MovDisordV3, PascalFrancis, Corpus, bibRecord, 002414

Extrapyramidal features in Parkinson's disease with and without dementia and dementia with Lewy bodies: A cross-sectional comparative study

Identifieur interne : 002414 ( PascalFrancis/Corpus ); précédent : 002413; suivant : 002415

Extrapyramidal features in Parkinson's disease with and without dementia and dementia with Lewy bodies: A cross-sectional comparative study

Auteurs : David J. Burn ; Elise N. Rowan ; Thais Minett ; Jonathon Sanders ; Pat Myint ; Jonathon Richardson ; Alan Thomas ; Jane Newby ; Jenny Reid ; John T. O'Brien ; Ian G. Mckeith

Source :

Movement disorders [ 0885-3185 ] ; 2003.

RBID : Pascal:04-0010835

Descripteurs français

Pascal (Inist)
- Parkinson maladie, Démence, Forme clinique, Diagnostic, Complication, Facteur prédictif, Adulte, Corps Lewy maladie.

English descriptors

KwdEn :
- Adult, Clinical form, Complication, Dementia, Diagnosis, Lewy body disease, Parkinson disease, Predictive factor.

Abstract

Risk factors predicting an increased risk of dementia in Parkinson's disease (PD) are not fully established. The dementia associated with PD (PDD) closely resembles dementia with Lewy bodies (DLB). Based upon a high frequency of non-dopaminergic mediated clinical features in DLB, we predicted that a motor subtype comprising postural instability and balance problems would be more common in PDD. We examined extrapyramidal, cognitive, and affective features in 38 PD, 43 PDD, and 26 DLB patients in a cross-sectional study design. Motor subtype was subdivided into postural-instability gait difficulty (PIGD) or tremor (TD) dominant. The PIGD-subtype was more common in PDD (88% of cases) and DLB (69% of cases) groups compared with the PD group (38% of cases), in which TD and PIGD sub-types were more equally represented (P < 0.001). Although the mean depression scores overall were modest, PDD patients scored significantly higher than PD, but not DLB patients (Cornell; P = 0.006, and Geriatric Depression scale, GDS-15; P = 0.001), while within the PD group. those patients with a PIGD subtype had greater depression scores than the TD subtype (GDS-15; P < 0.05). We conclude that non-dopaminergic motor features are frequent in PDD. Neurodegeneration within the cholinergic system is likely to mediate many of these motor problems, as well as playing a significant role in determining the neuropsychiatric symptomatology of both PDD and DLB.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A11	`03`	`1`		`@1 MINETT (Thais)`
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C01	`01`		`ENG`	@0 Risk factors predicting an increased risk of dementia in Parkinson's disease (PD) are not fully established. The dementia associated with PD (PDD) closely resembles dementia with Lewy bodies (DLB). Based upon a high frequency of non-dopaminergic mediated clinical features in DLB, we predicted that a motor subtype comprising postural instability and balance problems would be more common in PDD. We examined extrapyramidal, cognitive, and affective features in 38 PD, 43 PDD, and 26 DLB patients in a cross-sectional study design. Motor subtype was subdivided into postural-instability gait difficulty (PIGD) or tremor (TD) dominant. The PIGD-subtype was more common in PDD (88% of cases) and DLB (69% of cases) groups compared with the PD group (38% of cases), in which TD and PIGD sub-types were more equally represented (P < 0.001). Although the mean depression scores overall were modest, PDD patients scored significantly higher than PD, but not DLB patients (Cornell; P = 0.006, and Geriatric Depression scale, GDS-15; P = 0.001), while within the PD group. those patients with a PIGD subtype had greater depression scores than the TD subtype (GDS-15; P < 0.05). We conclude that non-dopaminergic motor features are frequent in PDD. Neurodegeneration within the cholinergic system is likely to mediate many of these motor problems, as well as playing a significant role in determining the neuropsychiatric symptomatology of both PDD and DLB.
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C03	`07`	`X`	`ENG`	`@0 Adult @5 20`
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C03	`08`	`X`	`FRE`	`@0 Corps Lewy maladie @4 CD @5 96`
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C07	`05`	`X`	`ENG`	`@0 Extrapyramidal syndrome @5 40`
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C07	`06`	`X`	`FRE`	`@0 Maladie dégénérative @5 41`
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Format Inist (serveur)

