Movement Disorders (revue)

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Transcranial imaging of substantia nigra hyperechogenicity in a Taiwanese cohort of Parkinson's disease

Identifieur interne : 001745 ( PascalFrancis/Corpus ); précédent : 001744; suivant : 001746

Transcranial 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 Wu

Source :

RBID : Pascal:07-0210957

Descripteurs français

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.

pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 22
A06       @2 4
A08 01  1  ENG  @1 Transcranial imaging of substantia nigra hyperechogenicity in a Taiwanese cohort of Parkinson's disease
A11 01  1    @1 HUANG (Yu-Wen)
A11 02  1    @1 JENG (Jiann-Shing)
A11 03  1    @1 TSAI (Chung-Fen)
A11 04  1    @1 CHEN (Li-Ling)
A11 05  1    @1 WU (Ruey-Meei)
A14 01      @1 Department of Neurology, National Taiwan University Hospital, College of Medicine, National Taiwan University @2 Taipei @3 TWN @Z 1 aut. @Z 2 aut. @Z 4 aut. @Z 5 aut.
A14 02      @1 Department of Neurology, Cardinal-Tien Hospital @2 Taipei @3 TWN @Z 3 aut.
A20       @1 550-555
A21       @1 2007
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000145702210160
A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
A45       @0 26 ref.
A47 01  1    @0 07-0210957
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 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.
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C02 02  X    @0 002B17G
C02 03  X    @0 002B24A06
C03 01  X  FRE  @0 Système nerveux pathologie @5 01
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C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Parkinson maladie @5 02
C03 02  X  ENG  @0 Parkinson disease @5 02
C03 02  X  SPA  @0 Parkinson enfermedad @5 02
C03 03  X  FRE  @0 Locus niger @5 09
C03 03  X  ENG  @0 Locus niger @5 09
C03 03  X  SPA  @0 Locus níger @5 09
C03 04  X  FRE  @0 Dopplérométrie @5 10
C03 04  X  ENG  @0 Doppler ultrasound study @5 10
C03 04  X  SPA  @0 Dopplerometría @5 10
C03 05  X  FRE  @0 Mésencéphale @5 11
C03 05  X  ENG  @0 Midbrain @5 11
C03 05  X  SPA  @0 Mesencéfalo @5 11
C07 01  X  FRE  @0 Encéphale pathologie @5 37
C07 01  X  ENG  @0 Cerebral disorder @5 37
C07 01  X  SPA  @0 Encéfalo patología @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 Extrapyramidal syndrome @5 39
C07 03  X  ENG  @0 Extrapyramidal syndrome @5 39
C07 03  X  SPA  @0 Extrapiramidal síndrome @5 39
C07 04  X  FRE  @0 Maladie dégénérative @5 40
C07 04  X  ENG  @0 Degenerative disease @5 40
C07 04  X  SPA  @0 Enfermedad degenerativa @5 40
C07 05  X  FRE  @0 Système nerveux central pathologie @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 Exploration ultrason @5 42
C07 06  X  ENG  @0 Sonography @5 42
C07 06  X  SPA  @0 Exploración ultrasonido @5 42
N21       @1 141
N44 01      @1 OTO
N82       @1 OTO

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

Links to Exploration step

Pascal:07-0210957

Le document en format XML

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<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
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<server>
<NO>PASCAL 07-0210957 INIST</NO>
<ET>Transcranial imaging of substantia nigra hyperechogenicity in a Taiwanese cohort of Parkinson's disease</ET>
<AU>HUANG (Yu-Wen); JENG (Jiann-Shing); TSAI (Chung-Fen); CHEN (Li-Ling); WU (Ruey-Meei)</AU>
<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.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2007; Vol. 22; No. 4; Pp. 550-555; Bibl. 26 ref.</SO>
<LA>Anglais</LA>
<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 cm
<sup>2</sup>
and 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.</EA>
<CC>002B17; 002B17G; 002B24A06</CC>
<FD>Système nerveux pathologie; Parkinson maladie; Locus niger; Dopplérométrie; Mésencéphale</FD>
<FG>Encéphale pathologie; Système nerveux central; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie; Exploration ultrason</FG>
<ED>Nervous system diseases; Parkinson disease; Locus niger; Doppler ultrasound study; Midbrain</ED>
<EG>Cerebral disorder; Central nervous system; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Sonography</EG>
<SD>Sistema nervioso patología; Parkinson enfermedad; Locus níger; Dopplerometría; Mesencéfalo</SD>
<LO>INIST-20953.354000145702210160</LO>
<ID>07-0210957</ID>
</server>
</inist>
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