Notably, tau-positive inclusion bodies in Purkinje cells were significantly more frequently observed in the patients with cerebellar ataxia than in those without cerebellar ataxia. All the patients with cerebellar ataxia exhibited more neuronal loss with gliosis and higher densities of coiled bodies in the cerebellar dentate nucleus than those without cerebellar ataxia. This study confirms the wide spectrum of clinicopathological manifestations associated with PSP regardless of different ethnic origin, and demonstrates that PSP patients manifest cerebellar ataxia.
CC : 002B17; 002B17G
FD : Maladie de Parkinson; Pathologie du système nerveux; Cervelet; Ataxie spinocérébelleuse
FG : Encéphale; Système nerveux central; Maladie dégénérative; Maladie héréditaire; Pathologie du système nerveux central; Pathologie de l'encéphale; Syndrome extrapyramidal
ED : Parkinson disease; Nervous system diseases; Cerebellum; Spinocerebellar ataxia
EG : Encephalon; Central nervous system; Degenerative disease; Genetic disease; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome
SD : Parkinson enfermedad; Sistema nervioso patología; Cerebelo; Ataxia spinocerebelosa
LO : INIST-20953.354000170902500080
ID : 09-0349916

Links to Exploration step

Pascal:09-0349916

Le document en format XML

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<front>
<div type="abstract" xml:lang="en">The clinical heterogeneity of progressive supranuclear palsy (PSP), which is classified as classic Richardson's syndrome (RS) and PSP-Parkinsonism (PSP-P), has been previously discussed. We retrospectively analyzed 22 consecutive Japanese patients with pathologically proven PSP to investigate the clinicopathological heterogeneity. We investigated the clinical features both early in and at any time during the disease course. The pathological severities of neuronal loss with gliosis and tau pathology were also evaluated. On the basis of the clinical features, 10 patients were categorized as having RS, and 8 were categorized as having PSP-P. Four patients presenting with cerebellar ataxia or cerebral cortical signs were categorized as having unclassifiable PSP. Among them, 3 developed cerebellar ataxia as the initial and principal symptom. Notably, tau-positive inclusion bodies in Purkinje cells were significantly more frequently observed in the patients with cerebellar ataxia than in those without cerebellar ataxia. All the patients with cerebellar ataxia exhibited more neuronal loss with gliosis and higher densities of coiled bodies in the cerebellar dentate nucleus than those without cerebellar ataxia. This study confirms the wide spectrum of clinicopathological manifestations associated with PSP regardless of different ethnic origin, and demonstrates that PSP patients manifest cerebellar ataxia.</div>
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<s0>The clinical heterogeneity of progressive supranuclear palsy (PSP), which is classified as classic Richardson's syndrome (RS) and PSP-Parkinsonism (PSP-P), has been previously discussed. We retrospectively analyzed 22 consecutive Japanese patients with pathologically proven PSP to investigate the clinicopathological heterogeneity. We investigated the clinical features both early in and at any time during the disease course. The pathological severities of neuronal loss with gliosis and tau pathology were also evaluated. On the basis of the clinical features, 10 patients were categorized as having RS, and 8 were categorized as having PSP-P. Four patients presenting with cerebellar ataxia or cerebral cortical signs were categorized as having unclassifiable PSP. Among them, 3 developed cerebellar ataxia as the initial and principal symptom. Notably, tau-positive inclusion bodies in Purkinje cells were significantly more frequently observed in the patients with cerebellar ataxia than in those without cerebellar ataxia. All the patients with cerebellar ataxia exhibited more neuronal loss with gliosis and higher densities of coiled bodies in the cerebellar dentate nucleus than those without cerebellar ataxia. This study confirms the wide spectrum of clinicopathological manifestations associated with PSP regardless of different ethnic origin, and demonstrates that PSP patients manifest cerebellar ataxia.</s0>
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<ET>Cerebellar Involvement in Progressive Supranuclear Palsy: A Clinicopathological Study</ET>
<AU>KANAZAWA (Masato); SHIMOHATA (Takayoshi); TOYOSHIMA (Yasuko); TADA (Mari); KAKITA (Akiyoshi); MORITA (Takashi); OZAWA (Tetsutaro); TAKAHASHI (Hitoshi); NISHIZAWA (Masatoyo)</AU>
<AF>Department of Neurology, Brain Research Institute, Niigata University/Niigata/Japon (1 aut., 2 aut., 4 aut., 7 aut., 9 aut.); Department of Pathology, Brain Research Institute, Niigata University/Niigata/Japon (3 aut., 4 aut., 5 aut., 8 aut.); Department of Pathological Neuroscience, Resource Branch for Brain Disease Research CBBR, Brain Research Institute, Niigata University/Niigata/Japon (5 aut.); Department of Pathology, Shinrakuen Hospital/Niigata/Japon (6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2009; Vol. 24; No. 9; Pp. 1312-1318; Bibl. 26 ref.</SO>
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<EA>The clinical heterogeneity of progressive supranuclear palsy (PSP), which is classified as classic Richardson's syndrome (RS) and PSP-Parkinsonism (PSP-P), has been previously discussed. We retrospectively analyzed 22 consecutive Japanese patients with pathologically proven PSP to investigate the clinicopathological heterogeneity. We investigated the clinical features both early in and at any time during the disease course. The pathological severities of neuronal loss with gliosis and tau pathology were also evaluated. On the basis of the clinical features, 10 patients were categorized as having RS, and 8 were categorized as having PSP-P. Four patients presenting with cerebellar ataxia or cerebral cortical signs were categorized as having unclassifiable PSP. Among them, 3 developed cerebellar ataxia as the initial and principal symptom. Notably, tau-positive inclusion bodies in Purkinje cells were significantly more frequently observed in the patients with cerebellar ataxia than in those without cerebellar ataxia. All the patients with cerebellar ataxia exhibited more neuronal loss with gliosis and higher densities of coiled bodies in the cerebellar dentate nucleus than those without cerebellar ataxia. This study confirms the wide spectrum of clinicopathological manifestations associated with PSP regardless of different ethnic origin, and demonstrates that PSP patients manifest cerebellar ataxia.</EA>
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<ED>Parkinson disease; Nervous system diseases; Cerebellum; Spinocerebellar ataxia</ED>
<EG>Encephalon; Central nervous system; Degenerative disease; Genetic disease; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome</EG>
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