Transcranial imaging of substantia nigra hyperechogenicity in a Taiwanese cohort of Parkinson's disease
Identifieur interne : 001745 ( PascalFrancis/Corpus ); précédent : 001744; suivant : 001746Transcranial imaging of substantia nigra hyperechogenicity in a Taiwanese cohort of Parkinson's disease
Auteurs : Yu-Wen Huang ; Jiann-Shing Jeng ; Chung-Fen Tsai ; Li-Ling Chen ; Ruey-Meei WuSource :
- Movement disorders [ 0885-3185 ] ; 2007.
Descripteurs français
- Pascal (Inist)
English descriptors
Abstract
Transcranial Doppler imaging (TCDI) has been used as a noninvasive diagnostic tool to differentiate Parkinson's disease (PD) from atypical parkinsonism by detecting hyperechogenicity in the substantia nigra (SN). To our knowledge, no TCDI data are available for Asian populations, and TCDI sensitivity is uncertain across populations. Early-onset PD (EOPD) represents a specific PD subtype based on clinical features and pathogenic mechanisms. It is not known if EOPD patients have abnormal echogenicity in SN comparable to late-onset PD (LOPD) patients. We assessed the area of SN hyperechogenicity (hyper-SN) and a ratio of hyper-SN over ipsilateral midbrain (S/M ratio) with TCDI in 164 healthy Taiwanese, 40 EOPD patients, and 40 LOPD patients. The upper 95th percentile values for hyper-SN and S/M ratio were 0.20 cm2and 0.07. Our results indicate that S/M ratio is a more sensitive measure than hyper-SN in diagnosing PD. Approximately 92.5% of the LOPD patients and 57.5% of the EOPD patients had S/M ratios ≥ 0.07. Enlarged hyperechogenicity of SN is a common finding in LOPD, but not in EOPD. Iron-independent mechanisms of SN cell degeneration in EOPD distinct from that in LOPD might contribute to the sonographic findings.
Notice en format standard (ISO 2709)
Pour connaître la documentation sur le format Inist Standard.
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Format Inist (serveur)
NO : | PASCAL 07-0210957 INIST |
---|---|
ET : | Transcranial imaging of substantia nigra hyperechogenicity in a Taiwanese cohort of Parkinson's disease |
AU : | HUANG (Yu-Wen); JENG (Jiann-Shing); TSAI (Chung-Fen); CHEN (Li-Ling); WU (Ruey-Meei) |
AF : | Department of Neurology, National Taiwan University Hospital, College of Medicine, National Taiwan University/Taipei/Taïwan (1 aut., 2 aut., 4 aut., 5 aut.); Department of Neurology, Cardinal-Tien Hospital/Taipei/Taïwan (3 aut.) |
DT : | Publication en série; Niveau analytique |
SO : | Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 4; Pp. 550-555; Bibl. 26 ref. |
LA : | Anglais |
EA : | Transcranial Doppler imaging (TCDI) has been used as a noninvasive diagnostic tool to differentiate Parkinson's disease (PD) from atypical parkinsonism by detecting hyperechogenicity in the substantia nigra (SN). To our knowledge, no TCDI data are available for Asian populations, and TCDI sensitivity is uncertain across populations. Early-onset PD (EOPD) represents a specific PD subtype based on clinical features and pathogenic mechanisms. It is not known if EOPD patients have abnormal echogenicity in SN comparable to late-onset PD (LOPD) patients. We assessed the area of SN hyperechogenicity (hyper-SN) and a ratio of hyper-SN over ipsilateral midbrain (S/M ratio) with TCDI in 164 healthy Taiwanese, 40 EOPD patients, and 40 LOPD patients. The upper 95th percentile values for hyper-SN and S/M ratio were 0.20 cm2and 0.07. Our results indicate that S/M ratio is a more sensitive measure than hyper-SN in diagnosing PD. Approximately 92.5% of the LOPD patients and 57.5% of the EOPD patients had S/M ratios ≥ 0.07. Enlarged hyperechogenicity of SN is a common finding in LOPD, but not in EOPD. Iron-independent mechanisms of SN cell degeneration in EOPD distinct from that in LOPD might contribute to the sonographic findings. |
CC : | 002B17; 002B17G; 002B24A06 |
FD : | Système nerveux pathologie; Parkinson maladie; Locus niger; Dopplérométrie; Mésencéphale |
FG : | Encéphale pathologie; Système nerveux central; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie; Exploration ultrason |
ED : | Nervous system diseases; Parkinson disease; Locus niger; Doppler ultrasound study; Midbrain |
EG : | Cerebral disorder; Central nervous system; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Sonography |
SD : | Sistema nervioso patología; Parkinson enfermedad; Locus níger; Dopplerometría; Mesencéfalo |
LO : | INIST-20953.354000145702210160 |
ID : | 07-0210957 |
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Pascal:07-0210957Le document en format XML
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<front><div type="abstract" xml:lang="en">Transcranial Doppler imaging (TCDI) has been used as a noninvasive diagnostic tool to differentiate Parkinson's disease (PD) from atypical parkinsonism by detecting hyperechogenicity in the substantia nigra (SN). To our knowledge, no TCDI data are available for Asian populations, and TCDI sensitivity is uncertain across populations. Early-onset PD (EOPD) represents a specific PD subtype based on clinical features and pathogenic mechanisms. It is not known if EOPD patients have abnormal echogenicity in SN comparable to late-onset PD (LOPD) patients. We assessed the area of SN hyperechogenicity (hyper-SN) and a ratio of hyper-SN over ipsilateral midbrain (S/M ratio) with TCDI in 164 healthy Taiwanese, 40 EOPD patients, and 40 LOPD patients. The upper 95th percentile values for hyper-SN and S/M ratio were 0.20 cm<sup>2</sup>
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<ET>Transcranial imaging of substantia nigra hyperechogenicity in a Taiwanese cohort of Parkinson's disease</ET>
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