Movement Disorders (revue)

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Direct comparison between regional cerebral metabolism in progressive supranuclear palsy and Parkinson's disease

Identifieur interne : 001D95 ( PascalFrancis/Corpus ); précédent : 001D94; suivant : 001D96

Direct comparison between regional cerebral metabolism in progressive supranuclear palsy and Parkinson's disease

Auteurs : Reinoud C. Klein ; Bauke M. De Jong ; Joeke J. De Vries ; Klaus L. Leenders

Source :

RBID : Pascal:05-0444130

Descripteurs français

English descriptors

Abstract

The differentiation between progressive supranuclear palsy (PSP) and Parkinson's disease (PD) may be difficult, especially in the early stages of disease. Positron emission tomography potentially provides a tool for making such a distinction. To identify key features in the spatial distributions of cerebral glucose metabolism, 18F-fluorodeoxyglucose (FDG) measurements of 10 patients with probable or possible PSP were directly compared with those of 9 PD patients. This analysis was done with statistic parametric mapping. After normalization of global brain uptake, in PSP, relative uptake of FDG was reduced in the caudal (motor) part of the anterior cingulate gyrus (Brodmann's area BA 24; P < 0.05, corrected for multiple comparisons). At a lower threshold, an additional decrease was present in the dorsal mesencephalon. In PD, relative hypometabolism was seen in extrastriate visual, ventrolateral temporal, posterior parietal, and orbitofrontal regions. Only reduction in the right fusiform gyrus and the lateral extrastriate visual cortex reached statistical significance. We concluded that particularly the reduction of medial frontal metabolism may be a valuable diagnostic imaging parameter in distinguishing PSP from PD. For PD, a possible association between occipitotemporal FDG decrease and vulnerability to hallucinations is suggested.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 Mov. disord.
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A08 01  1  ENG  @1 Direct comparison between regional cerebral metabolism in progressive supranuclear palsy and Parkinson's disease
A11 01  1    @1 KLEIN (Reinoud C.)
A11 02  1    @1 DE JONG (Bauke M.)
A11 03  1    @1 DE VRIES (Joeke J.)
A11 04  1    @1 LEENDERS (Klaus L.)
A14 01      @1 Department of Neurology, University Hospital Groningen @3 NLD @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut.
A14 02      @1 PET Center, University Hospital Groningen @3 NLD @Z 2 aut.
A20       @1 1021-1030
A21       @1 2005
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000132711360170
A44       @0 0000 @1 © 2005 INIST-CNRS. All rights reserved.
A45       @0 46 ref.
A47 01  1    @0 05-0444130
A60       @1 P
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C01 01    ENG  @0 The differentiation between progressive supranuclear palsy (PSP) and Parkinson's disease (PD) may be difficult, especially in the early stages of disease. Positron emission tomography potentially provides a tool for making such a distinction. To identify key features in the spatial distributions of cerebral glucose metabolism, 18F-fluorodeoxyglucose (FDG) measurements of 10 patients with probable or possible PSP were directly compared with those of 9 PD patients. This analysis was done with statistic parametric mapping. After normalization of global brain uptake, in PSP, relative uptake of FDG was reduced in the caudal (motor) part of the anterior cingulate gyrus (Brodmann's area BA 24; P < 0.05, corrected for multiple comparisons). At a lower threshold, an additional decrease was present in the dorsal mesencephalon. In PD, relative hypometabolism was seen in extrastriate visual, ventrolateral temporal, posterior parietal, and orbitofrontal regions. Only reduction in the right fusiform gyrus and the lateral extrastriate visual cortex reached statistical significance. We concluded that particularly the reduction of medial frontal metabolism may be a valuable diagnostic imaging parameter in distinguishing PSP from PD. For PD, a possible association between occipitotemporal FDG decrease and vulnerability to hallucinations is suggested.
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Format Inist (serveur)