NO :	PASCAL 04-0010835 INIST
ET :	Extrapyramidal features in Parkinson's disease with and without dementia and dementia with Lewy bodies: A cross-sectional comparative study
AU :	BURN (David J.); ROWAN (Elise N.); MINETT (Thais); SANDERS (Jonathon); MYINT (Pat); RICHARDSON (Jonathon); THOMAS (Alan); NEWBY (Jane); REID (Jenny); O'BRIEN (John T.); MCKEITH (Ian G.)
AF :	Department of Neurology, Regional Neurosciences Centre, Newcastle General Hospital/Newcastle upon Tyne/Royaume-Uni (1 aut.); Institute for Ageing and Health, Wolfson Research Centre, Newcastle General Hospital/Newcastle upon Tyne/Royaume-Uni (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut., 8 aut., 9 aut., 10 aut., 11 aut.)
DT :	Publication en série; Niveau analytique
SO :	Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2003; Vol. 18; No. 8; Pp. 884-889; Bibl. 50 ref.
LA :	Anglais
EA :	Risk factors predicting an increased risk of dementia in Parkinson's disease (PD) are not fully established. The dementia associated with PD (PDD) closely resembles dementia with Lewy bodies (DLB). Based upon a high frequency of non-dopaminergic mediated clinical features in DLB, we predicted that a motor subtype comprising postural instability and balance problems would be more common in PDD. We examined extrapyramidal, cognitive, and affective features in 38 PD, 43 PDD, and 26 DLB patients in a cross-sectional study design. Motor subtype was subdivided into postural-instability gait difficulty (PIGD) or tremor (TD) dominant. The PIGD-subtype was more common in PDD (88% of cases) and DLB (69% of cases) groups compared with the PD group (38% of cases), in which TD and PIGD sub-types were more equally represented (P < 0.001). Although the mean depression scores overall were modest, PDD patients scored significantly higher than PD, but not DLB patients (Cornell; P = 0.006, and Geriatric Depression scale, GDS-15; P = 0.001), while within the PD group. those patients with a PIGD subtype had greater depression scores than the TD subtype (GDS-15; P < 0.05). We conclude that non-dopaminergic motor features are frequent in PDD. Neurodegeneration within the cholinergic system is likely to mediate many of these motor problems, as well as playing a significant role in determining the neuropsychiatric symptomatology of both PDD and DLB.
CC :	002B17G
FD :	Parkinson maladie; Démence; Forme clinique; Diagnostic; Complication; Facteur prédictif; Adulte; Corps Lewy maladie
FG :	Homme; Système nerveux pathologie; Système nerveux central pathologie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Trouble neurologique; Trouble cognition
ED :	Parkinson disease; Dementia; Clinical form; Diagnosis; Complication; Predictive factor; Adult; Lewy body disease
EG :	Human; Nervous system diseases; Central nervous system disease; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Neurological disorder; Cognitive disorder
SD :	Parkinson enfermedad; Demencia; Forma clínica; Diagnóstico; Complicación; Factor predictivo; Adulto
LO :	INIST-20953.354000112695530050
ID :	04-0010835