NO : PASCAL 05-0444130 INIST
ET : Direct comparison between regional cerebral metabolism in progressive supranuclear palsy and Parkinson's disease
AU : KLEIN (Reinoud C.); DE JONG (Bauke M.); DE VRIES (Joeke J.); LEENDERS (Klaus L.)
AF : Department of Neurology, University Hospital Groningen/Pays-Bas (1 aut., 2 aut., 3 aut., 4 aut.); PET Center, University Hospital Groningen/Pays-Bas (2 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2005; Vol. 20; No. 8; Pp. 1021-1030; Bibl. 46 ref.
LA : Anglais
EA : The differentiation between progressive supranuclear palsy (PSP) and Parkinson's disease (PD) may be difficult, especially in the early stages of disease. Positron emission tomography potentially provides a tool for making such a distinction. To identify key features in the spatial distributions of cerebral glucose metabolism, 18F-fluorodeoxyglucose (FDG) measurements of 10 patients with probable or possible PSP were directly compared with those of 9 PD patients. This analysis was done with statistic parametric mapping. After normalization of global brain uptake, in PSP, relative uptake of FDG was reduced in the caudal (motor) part of the anterior cingulate gyrus (Brodmann's area BA 24; P < 0.05, corrected for multiple comparisons). At a lower threshold, an additional decrease was present in the dorsal mesencephalon. In PD, relative hypometabolism was seen in extrastriate visual, ventrolateral temporal, posterior parietal, and orbitofrontal regions. Only reduction in the right fusiform gyrus and the lateral extrastriate visual cortex reached statistical significance. We concluded that particularly the reduction of medial frontal metabolism may be a valuable diagnostic imaging parameter in distinguishing PSP from PD. For PD, a possible association between occipitotemporal FDG decrease and vulnerability to hallucinations is suggested.
CC : 002B17; 002B17G; 002B17C
FD : Système nerveux pathologie; Infirmité motrice cérébrale; Parkinson maladie; Hallucination; Etude comparative; Métabolisme; Tomoscintigraphie; Positon; Tomographie émission positon; Frontal
FG : Encéphale pathologie; Système nerveux central pathologie; Extrapyramidal syndrome; Maladie dégénérative
ED : Nervous system diseases; Cerebral palsy; Parkinson disease; Hallucination; Comparative study; Metabolism; Emission tomography; Positron; Positron emission tomography; Frontal
EG : Cerebral disorder; Central nervous system disease; Extrapyramidal syndrome; Degenerative disease
SD : Sistema nervioso patología; Encefalopatía infantil; Parkinson enfermedad; Alucinación; Estudio comparativo; Metabolismo; Tomocentelleografía; Positrón; Tomografía emisión positrones; Frontal
LO : INIST-20953.354000132711360170
ID : 05-0444130

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Pascal:05-0444130

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<s5>12</s5>
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<s5>12</s5>
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<s5>14</s5>
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<s5>37</s5>
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<s5>38</s5>
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<s5>38</s5>
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<s5>38</s5>
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<fC07 i1="03" i2="X" l="FRE">
<s0>Extrapyramidal syndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
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<s5>40</s5>
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<fC07 i1="04" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>40</s5>
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<fN21>
<s1>311</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
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<fN82>
<s1>OTO</s1>
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<NO>PASCAL 05-0444130 INIST</NO>
<ET>Direct comparison between regional cerebral metabolism in progressive supranuclear palsy and Parkinson's disease</ET>
<AU>KLEIN (Reinoud C.); DE JONG (Bauke M.); DE VRIES (Joeke J.); LEENDERS (Klaus L.)</AU>
<AF>Department of Neurology, University Hospital Groningen/Pays-Bas (1 aut., 2 aut., 3 aut., 4 aut.); PET Center, University Hospital Groningen/Pays-Bas (2 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2005; Vol. 20; No. 8; Pp. 1021-1030; Bibl. 46 ref.</SO>
<LA>Anglais</LA>
<EA>The differentiation between progressive supranuclear palsy (PSP) and Parkinson's disease (PD) may be difficult, especially in the early stages of disease. Positron emission tomography potentially provides a tool for making such a distinction. To identify key features in the spatial distributions of cerebral glucose metabolism,
<sup>18</sup>
F-fluorodeoxyglucose (FDG) measurements of 10 patients with probable or possible PSP were directly compared with those of 9 PD patients. This analysis was done with statistic parametric mapping. After normalization of global brain uptake, in PSP, relative uptake of FDG was reduced in the caudal (motor) part of the anterior cingulate gyrus (Brodmann's area BA 24; P < 0.05, corrected for multiple comparisons). At a lower threshold, an additional decrease was present in the dorsal mesencephalon. In PD, relative hypometabolism was seen in extrastriate visual, ventrolateral temporal, posterior parietal, and orbitofrontal regions. Only reduction in the right fusiform gyrus and the lateral extrastriate visual cortex reached statistical significance. We concluded that particularly the reduction of medial frontal metabolism may be a valuable diagnostic imaging parameter in distinguishing PSP from PD. For PD, a possible association between occipitotemporal FDG decrease and vulnerability to hallucinations is suggested.</EA>
<CC>002B17; 002B17G; 002B17C</CC>
<FD>Système nerveux pathologie; Infirmité motrice cérébrale; Parkinson maladie; Hallucination; Etude comparative; Métabolisme; Tomoscintigraphie; Positon; Tomographie émission positon; Frontal</FD>
<FG>Encéphale pathologie; Système nerveux central pathologie; Extrapyramidal syndrome; Maladie dégénérative</FG>
<ED>Nervous system diseases; Cerebral palsy; Parkinson disease; Hallucination; Comparative study; Metabolism; Emission tomography; Positron; Positron emission tomography; Frontal</ED>
<EG>Cerebral disorder; Central nervous system disease; Extrapyramidal syndrome; Degenerative disease</EG>
<SD>Sistema nervioso patología; Encefalopatía infantil; Parkinson enfermedad; Alucinación; Estudio comparativo; Metabolismo; Tomocentelleografía; Positrón; Tomografía emisión positrones; Frontal</SD>
<LO>INIST-20953.354000132711360170</LO>
<ID>05-0444130</ID>
</server>
</inist>
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