Links to Exploration step

Pascal:04-0010835

Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Extrapyramidal features in Parkinson's disease with and without dementia and dementia with Lewy bodies: A cross-sectional comparative study</title>
<author><name sortKey="Burn, David J" sort="Burn, David J" uniqKey="Burn D" first="David J." last="Burn">David J. Burn</name>
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<front><div type="abstract" xml:lang="en">Risk factors predicting an increased risk of dementia in Parkinson's disease (PD) are not fully established. The dementia associated with PD (PDD) closely resembles dementia with Lewy bodies (DLB). Based upon a high frequency of non-dopaminergic mediated clinical features in DLB, we predicted that a motor subtype comprising postural instability and balance problems would be more common in PDD. We examined extrapyramidal, cognitive, and affective features in 38 PD, 43 PDD, and 26 DLB patients in a cross-sectional study design. Motor subtype was subdivided into postural-instability gait difficulty (PIGD) or tremor (TD) dominant. The PIGD-subtype was more common in PDD (88% of cases) and DLB (69% of cases) groups compared with the PD group (38% of cases), in which TD and PIGD sub-types were more equally represented (P < 0.001). Although the mean depression scores overall were modest, PDD patients scored significantly higher than PD, but not DLB patients (Cornell; P = 0.006, and Geriatric Depression scale, GDS-15; P = 0.001), while within the PD group. those patients with a PIGD subtype had greater depression scores than the TD subtype (GDS-15; P < 0.05). We conclude that non-dopaminergic motor features are frequent in PDD. Neurodegeneration within the cholinergic system is likely to mediate many of these motor problems, as well as playing a significant role in determining the neuropsychiatric symptomatology of both PDD and DLB.</div>
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<ET>Extrapyramidal features in Parkinson's disease with and without dementia and dementia with Lewy bodies: A cross-sectional comparative study</ET>
<AU>BURN (David J.); ROWAN (Elise N.); MINETT (Thais); SANDERS (Jonathon); MYINT (Pat); RICHARDSON (Jonathon); THOMAS (Alan); NEWBY (Jane); REID (Jenny); O'BRIEN (John T.); MCKEITH (Ian G.)</AU>
<AF>Department of Neurology, Regional Neurosciences Centre, Newcastle General Hospital/Newcastle upon Tyne/Royaume-Uni (1 aut.); Institute for Ageing and Health, Wolfson Research Centre, Newcastle General Hospital/Newcastle upon Tyne/Royaume-Uni (1 aut., 2 aut., 3 aut., 4 aut., 5 aut., 6 aut., 7 aut., 8 aut., 9 aut., 10 aut., 11 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2003; Vol. 18; No. 8; Pp. 884-889; Bibl. 50 ref.</SO>
<LA>Anglais</LA>
<EA>Risk factors predicting an increased risk of dementia in Parkinson's disease (PD) are not fully established. The dementia associated with PD (PDD) closely resembles dementia with Lewy bodies (DLB). Based upon a high frequency of non-dopaminergic mediated clinical features in DLB, we predicted that a motor subtype comprising postural instability and balance problems would be more common in PDD. We examined extrapyramidal, cognitive, and affective features in 38 PD, 43 PDD, and 26 DLB patients in a cross-sectional study design. Motor subtype was subdivided into postural-instability gait difficulty (PIGD) or tremor (TD) dominant. The PIGD-subtype was more common in PDD (88% of cases) and DLB (69% of cases) groups compared with the PD group (38% of cases), in which TD and PIGD sub-types were more equally represented (P < 0.001). Although the mean depression scores overall were modest, PDD patients scored significantly higher than PD, but not DLB patients (Cornell; P = 0.006, and Geriatric Depression scale, GDS-15; P = 0.001), while within the PD group. those patients with a PIGD subtype had greater depression scores than the TD subtype (GDS-15; P < 0.05). We conclude that non-dopaminergic motor features are frequent in PDD. Neurodegeneration within the cholinergic system is likely to mediate many of these motor problems, as well as playing a significant role in determining the neuropsychiatric symptomatology of both PDD and DLB.</EA>
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<FD>Parkinson maladie; Démence; Forme clinique; Diagnostic; Complication; Facteur prédictif; Adulte; Corps Lewy maladie</FD>
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   |texte=   Extrapyramidal features in Parkinson's disease with and without dementia and dementia with Lewy bodies: A cross-sectional comparative study
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	Movement Disorders (revue)
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Movement Disorders (revue)

Extrapyramidal features in Parkinson's disease with and without dementia and dementia with Lewy bodies: A cross-sectional comparative study

Extrapyramidal features in Parkinson's disease with and without dementia and dementia with Lewy bodies: A cross-sectional comparative study

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